Pre-operative interventions (non-surgical and non-pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement surgery – a systematic review and meta-analysis

Wallis, Jason; Taylor, Nicholas F.

doi:10.1016/j.joca.2011.09.001

Cited by 177 publications

(151 citation statements)

References 58 publications

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“…As a result of 8-week HEP, pain intensity in knee joint decreased, whereas self-reported function of knee joint did not improve significantly. Similar results of the WOMAC index score have also been found by previous studies with patients with knee OA [20]. Preoperative performance of HEP is recommended for improvement of surrounding knee joint muscle function.…”

Section: Discussionsupporting

confidence: 87%

“…Patients often have to wait several months for the surgery and during that time they endure severe pain that restricts their activities of daily living (ADL) and participation in their normal social roles. Pre-operative interventions such as exercises are performed in the expectation of improving pre-operative outcomes as well as recovery after surgery [20]. There is much evidence suggesting that exercises are effective in OA patients for decreasing pain and improving function [5,3].…”

Section: Introductionmentioning

confidence: 99%

“…There is much evidence suggesting that exercises are effective in OA patients for decreasing pain and improving function [5,3]. Not much research has been done about the effect of exercises in OA patients waiting for knee replacement surgery [20].…”

Section: Introductionmentioning

confidence: 99%

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Influence of home exercise programme on thigh muscle tone and function of knee joint before total knee arthroplasty

Gapeyeva¹,

Saksniit²,

Sokk³

et al. 2012

AKUT

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The aim of the study was to investigate the effect of 8-week home exercise programme (HEP) on thigh muscle tone in patients with knee joint osteoarthritis (OA) before total knee arthroplasty (TKA). Fifteen female patients with knee joint OA aged 50-74 years who were scheduled to TKA participated in the study before and after 8-week HEP. Muscle tone (frequency of muscle oscillation), elasticity (logarithmic decrement of muscle damped oscillations) and stiffness of rectus femoris, vastus medialis and vastus lateralis muscles were measured using hand-held myotonometer Myoton 3. Self-reported assessment of knee joint function and pain was performed using Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). Significant (p<0.05) decrease in muscle tone and stiffness of vastus lateralis muscle was noted after HEP, but no change was observed in elasticity of the muscle. Also no significant difference was found in rectus femoris and vastus lateralis muscles in either tone, elasticity or stiffness. As a result of 8-week HEP, pain intensity in knee joint decreased, whereas self-reported function of knee joint by WOMAC did not improve significantly. Preoperative performance of HEP is recommended for improvement of surrounding knee joint muscle function.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Influence of home exercise programme on thigh muscle tone and function of knee joint before total knee arthroplasty

Gapeyeva¹,

Saksniit²,

Sokk³

et al. 2012

AKUT

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“…The PEDro score has demonstrated moderate interrater reliability (intraclass correlation coeffi cient = 0.68 [95% CI, 0.57-0.76]) for clinical trials 15) . A trial with a score of 6 or more was considered to be high quality, which is consistent with previous reviews 16) .…”

Section: Risk Of Bias In Individual Studiessupporting

confidence: 66%

Evidence of Improvement in Various Impairments by Exercise Interventions in Patients with Knee Osteoarthritis: A Systematic Review and Meta-analysis of Randomized Clinical Trials

Tanaka

Ozawa

Kito

et al. 2013

J Jpn Phys Ther Assoc

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ABSTRACT. Purpose: To investigate improvement in various impairments by exercise interventions in patients with knee osteoarthritis (OA). Methods: We collected data on randomized controlled trials (RCTs) comparing the effects of exercise intervention with those of either nonintervention or psychoeducational intervention in patients with knee OA. Data on pain, stiffness, muscle strength, range of motion, fl exibility, maximal oxygen uptake, and position sense were synthesized. The Grading of Recommendations Assessment, Development, and Evaluation system was used to determine the quality of the evidence. Results: Thirty-three RCTs involving 3,192 participants were identifi ed. Meta-analysis provided highquality evidence that exercise intervention improves maximal oxygen uptake, and moderate-quality evidence that exercise intervention also improves pain, stiffness, knee extensor and fl exor muscle strength, and position sense. The evidence that exercise intervention improves knee extension and fl exion range of motion was deemed as undetermined-quality. Conclusion: In patients with knee OA, improvement in pain, stiffness, muscle strength, maximal oxygen uptake, and position sense with the use of exercise intervention can be expected. Although the quality of evidence of the effect of exercise intervention on range of motion was inconclusive, exercise intervention should be recommended for patients with knee OA to improve various impairments.

