Effects of preoperative resistance training on postoperative rehabilitation of patients undergoing total knee arthroplasty: a Meta-analysis
10.3760/cma.j.115682-20230316-01001
- VernacularTitle:术前抗阻训练对全膝关节置换患者术后康复影响的Meta分析
- Author:
Ping LI
1
;
Zhenlong ZHANG
;
Yanbo JI
;
Tanqian HAN
;
Mei HAN
Author Information
1. 山东第一医科大学第一附属医院(山东省千佛山医院)护理部,济南 250014
- Keywords:
Meta-analysis;
Arthroplasty, replacement, knee;
Resistance training;
Preoperative exercise
- From:
Chinese Journal of Modern Nursing
2023;29(34):4670-4676
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the effects of preoperative resistance training on postoperative pain, knee function, and quadriceps muscle strength in patients undergoing total knee arthroplasty.Methods:Randomized controlled trials on the effectiveness of preoperative resistance training in patients undergoing total knee arthroplasty were conducted by computer retrieval on PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure, WanFang Data, VIP, and China Biomedical Literature Database. The search period was from the establishment of the database to December 1, 2022. Meta-analysis was conducted using RevMan 5.4 software.Results:A total of 8 articles were included. Meta-analysis showed that preoperative resistance training could improve postoperative pain [ SMD=-0.97, 95% CI (-1.26, -0.68), P<0.01], promote postoperative knee function [ MD=-13.31, 95% CI (-16.97, -9.65), P<0.01], and quadriceps muscle strength [ MD=0.74, 95% CI (0.22, 1.25), P<0.01]in patients with total knee arthroplasty in the short term (<6 weeks), with statistically significant differences. Conclusions:Preoperative resistance training can alleviate the postoperative pain, promote knee joint function, and restore quadriceps muscle strength of patients undergoing total knee arthroplasty.