关键词: Hip abductors Knee osteoarthritis Rehabilitation Total knee arthroplasty Total knee replacement

来  源:   DOI:10.22038/ABJS.2024.76202.3520   PDF(Pubmed)

Abstract:
UNASSIGNED: As the population is growing older, incidence of knee osteoarthritis is largely increasing and the rate total knee arthroplasty surgery is following that same trend. However, patients post-operatively are retaining weakness in the quadriceps and hip abductors for a period reaching up to 3 years following surgery. The current literature results on the effectiveness of rehabilitation programs that also includes hip strengthening exercises are still highly contradicting. This meta-analysis studies and assesses the efficacy of hip strengthening exercises following total knee arthroplasty surgery.
UNASSIGNED: PubMed, Embase, Cochrane and Google Scholar (page 1-20) were searched till January 2024. The clinical outcomes consisted of the post-operative tests (6MWT, TUG, SLS), pain, and range of motion (flexion and extension).
UNASSIGNED: Three randomized clinical studies were included in the meta-analysis. When compared to the standard rehabilitation, hip strengthening exercises proved a better improvement of single leg stance with no difference observed in the remaining outcomes.
UNASSIGNED: Hip strengthening exercise protocols ensured a better improvement of single leg stance scores. However, no difference was observed in the remaining analyzed outcomes. This contradictions between studies can be explained by the different physical therapy protocols used. Nevertheless, more randomized controlled studies are needed to confirm such results.
摘要:
随着人口的老龄化,膝关节骨性关节炎的发病率正在大幅增加,全膝关节置换术的发生率也遵循同样的趋势。然而,术后患者股四头肌和髋关节外展肌的肌无力保留时间长达术后3年.目前关于康复计划的有效性的文献结果也包括髋部强化练习仍然高度矛盾。这项荟萃分析研究并评估了全膝关节置换术后髋关节强化锻炼的功效。
PubMed,Embase,搜索Cochrane和GoogleScholar(第1-20页)直到2024年1月。临床结果包括术后测试(6MWT,TUG,SLS),疼痛,和运动范围(弯曲和伸展)。
三项随机临床研究纳入荟萃分析。与标准康复相比,髋关节强化锻炼证明单腿站立姿势有较好的改善,其余结果无差异.
髋部加强运动方案确保了单腿姿势得分的更好改善。然而,其余分析结局无差异.研究之间的这种矛盾可以通过使用不同的物理治疗方案来解释。然而,需要更多的随机对照研究来证实这些结果.
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