Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty: a randomised controlled trial

Villadsen, Allan; Overgaard, Søren; Holsgaard-Larsen, Anders; Christensen, Robin; Roos, Ewa M.

doi:10.1136/annrheumdis-2012-203135

Cited by 83 publications

(147 citation statements)

References 27 publications

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“…Before randomization of the first patient, the multiple primary endpoints were changed to one single primary endpoint ('HOOS function'). The rationale for this change was to avoid multiplicity and improve the comparison of intervention effects with a previous high quality RCT using similar endpoint 28,29 . Consequently the sample size calculation used in the study protocol was based on the clinical relevant difference of 'HOOS function' 29 .…”

Section: Methodsmentioning

confidence: 99%

Preoperative progressive explosive-type resistance training is feasible and effective in patients with hip osteoarthritis scheduled for total hip arthroplasty – a randomized controlled trial

Hermann

Holsgaard-Larsen

Zerahn

et al. 2016

Osteoarthritis and Cartilage

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Section: Methodsmentioning

confidence: 99%

Preoperative progressive explosive-type resistance training is feasible and effective in patients with hip osteoarthritis scheduled for total hip arthroplasty – a randomized controlled trial

Hermann

Holsgaard-Larsen

Zerahn

et al. 2016

Osteoarthritis and Cartilage

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“…The outcomes specifically depict that knee problems resolve after neuromuscular exercise training for a specified time frame. A randomized controlled trial was conducted by Villadsen et al [31], demonstrating beneficial results of neuromuscular exercises after hip and knee arthroplasty. The trial also mentions that neuromuscular exercises are beneficial for tendons and muscles during strains.…”

Section: Discussionmentioning

confidence: 99%

Does neuromuscular exercise training improve proprioception in ankle lateral ligament injury among athletes? Systematic review and meta-analysis

Kalirtahinam

Ismail

Singh

et al. 2017

Sci Med

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Aims:The prevalence rate of ankle complexities is increasing at a constant rate among athletes. This study aimed to systematically describe the facts and findings related to the effectiveness of training programs on proprioception among athletes suffering from ankle ligament injury. Methods: A literature search in online libraries ( Google Scholar, PubMed, EBSCOhost, and ProQuest) using different search engines was conducted for the systematic review and meta-analysis. The common keywords included NEUROMUSCULAR, EXERCISE, TRAINING, PROPRIOCEPTION, and ATHLETES. Studies related to the topic, having relevant resources, and published within the past 10 years were used as inclusion criteria. Methodological quality was assessed through PEDro scale. A meta-analysis of the selected trials was conducted to assess the effectiveness of intervention. Results: Two hundred research articles were initially selected. After close scrutiny, 15 articles were included. Five moderate to excellent quality trials were selected, which involved 2,459 participants. It has been mainly identified that ankle sprain and its complications can be easily prevented with the help of training programs (five trials, relative risk: 0.69, 96%CI: 0.65-0.87). A statistically significant relationship was identified among athletes regarding the preventive impacts of training on proprioception. Conclusions: Preventive training programs were helpful for athletes in terms of proprioception, thus reducing the risk of ankle sprains.KEY WORDS: ankle; athletes; athletic injuries; ligament injury; proprioception; physical education and training. RESUMOObjetivos: A taxa de prevalência de lesões no complexo ligamentar lateral vem aumentando entre os atletas a uma velocidade constante. Este estudo teve por objetivo descrever sistematicamente os achados relacionados à eficácia dos programas de treinamento na propriocepção entre atletas com lesão ligamentar do tornozelo. Métodos: Foi realizada uma busca em bases de dados online ( Google Scholar, PubMed, EBSCOhost e ProQuest) com o uso de diferentes mecanismos de busca, para revisão sistemática e metanálise. Os descritores comuns foram NEUROMUSCULAR, EXERCISE, TRAINING, PROPRIOCEPTION, and ATHLETES. Os estudos relacionados ao assunto, os que continham recursos relevantes e aqueles publicados nos últimos 10 anos foram usados como critério de inclusão. A qualidade metodológica foi avaliada pela escala PEDro. Foi feita uma metanálise dos estudos selecionados a fim de avaliar a eficácia da intervenção. Resultados: Inicialmente, foram selecionados 200 artigos de pesquisa. Após uma avaliação detalhada, restaram 15 artigos. Cinco estudos de qualidade moderada a excelente foram selecionados, totalizando 2.459 participantes. Verificou-se, principalmente, que o entorse de tornozelo e suas complicações podem ser evitados facilmente com o auxílio de programas de treinamento (cinco estudos, risco relativo: 0,69, IC 96%: 0,65-0,87). Observou-se uma relação estatisticamente significativa em termos dos efeitos preventivos d...

