Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis
ObjectiveTo evaluate the effectiveness of pre-operative resistance training in patients allocated to TJR surgery on selected post-operative outcomes, via a meta-analysis of studies using exercise modalities and loading intensities objectively known to promote gains in muscle size and strength in adu...
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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 Sports and Active Living |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2022.924307/full |
| _version_ | 1828193517247135744 |
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| author | Stian Langgård Jørgensen Stian Langgård Jørgensen Stian Langgård Jørgensen Stian Langgård Jørgensen Signe Kierkegaard Signe Kierkegaard Signe Kierkegaard Marie Bagger Bohn Marie Bagger Bohn Marie Bagger Bohn Per Aagaard Inger Mechlenburg Inger Mechlenburg |
| author_facet | Stian Langgård Jørgensen Stian Langgård Jørgensen Stian Langgård Jørgensen Stian Langgård Jørgensen Signe Kierkegaard Signe Kierkegaard Signe Kierkegaard Marie Bagger Bohn Marie Bagger Bohn Marie Bagger Bohn Per Aagaard Inger Mechlenburg Inger Mechlenburg |
| author_sort | Stian Langgård Jørgensen |
| collection | DOAJ |
| description | ObjectiveTo evaluate the effectiveness of pre-operative resistance training in patients allocated to TJR surgery on selected post-operative outcomes, via a meta-analysis of studies using exercise modalities and loading intensities objectively known to promote gains in muscle size and strength in adults of young-to-old age.DesignA systematic review and meta-analysis.Literature SearchCochrane Central, MEDLINE, EMBASE, and PEDro were searched on August 4th 2021.Study SelectionRandomized Controlled Trials (RCTs) were included if (i) they compared pre-operative lower-limb-exercises before elective TJR with standard care, (ii) explicitly reported the exercise intensity, and (iii) reported data on functional performance.Data SynthesisThis systematic review and meta-analysis is reported in accordance with the PRISMA reporting guidelines. A random effects model with an adjustment to the confidence interval was performed for pooling the data.ResultsOne thousand studies were identified. After applying exclusion criteria, five RCTs were located including 256 participants (mean age ranged from 61 to 72 years, 54% women). Moderate-to-large improvements in functional performance and maximal knee extensor strength were observed at 3 months after surgery along with small-to-moderate effects 12 months post-operatively. For patient-reported outcomes, small-to-moderate improvements were observed at 3 months post-operatively with no-to-small improvements at 12 months.ConclusionPrehabilitation efforts involving progressive resistance training provides an effective means to improve post-operative outcomes related to functional performance, knee extensor strength and patient-reported outcome in patients undergoing TJR. Due to large methodological diversity between studies, an optimal loading intensity remains unknown.Systematic Review RegistrationProspero ID: CRD42021264796. |
| first_indexed | 2024-04-12T09:09:54Z |
| format | Article |
| id | doaj.art-f248ab06f5734b4f8b8aeaac0b166739 |
| institution | Directory Open Access Journal |
| issn | 2624-9367 |
| language | English |
| last_indexed | 2024-04-12T09:09:54Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sports and Active Living |
| spelling | doaj.art-f248ab06f5734b4f8b8aeaac0b1667392022-12-22T03:39:00ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672022-07-01410.3389/fspor.2022.924307924307Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-AnalysisStian Langgård Jørgensen0Stian Langgård Jørgensen1Stian Langgård Jørgensen2Stian Langgård Jørgensen3Signe Kierkegaard4Signe Kierkegaard5Signe Kierkegaard6Marie Bagger Bohn7Marie Bagger Bohn8Marie Bagger Bohn9Per Aagaard10Inger Mechlenburg11Inger Mechlenburg12Department of Occupational and Physical Therapy, Horsens Regional Hospital, Horsens, DenmarkHorsens Research Centre - Hip Training & Preservation Surgery (H-HIP), Department of Occupational and Physical Therapy, Horsens Regional Hospital, Horsens, DenmarkDepartment of Orthopedic Surgery, Horsens Regional Hospital, Horsens, DenmarkDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkHorsens Research Centre - Hip Training & Preservation Surgery (H-HIP), Department of Occupational and Physical Therapy, Horsens Regional Hospital, Horsens, DenmarkDepartment of Orthopedic Surgery, Horsens Regional Hospital, Horsens, DenmarkDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkHorsens Research Centre - Hip Training & Preservation Surgery (H-HIP), Department of Occupational and Physical Therapy, Horsens Regional Hospital, Horsens, DenmarkDepartment of Orthopedic Surgery, Horsens Regional Hospital, Horsens, DenmarkDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkDepartment of Orthopedic Surgery, Aarhus University Hospital, Aarhus, DenmarkObjectiveTo evaluate the effectiveness of pre-operative resistance training in patients allocated to TJR surgery on selected post-operative outcomes, via a meta-analysis of studies using exercise modalities and loading intensities objectively known to promote gains in muscle size and strength in adults of young-to-old age.DesignA systematic review and meta-analysis.Literature SearchCochrane Central, MEDLINE, EMBASE, and PEDro were searched on August 4th 2021.Study SelectionRandomized Controlled Trials (RCTs) were included if (i) they compared pre-operative lower-limb-exercises before elective TJR with standard care, (ii) explicitly reported the exercise intensity, and (iii) reported data on functional performance.Data SynthesisThis systematic review and meta-analysis is reported in accordance with the PRISMA reporting guidelines. A random effects model with an adjustment to the confidence interval was performed for pooling the data.ResultsOne thousand studies were identified. After applying exclusion criteria, five RCTs were located including 256 participants (mean age ranged from 61 to 72 years, 54% women). Moderate-to-large improvements in functional performance and maximal knee extensor strength were observed at 3 months after surgery along with small-to-moderate effects 12 months post-operatively. For patient-reported outcomes, small-to-moderate improvements were observed at 3 months post-operatively with no-to-small improvements at 12 months.ConclusionPrehabilitation efforts involving progressive resistance training provides an effective means to improve post-operative outcomes related to functional performance, knee extensor strength and patient-reported outcome in patients undergoing TJR. Due to large methodological diversity between studies, an optimal loading intensity remains unknown.Systematic Review RegistrationProspero ID: CRD42021264796.https://www.frontiersin.org/articles/10.3389/fspor.2022.924307/fullprehabilitationfunctional performancemuscle strengthorthopedicspatient reported outcomes |
| spellingShingle | Stian Langgård Jørgensen Stian Langgård Jørgensen Stian Langgård Jørgensen Stian Langgård Jørgensen Signe Kierkegaard Signe Kierkegaard Signe Kierkegaard Marie Bagger Bohn Marie Bagger Bohn Marie Bagger Bohn Per Aagaard Inger Mechlenburg Inger Mechlenburg Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis Frontiers in Sports and Active Living prehabilitation functional performance muscle strength orthopedics patient reported outcomes |
| title | Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis |
| title_full | Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis |
| title_fullStr | Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis |
| title_short | Effects of Resistance Training Prior to Total Hip or Knee Replacement on Post-operative Recovery in Functional Performance: A Systematic Review and Meta-Analysis |
| title_sort | effects of resistance training prior to total hip or knee replacement on post operative recovery in functional performance a systematic review and meta analysis |
| topic | prehabilitation functional performance muscle strength orthopedics patient reported outcomes |
| url | https://www.frontiersin.org/articles/10.3389/fspor.2022.924307/full |
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