Effective exercise intervention period for improving body function or activity in patients with knee osteoarthritis undergoing total knee arthroplasty: a systematic review and meta-analysis

Umehara, Takuya; Tanaka, Ryo

doi:10.1016/j.bjpt.2017.10.005

Cited by 26 publications

(18 citation statements)

References 45 publications

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“…Osteoarthritis (OA) is one of the most frequent painful musculoskeletal disorder encountered in the clinic. 1 In people with knee OA, pain generally improves with exercise 2,3 and/or physical therapy interventions such as hydrotherapy. 4 Unfortunately, some people see little to no improvement in pain, whereas others experience chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Can muscle weakness and disability influence the relationship between pain catastrophizing and pain worsening in patients with knee osteoarthritis? A cross-sectional study

Tanaka

Hirohama²,

Ozawa

2019

Brazilian Journal of Physical Therapy

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Section: Introductionmentioning

confidence: 99%

Can muscle weakness and disability influence the relationship between pain catastrophizing and pain worsening in patients with knee osteoarthritis? A cross-sectional study

Tanaka

Hirohama²,

Ozawa

2019

Brazilian Journal of Physical Therapy

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“…Previous reviews have focused on outcomes relating to preoperative function and pain, the in-hospital experience and long-term recovery 10 12–46. Review conclusions vary based on the outcomes and follow-up times.…”

Section: Discussionmentioning

confidence: 99%

“…In a systematic literature search of MEDLINE, Embase, PsycINFO, CINAHL and The Cochrane Library on 18 December 2018, we identified 36 systematic reviews of preoperative interventions in TKR. Twenty-five of these had searches conducted more than 5 years previously,10 12–35 and nine exclusively reported short-term outcomes (3 months or less after surgery) 36–44. Two more recent reviews considered the outcome of long-term pain45 46 but neither had a registered protocol.…”

Section: Introductionmentioning

confidence: 99%

Effects of presurgical interventions on chronic pain after total knee replacement: a systematic review and meta-analysis of randomised controlled trials

et al. 2020

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ObjectiveNearly 100 000 primary total knee replacements (TKR) are performed in the UK annually. The primary aim of TKR is pain relief, but 10%–34% of patients report chronic pain. The aim of this systematic review was to evaluate the effectiveness of presurgical interventions in preventing chronic pain after TKR.DesignMEDLINE, Embase, CINAHL,The Cochrane Libraryand PsycINFO were searched from inception to December 2018. Screening and data extraction were performed by two authors. Meta-analysis was conducted using a random effects model. Risk of bias was assessed using the Cochrane tool and quality of evidence was assessed by Grading of Recommendations Assessment, Development and Evaluation.Primary and secondary outcomesPain at 6 months or longer; adverse events.InterventionsPresurgical interventions aimed at improving TKR outcomes.ResultsEight randomised controlled trials (RCTs) with data from 960 participants were included. The studies involved nine eligible comparisons. We found moderate-quality evidence of no effect of exercise programmes on chronic pain after TKR, based on a meta-analysis of 6 interventions with 229 participants (standardised mean difference 0.20, 95% CI −0.06 to 0.47, I2=0%). Sensitivity analysis restricted to studies at overall low risk of bias confirmed findings. Another RCT of exercise with no data available for meta-analysis showed no benefit. Studies evaluating combined exercise and education intervention (n=1) and education alone (n=1) suggested similar findings. Adverse event data were reported by most studies, but events were too few to draw conclusions.ConclusionsWe found low to moderate-quality evidence to suggest that neither preoperative exercise, education nor a combination of both is effective in preventing chronic pain after TKR. This review also identified a lack of evaluations of other preoperative interventions, such as multimodal pain management, which may improve long-term pain outcomes after TKR.PROSPERO registration numberCRD42017041382.

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“…To improve their functional and physical health, people living with CNSD and MSD usually require extensive rehabilitation (e.g., physical exercises) [8, 9]. This is supported by a large body of evidence showing that physical exercises, including rehabilitation exercises, improve various health indicators among people with CNSD [10, 11] and MSD [12, 13]. Although CNSD and MSD are two different groups of chronic conditions, both have in common that persons living with CNSD and MSD face mobility problems [14], show a decline in physical QOL [3, 4], and benefit from rehabilitation exercises regarding their mobility and physical QOL [14].…”

Section: Introductionmentioning

confidence: 99%

Links between meaning in life and physical quality of life after rehabilitation: Mediating effects of positive experiences with physical exercises and mobility

et al. 2019

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BackgroundIndicators of emotional processes (positive experiences with physical exercises) and functional processes (mobility) were previously found to be associated with positive cognitive resources (meaning in life), and the key outcome in the rehabilitation, namely physical quality of life (QOL). Yet, the mediating roles of such processes were not tested. Therefore, this prospective study investigated whether the relationship between meaning in life and physical QOL was mediated by positive experiences with physical exercises and mobility.MethodsProspective data were collected at two measurement points, 1 month apart. A total of N = 339 participants (aged 19–84 years old, 57.9% women) provided data at Time 1 (T1) at the beginning of inpatient rehabilitation from central nervous system diseases (CNSD, e.g., stroke; n = 89) or musculoskeletal system diseases (MSD, e.g., dorsopathies; n = 250), and n = 234 at Time 2 (T2, the end of rehabilitation; 4 weeks after T1). Mediation analysis with meaning in life as predictor (T1), positive experiences with physical exercises and mobility as sequential mediators (T2), and physical QOL (T2) as the outcome was conducted.ResultsHigher meaning in life (T1) predicted more positive experiences with physical exercises (T2), which were associated with a higher level of mobility (T2), which in turn was associated with better physical quality of life (T2).ConclusionsMeaning in life at the beginning of inpatient rehabilitation may trigger positive experiences with physical exercises and functional changes in mobility levels, leading to better physical quality of life. Screening for low meaning in life may allow to identify patients who are at risk for a lack of improvement of mobility and physical quality of life during rehabilitation.

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Effective exercise intervention period for improving body function or activity in patients with knee osteoarthritis undergoing total knee arthroplasty: a systematic review and meta-analysis

Abstract: Overall, we found low- to moderate-quality evidence that an 8-week exercise period was needed after discharge to improve body function and activity in patients with knee OA undergoing TKA.

Cited by 26 publications

References 45 publications

Can muscle weakness and disability influence the relationship between pain catastrophizing and pain worsening in patients with knee osteoarthritis? A cross-sectional study

Can muscle weakness and disability influence the relationship between pain catastrophizing and pain worsening in patients with knee osteoarthritis? A cross-sectional study

Effects of presurgical interventions on chronic pain after total knee replacement: a systematic review and meta-analysis of randomised controlled trials

Links between meaning in life and physical quality of life after rehabilitation: Mediating effects of positive experiences with physical exercises and mobility

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