Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews
10.3969/j.issn.1006-9771.2023.09.009
- VernacularTitle:预康复对全膝关节置换术后患者的有效性：系统综述的系统综述
- Author:
Jiawei SHI
1
;
Lingyu LI
1
;
Haojie YANG
1
;
Qinlu WANG
1
;
Haiou ZOU
1
Author Information
1. School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China
- Publication Type:Journal Article
- Keywords:
total knee arthroplasty;
prerehabilitation;
systematic review
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(9):1057-1064
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo conduct a systematic review of systematic reviews of the effect of preoperative prerehabilitation training on postoperative function of patients after total knee arthroplasty. MethodsThe systematic reviews and meta-analysis about the application of preoperative prerehabilitation training after total knee arthroplasty were retrieved from Cochrane Library, Embase, PubMed, Web of Science, Wanfang Data, CNKI and VIP database, from establishment to March 10th, 2023. The methodological quality was evaluated using AMSTAR. The meta-analysis of the reseaches without repetitive content was performed using RevMan 5.3. ResultsA total of ten systematic reviews/meta analyses were included. Compared with the routine rehabilitation, preoperative prerehabilitation training might decrease the scores of Western Ontario and McMaster Universities Osteoarthritis Index (MD = -1.34, 95%CI -1.94 to -0.74, P < 0.001), and Hospital for Special Surgery Knee Score (MD = -1.04, 95%CI -1.69 to -0.40, P = 0.001), shorten the length of hospital stay (MD = -1.01, 95%CI -1.66 to -0.36, P = 0.002), and enhance muscle strength three months after operation (SMD = 0.63, 95%CI 0.30 to 0.97, P < 0.001). ConclusionPreoperative prerehabilitation training can improve postoperative knee function, enhance muscle strength three months after operation, and shorten length of hospital stay for the patients after total knee arthroplasty.
