Cargando…

Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

BACKGROUND: There is an increasing interest in preoperative strength training for promoting post-operative rehabilitation, but the effectiveness of preoperative strength training for clinical outcomes after total knee arthroplasty (TKA) remains controversial. OBJECTIVE: This study aims to systematic...

Descripción completa

Detalles Bibliográficos
Autores principales: Wu, Zugui, Wang, Yi, Li, Congcong, Li, Junyi, Chen, Weijian, Ye, Zixuan, Zeng, Ziquan, Hong, Kunhao, Zhu, Yue, Jiang, Tao, Lu, Yanyan, Liu, Wengang, Xu, Xuemeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349363/
https://www.ncbi.nlm.nih.gov/pubmed/35937597
http://dx.doi.org/10.3389/fsurg.2022.879593
_version_ 1784762115197763584
author Wu, Zugui
Wang, Yi
Li, Congcong
Li, Junyi
Chen, Weijian
Ye, Zixuan
Zeng, Ziquan
Hong, Kunhao
Zhu, Yue
Jiang, Tao
Lu, Yanyan
Liu, Wengang
Xu, Xuemeng
author_facet Wu, Zugui
Wang, Yi
Li, Congcong
Li, Junyi
Chen, Weijian
Ye, Zixuan
Zeng, Ziquan
Hong, Kunhao
Zhu, Yue
Jiang, Tao
Lu, Yanyan
Liu, Wengang
Xu, Xuemeng
author_sort Wu, Zugui
collection PubMed
description BACKGROUND: There is an increasing interest in preoperative strength training for promoting post-operative rehabilitation, but the effectiveness of preoperative strength training for clinical outcomes after total knee arthroplasty (TKA) remains controversial. OBJECTIVE: This study aims to systematically evaluate the effect of preoperative strength training on clinical outcomes before and after TKA. METHODS: We systematically searched PubMed, Cochrane Library, Web of Science, and EMBASE databases from the inception to November 17, 2021. The meta-analysis was performed to evaluate the effects of preoperative strength training on clinical outcomes before and after TKA. RESULTS: Seven randomized controlled trials (RCTs) were included (n = 306). Immediately before TKA, the pooled results showed significant improvements in pain, knee function, functional ability, stiffness, and physical function in the strength training group compared with the control group, but not in strength (quadriceps), ROM, and WOMAC (total). Compared with the control group, the results indicated strength training had a statistically significant improvement in post-operative knee function, ROM, and functional ability at less than 1 month and 3 months, and had a statistically significant improvement in post-operative strength (quadriceps), stiffness, and WOMAC (total) at 3 months, and had a statistically significant improvement in post-operative pain at 6 months. However, the results indicated strength training had no statistically significant improvement in post-operative strength (quadriceps) at less than 1 month, 6, and 12 months, had no statistically significant improvement in post-operative pain at less than 1 month, 3, and 12 months, had no statistically significant improvement in post-operative knee function at 6 and 12 months, and had no statistically significant improvement in post-operative physical function at 3 months. CONCLUSIONS: Preoperative strength training may be beneficial to early rehabilitation after TKA, but the long-term efficacy needs to be further determined. At the same time, more caution should be exercised when interpreting the clinical efficacy of preoperative strength training for TKA.
format Online
Article
Text
id pubmed-9349363
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-93493632022-08-05 Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis Wu, Zugui Wang, Yi Li, Congcong Li, Junyi Chen, Weijian Ye, Zixuan Zeng, Ziquan Hong, Kunhao Zhu, Yue Jiang, Tao Lu, Yanyan Liu, Wengang Xu, Xuemeng Front Surg Surgery BACKGROUND: There is an increasing interest in preoperative strength training for promoting post-operative rehabilitation, but the effectiveness of preoperative strength training for clinical outcomes after total knee arthroplasty (TKA) remains controversial. OBJECTIVE: This study aims to systematically evaluate the effect of preoperative strength training on clinical outcomes before and after TKA. METHODS: We systematically searched PubMed, Cochrane Library, Web of Science, and EMBASE databases from the inception to November 17, 2021. The meta-analysis was performed to evaluate the effects of preoperative strength training on clinical outcomes before and after TKA. RESULTS: Seven randomized controlled trials (RCTs) were included (n = 306). Immediately before TKA, the pooled results showed significant improvements in pain, knee function, functional ability, stiffness, and physical function in the strength training group compared with the control group, but not in strength (quadriceps), ROM, and WOMAC (total). Compared with the control group, the results indicated strength training had a statistically significant improvement in post-operative knee function, ROM, and functional ability at less than 1 month and 3 months, and had a statistically significant improvement in post-operative strength (quadriceps), stiffness, and WOMAC (total) at 3 months, and had a statistically significant improvement in post-operative pain at 6 months. However, the results indicated strength training had no statistically significant improvement in post-operative strength (quadriceps) at less than 1 month, 6, and 12 months, had no statistically significant improvement in post-operative pain at less than 1 month, 3, and 12 months, had no statistically significant improvement in post-operative knee function at 6 and 12 months, and had no statistically significant improvement in post-operative physical function at 3 months. CONCLUSIONS: Preoperative strength training may be beneficial to early rehabilitation after TKA, but the long-term efficacy needs to be further determined. At the same time, more caution should be exercised when interpreting the clinical efficacy of preoperative strength training for TKA. Frontiers Media S.A. 2022-07-21 /pmc/articles/PMC9349363/ /pubmed/35937597 http://dx.doi.org/10.3389/fsurg.2022.879593 Text en Copyright © 2022 Wu, Wang, Li, Li, Chen, Ye, Zeng, Hong, Zhu, Jiang, Lu, Liu and Xu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Wu, Zugui
Wang, Yi
Li, Congcong
Li, Junyi
Chen, Weijian
Ye, Zixuan
Zeng, Ziquan
Hong, Kunhao
Zhu, Yue
Jiang, Tao
Lu, Yanyan
Liu, Wengang
Xu, Xuemeng
Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
title Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
title_full Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
title_fullStr Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
title_full_unstemmed Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
title_short Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
title_sort preoperative strength training for clinical outcomes before and after total knee arthroplasty: a systematic review and meta-analysis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349363/
https://www.ncbi.nlm.nih.gov/pubmed/35937597
http://dx.doi.org/10.3389/fsurg.2022.879593
work_keys_str_mv AT wuzugui preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT wangyi preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT licongcong preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT lijunyi preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT chenweijian preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT yezixuan preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT zengziquan preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT hongkunhao preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT zhuyue preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT jiangtao preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT luyanyan preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT liuwengang preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis
AT xuxuemeng preoperativestrengthtrainingforclinicaloutcomesbeforeandaftertotalkneearthroplastyasystematicreviewandmetaanalysis