التفاصيل البيبلوغرافية
| العنوان: |
Effectiveness of prehabilitation on outcomes following total knee and hip arthroplasty for osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. |
| المؤلفون: |
Adebero, Tony1 tadebero@uwo.ca, Omana, Humberto1, Somerville, Lyndsay2, Lanting, Brent2, Hunter, Susan W.1,3 |
| المصدر: |
Disability & Rehabilitation. Dec2024, Vol. 46 Issue 24, p5771-5790. 20p. |
| مصطلحات موضوعية: |
*KNEE osteoarthritis, *SELF-evaluation, *CLINICAL medicine, *POSTOPERATIVE care, *MEDICAL information storage & retrieval systems, *PATIENT compliance, *TOTAL hip replacement, *TASK performance, *RESEARCH funding, *HEALTH status indicators, *STRETCH (Physiology), *COMPRESSION bandages, *PREHABILITATION, *CINAHL database, *FATIGUE (Physiology), *EVALUATION of medical care, *TREATMENT effectiveness, *META-analysis, *FUNCTIONAL status, *DESCRIPTIVE statistics, *EXERCISE intensity, *SYSTEMATIC reviews, *MEDLINE, *MUSCLE strength, *HEART beat, *TOTAL knee replacement, *QUALITY of life, *PAIN, *ELECTRIC stimulation, *BLOOD flow restriction training, *PHYSICAL fitness, *HIP osteoarthritis, *CONFIDENCE intervals, *DATA analysis software, *INDIVIDUALIZED medicine, *RANGE of motion of joints, *POSTURAL balance, *PHYSICAL mobility, *TIME, *EVALUATION, *REHABILITATION |
| مستخلص: |
Purpose: To quantify the effectiveness of prehabilitation prior to total knee and hip arthroplasty (TKA/THA) for osteoarthritis on postoperative outcomes assessed by self-report and performance-based measures. Methods: Embase, MEDLINE, CENTRAL, CINAHL and Scopus (inception-August 2022) were searched for randomized controlled trials. Self-report outcomes were function, health-related quality of life (HRQoL), and pain. Performance-based outcomes were strength, range of motion (ROM), balance, and functional mobility. The RoB 2.0 assessed risk of bias. Random-effects meta-analysis was performed up to 52 weeks after TKA/THA. Results: High risk of bias was found in 24 of 28 trials. Prehabilitation improved function (SMD = 0.50 [95%CI: 0.23, 0.77]), pain (SMD = 0.44 [95%CI: 0.17, 0.71]), HRQoL (SMD = 0.28 [95%CI: 0.12, 0.43]), strength (SMD = 0.72 [95%CI: 0.47, 0.98]), ROM (SMD = 0.31 [95%CI: 0.02, 0.59]), and functional mobility (SMD = 0.39 [95%CI: 0.05, 0.73]) post-TKA. No significant effect of prehabilitation on balance (SMD = 0.28 [95%CI: −0.11, 0.66]) post-TKA. All outcomes assessed had significant heterogeneity (p < 0.01). There were limited and contradictory trials (n = 2) for THA. Conclusion: High risk of bias and significant heterogeneity observed in our meta-analysis prevent conclusions regarding prehabilitation effectiveness on outcomes up to one year after TKA/THA. IMPLICATIONS FOR REHABILITATION: Prehabilitation has been promoted to improve postoperative outcomes and shorten recovery periods after total knee/hip arthroplasty (TKA/THA) for osteoarthritis Prehabilitation improved relevant self-report and performance-based outcomes after TKA surgery A high risk of bias and significant heterogeneity across trials prevent drawing any conclusions More high-quality research is required before recommending the implementation of prehabilitation programs in clinical practice for people awaiting TKA/THA [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |