Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis
Objective: To investigate the effectiveness of modified rehabilitation programmes in comparison with standard rehabilitation programmes after total knee arthroplasty through randomized controlled trials. Data sources: A search was conducted in PubMed, PubMed Central (PMC) and Cochrane Library databa...
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doaj-a7cbd2619d1b401a90a5a023d5b2f1e52021-06-02T11:49:31ZengFoundation for Rehabilitation InformationJournal of Rehabilitation Medicine1650-19771651-20812021-06-01536jrm0020010.2340/16501977-28272784Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysisWaleed Alrawashdeh0Jörg EschweilerFilippo MiglioriniYasser El MansyMarkus TingartBjörn Rath Klinik für Orthopädie, Universitätsklinikum Aachen, 52249 Eschweiler, Germany. E-mail: waalrawashde@ukaachen.de. Objective: To investigate the effectiveness of modified rehabilitation programmes in comparison with standard rehabilitation programmes after total knee arthroplasty through randomized controlled trials. Data sources: A search was conducted in PubMed, PubMed Central (PMC) and Cochrane Library databases in December 2020. Study selection: Randomized controlled trials were reviewed if they compared a physiotherapy exercise intervention with usual or standard physiotherapy care, or if they compared 2 types of exercise physiotherapy interventions meeting the review criteria, after total knee arthroplasty for osteoarthritis. A total of 18 randomized controlled trials were included at the end of the screening process. Data extraction: Two authors independently screened the literature, extracted data, and assessed the quality of included studies. The outcomes were knee extension, knee flexion, pain visual analogue scale, overall Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), 6-minute walking test, and Timed Up and Go test. Data synthesis: There was no clear pattern regarding which combination of starting time-point and duration of the rehabilitation programme after total knee arthroplasty significantly improves the clinical outcome when comparing modified rehabilitation programmes with standard programmes. Moreover, no particular modification to the modified programmes could be solely attributed to the improved clinical outcome in the 2 studies that showed significant improvement. Conclusion: Modified rehabilitation programmes do not result in systematic improvement in clinical outcome over one-size-fits-all-approaches after total knee arthroplasty. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2827 rehabilitation exercise physical therapy total knee replacement |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Waleed Alrawashdeh Jörg Eschweiler Filippo Migliorini Yasser El Mansy Markus Tingart Björn Rath |
spellingShingle |
Waleed Alrawashdeh Jörg Eschweiler Filippo Migliorini Yasser El Mansy Markus Tingart Björn Rath Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis Journal of Rehabilitation Medicine rehabilitation exercise physical therapy total knee replacement |
author_facet |
Waleed Alrawashdeh Jörg Eschweiler Filippo Migliorini Yasser El Mansy Markus Tingart Björn Rath |
author_sort |
Waleed Alrawashdeh |
title |
Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis |
title_short |
Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis |
title_full |
Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis |
title_fullStr |
Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis |
title_full_unstemmed |
Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis |
title_sort |
effectiveness of total knee arthroplasty rehabilitation programmes: a systematic review and meta-analysis |
publisher |
Foundation for Rehabilitation Information |
series |
Journal of Rehabilitation Medicine |
issn |
1650-1977 1651-2081 |
publishDate |
2021-06-01 |
description |
Objective: To investigate the effectiveness of modified rehabilitation programmes in comparison with standard rehabilitation programmes after total knee arthroplasty through randomized controlled trials.
Data sources: A search was conducted in PubMed, PubMed Central (PMC) and Cochrane Library databases in December 2020.
Study selection: Randomized controlled trials were reviewed if they compared a physiotherapy exercise intervention with usual or standard physiotherapy care, or if they compared 2 types of exercise physiotherapy interventions meeting the review criteria, after total knee arthroplasty for osteoarthritis. A total of 18 randomized controlled trials were included at the end of the screening process.
Data extraction: Two authors independently screened the literature, extracted data, and assessed the quality of included studies. The outcomes were knee extension, knee flexion, pain visual analogue scale, overall Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), 6-minute walking test, and Timed Up and Go test.
Data synthesis: There was no clear pattern regarding which combination of starting time-point and duration of the rehabilitation programme after total knee arthroplasty significantly improves the clinical outcome when comparing modified rehabilitation programmes with standard programmes. Moreover, no particular modification to the modified programmes could be solely attributed to the improved clinical outcome in the 2 studies that showed significant improvement.
Conclusion: Modified rehabilitation programmes do not result in systematic improvement in clinical outcome over one-size-fits-all-approaches after total knee arthroplasty. |
topic |
rehabilitation exercise physical therapy total knee replacement |
url |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2827
|
work_keys_str_mv |
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1721404656378183680 |