Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
BackgroundThere 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.ObjectiveThis study aims to systematically...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.879593/full |
| _version_ | 1828268889600950272 |
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| author | Zugui Wu Yi Wang Congcong Li Junyi Li Weijian Chen Zixuan Ye Ziquan Zeng Ziquan Zeng Kunhao Hong Kunhao Hong Yue Zhu Tao Jiang Tao Jiang Yanyan Lu Wengang Liu Wengang Liu Xuemeng Xu Xuemeng Xu |
| author_facet | Zugui Wu Yi Wang Congcong Li Junyi Li Weijian Chen Zixuan Ye Ziquan Zeng Ziquan Zeng Kunhao Hong Kunhao Hong Yue Zhu Tao Jiang Tao Jiang Yanyan Lu Wengang Liu Wengang Liu Xuemeng Xu Xuemeng Xu |
| author_sort | Zugui Wu |
| collection | DOAJ |
| description | BackgroundThere 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.ObjectiveThis study aims to systematically evaluate the effect of preoperative strength training on clinical outcomes before and after TKA.MethodsWe 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.ResultsSeven 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.ConclusionsPreoperative 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. |
| first_indexed | 2024-04-13T05:23:46Z |
| format | Article |
| id | doaj.art-34102c747dee403d8c3750a3eb792e53 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-13T05:23:46Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-34102c747dee403d8c3750a3eb792e532022-12-22T03:00:39ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-07-01910.3389/fsurg.2022.879593879593Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-AnalysisZugui Wu0Yi Wang1Congcong Li2Junyi Li3Weijian Chen4Zixuan Ye5Ziquan Zeng6Ziquan Zeng7Kunhao Hong8Kunhao Hong9Yue Zhu10Tao Jiang11Tao Jiang12Yanyan Lu13Wengang Liu14Wengang Liu15Xuemeng Xu16Xuemeng Xu17The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangzhou, ChinaBaishui Health Center, Qujing, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangzhou, ChinaLuoyang Orthopedic Hospital Of Henan Province (Orthopedic Hospital of Henan Province), Zhengzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangzhou, ChinaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangzhou, ChinaBackgroundThere 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.ObjectiveThis study aims to systematically evaluate the effect of preoperative strength training on clinical outcomes before and after TKA.MethodsWe 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.ResultsSeven 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.ConclusionsPreoperative 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.https://www.frontiersin.org/articles/10.3389/fsurg.2022.879593/fullpreoperativestrength trainingrehabilitationtotal knee arthroplastysystematic review |
| spellingShingle | Zugui Wu Yi Wang Congcong Li Junyi Li Weijian Chen Zixuan Ye Ziquan Zeng Ziquan Zeng Kunhao Hong Kunhao Hong Yue Zhu Tao Jiang Tao Jiang Yanyan Lu Wengang Liu Wengang Liu Xuemeng Xu Xuemeng Xu Preoperative Strength Training for Clinical Outcomes Before and After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis Frontiers in Surgery preoperative strength training rehabilitation total knee arthroplasty systematic review |
| 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 | preoperative strength training rehabilitation total knee arthroplasty systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.879593/full |
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