■虽然在关节置换手术后很受欢迎,渐进式阻力训练(PRT)在安全性和有效性方面存在争议.因此,必须彻底研究PRT对全膝关节置换术(TKA)后早期术后肌肉力量和功能能力的影响。在2020年5月12日至2002年2月12日之间,Cochrane图书馆,WebofScience,本研究对包含相关文献的Medline数据库进行了全面审查.
■在704项研究中,9(TKA)符合荟萃分析的纳入标准,涉及1021名成人患者。分析涵盖了TKA后1、3和12个月的各种指标,包括6分钟步行测试(6-WMT),爬楼梯表演(SCP),腿部伸展强度,定时启动和启动测试(TUG),和坐到站(ST)重复。
■在TKA患者中,6个月内的WMT(95%CI=-0.41,1.53),3个月(95%CI=-0.27,0.76),和12个月(95%CI=-0.29,0.66)没有显示任何显着差异。ST在不同的时间间隔没有明显的变化,SCP,腿部伸展强度,和1个月时的TUG(95%CI=-1.75,0.77),3个月(95%CI=-0.48,0.33),12个月(95%CI=-0.44,0.35)。两组间不良事件发生率无统计学差异(95%CI=-0.01,0.10)。
■TKAPRT早期与标准康复(SR)相比,在功能能力方面没有显着差异,肌肉力量恢复,和不良事件发生率。因此,PRT是促进全膝关节置换术后快速恢复的可行选择。
UNASSIGNED: Though popular after joint replacement surgery, progressive resistance training (PRT) has controversial safety and efficacy claims. Therefore, PRT\'s effect on early postoperative muscle strength and functional capacity following total knee arthroplasty (TKA) must be thoroughly investigated. Between May 12, 2020, and February 12, 2002, the Cochrane Library, Web of Science, and Medline databases containing pertinent literature were thoroughly reviewed for this investigation.
UNASSIGNED: Out of 704 studies, 9 (TKA) met inclusion criteria for meta-analysis, involving 1021 adult patients. The analysis encompassed various post-TKA indicators at 1, 3, and 12 months, including the 6-Minute Walk Test (6-WMT), Stair Climbing Performance (SCP), leg extension strength, Timed Up and Go Test (TUG), and Sit-to-Stand (ST) repetitions.
UNASSIGNED: In TKA patients, 6-WMT within 1 month (95 % CI = -0.41, 1.53), 3 months (95 % CI = -0.27, 0.76), and 12 months (95 % CI = -0.29, 0.66) did not show any significant differences. There were no discernible changes in ST at various time intervals, SCP, leg extension strength, and TUG at 1 month (95 % CI = -1.75, 0.77), 3 months (95 % CI = -0.48, 0.33), and 12 months (95 % CI = -0.44, 0.35). There was no statistical difference in the incidence of adverse events between the two groups (95 % CI = -0.01, 0.10).
UNASSIGNED: Early post-TKA PRT demonstrated no significant differences compared to Standard Rehabilitation (SR) regarding functional capacity, muscle strength recovery, and adverse event incidence. Therefore, PRT is a feasible option for promoting swift recovery post-total knee arthroplasty.