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Titre : | Efficacy and Safety of Lower Limb Progressive Resistance Exercise for Patients With Total Knee Arthroplasty: A Meta-analysis of Randomized Controlled Trials (2021) |
Auteurs : | Heng Liu ; Hui Cong ; Lixia Chen ; Hao Wu ; Xin Huang ; Yongping Cao |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 3, 2021) |
Article en page(s) : | p. 488-501 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.05.021 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthroplastie ; Arthroplastie prothétique de genou ; Genou ; Réadaptation |
Résumé : |
Objective
To evaluate the efficacy and safety of progressive resistance exercise (PRE) for patients with total knee arthroplasty (TKA) in a meta-analysis. Data Sources PubMed, MEDLINE, Cochranes Library, and EMBASE databases. Study Selection Randomized controlled trials evaluating the effect of PRE on mobility and function in patients with TKA. Data Extraction A random-effects model was applied if significant heterogeneity was detected; otherwise, a fixed-effects model was applied. Data Synthesis Seven randomized controlled trials. Compared with a rehabilitation program without PRE, physiotherapy including PRE was associated with improvements in the 6-minute walking test (weighed mean difference [WMD], 19.22m; P=.04) with a wide confidence interval (CI, 0.48∼37.95). However, sensitivity analysis by omitting 1 study with preoperative rehabilitation revealed nonsignificant results (WMD, 15.15m; P=.16). Moreover, PRE did not significantly improve the maximal walking speed (WMD, 0.05m/s, 95% CI, 0.00∼0.11; P=.05). However, PRE was associated with improved knee strength of extension (standardized mean difference [SMD], 0.72; 95% CI, 0.47∼0.96; P<.001 and flexion ci p but not self-reported physical function or changes in pain score pre did increase the risk of adverse events ratio> Conclusions PRE may lead to improvements in physical function among patients receiving a TKA. PRE leads to higher ultimate strength in the surgical knee and is safe to perform. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320303816#! |