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“…Studies have clearly shown the efficacy and advantages of exercises prior to THA or TKA as well as the numerous positive effects preoperative exercises have on the outcomes of the patient (Huang, Chen & Chou 2011;Matassi et al 2014;Swank et al 2011;Villadsen et al 2014). Preoperative exercises improve the psychological health, social life and quality of life of the patient (Czyżewska et al 2014).…”

Section: Activitymentioning

confidence: 99%

“…Preoperative exercises improve the psychological health, social life and quality of life of the patient (Czyżewska et al 2014). During interviews in studies conducted by Villadsen et al (2014) and Topp et al (2009), participants expressed a lack of interest in preoperative exercises, as their main concern was pain relief, clearly indicating that participants were unaware that preoperative exercises might actually reduce their preoperative and post-operative pain. Our study showed that both the THA and TKA participants' most common preoperative symptom was pain, whereas the majority of the participants indicated that they did not receive any information regarding pain relief pre-or postoperatively.…”

Section: Activitymentioning

confidence: 99%

Preoperative education in hip and knee arthroplasty patients in Bloemfontein

Barnes

Bodenstein

Human

et al. 2018

S. Afr. j. physiother.

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Background: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are frequently performed surgeries worldwide. Preoperative education enhances patient physiotherapy management and satisfaction and should be tailored to patients’ educational needs. Limited research is available regarding the preoperative educational needs for these patients.Objectives: To determine the extent of preoperative education received and the preoperative educational needs of patients undergoing THA and TKA.Method: A structured interview utilising a self-developed questionnaire was used and included questions exploring preoperative education, educational needs, method of education and health care professional providing education. A total of 14 THA and 36 TKA patients, 2–4 days post-operatively at private hospitals in Bloemfontein, were conveniently sampled.Results: All participants had arthroplasties because of osteoarthritis. All participants with THA and 35 (98%) participants with TKA received preoperative education from orthopaedic surgeons, and 8 (57%) participants with THA and 9 (25%) participants with TKA received preoperative education from physiotherapists. Education was mostly given as pamphlets months before the surgery. Participants received the least amount of information regarding exercises, especially preoperative exercise, pain relief and activities of daily living.Conclusion: This study highlights the need for improvement in patient engagement and education, together with enhanced health care practitioner communication and collaboration. Patient centeredness and individualised THA and TKA preoperative education programmes are recognised as a necessary attribute of quality health care and can lead to improved THA and TKA outcomes. The importance of exercise as part of preoperative interprofessional education in the management of THA and TKA should be emphasised as exercise is the cornerstone for rehabilitation of THA and TKA.Clinical implications: This study aimed to emphasise the importance of tailored preoperative education for THA and TKA patients to improve patient outcomes.

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Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty: a randomised controlled trial

Abstract: ClinicalTrials NCT01003756.

Cited by 83 publications

References 27 publications

Preoperative progressive explosive-type resistance training is feasible and effective in patients with hip osteoarthritis scheduled for total hip arthroplasty – a randomized controlled trial

Preoperative progressive explosive-type resistance training is feasible and effective in patients with hip osteoarthritis scheduled for total hip arthroplasty – a randomized controlled trial

Does neuromuscular exercise training improve proprioception in ankle lateral ligament injury among athletes? Systematic review and meta-analysis

Preoperative education in hip and knee arthroplasty patients in Bloemfontein

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