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“…Furthermore, studies have shown that, for other musculoskeletal injuries, good preoperative function is essential for good postoperative results. 21,38,41,65,68 Hence, teaching patients appropriate exercises to perform and using a structured exercise program to optimize preoperative knee function could also be of potential benefit for patients with full-thickness articular cartilage lesions who require a surgical repair.…”

Section: The Oslo Cartilage Active Rehabilitation and Education Programmentioning

confidence: 99%

The Feasibility of a 3-Month Active Rehabilitation Program for Patients With Knee Full-Thickness Articular Cartilage Lesions: The Oslo Cartilage Active Rehabilitation and Education Study

Wondrasch¹,

Årøen²,

Røtterud³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Case series. Objectives To evaluate the feasibility of an active rehabilitation program for patients with knee full-thickness articular cartilage lesions. Background No studies have yet evaluated the effect of active rehabilitation in patients with knee full-thickness articular cartilage lesions or compared the effects of active rehabilitation to those of surgical interventions. As an initial step, the feasibility of such a program needs to be described. Methods Forty-eight patients with a knee full-thickness articular cartilage lesion and a Lysholm score below 75 participated in a 3-month active rehabilitation program consisting of cardiovascular training, knee and hip progressive resistance training, and neuromuscular training. Feasibility was determined by monitoring adherence to the program, clinical changes in knee function, load progression, and adverse events. Patients were tested before and after completing the rehabilitation program by using patient-reported outcomes (Knee injury and Osteoarthritis Outcome Score, International Knee Documentation Committee Subjective Knee Evaluation Form 2000) and isokinetic muscle strength and hop tests. To monitor adherence, load progression, and adverse events, patients responded to an online survey and kept training diaries. Results The average adherence rate to the rehabilitation program was 83%. Four patients (9%) showed adverse events, as they could not perform the exercises due to pain and effusion. Significant and clinically meaningful improvement was found, based on changes on the International Knee Documentation Committee Subjective Knee Evaluation Form 2000, the Knee injury and Osteoarthritis Outcome Score quality of life subscale, isokinetic muscle strength, and hop performance (P<.05), with small to large effect sizes (standardized response mean, 0.3–1.22). Conclusion The combination of a high adherence rate, clinically meaningful changes, and positive load progression and the occurrence of only a few adverse events support the potential usefulness of this program for patients with knee full-thickness cartilage lesions. This study was registered with the public trial registry Clinical Trials.gov (NCT00885729). Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther 2013;43(5):310–324. Epub 13 March 2013. doi:10.2519/jospt.2013.4354

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Pre-operative interventions (non-surgical and non-pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement surgery – a systematic review and meta-analysis

Abstract: Low to moderate evidence from mostly small RCTs demonstrated that pre-operative interventions, particularly exercise, reduce pain for patients with hip and knee osteoarthritis prior to joint replacement, and exercise with education programs may improve activity after hip replacement.

Cited by 177 publications

References 58 publications

Influence of home exercise programme on thigh muscle tone and function of knee joint before total knee arthroplasty

Influence of home exercise programme on thigh muscle tone and function of knee joint before total knee arthroplasty

Evidence of Improvement in Various Impairments by Exercise Interventions in Patients with Knee Osteoarthritis: A Systematic Review and Meta-analysis of Randomized Clinical Trials

The Feasibility of a 3-Month Active Rehabilitation Program for Patients With Knee Full-Thickness Articular Cartilage Lesions: The Oslo Cartilage Active Rehabilitation and Education Study

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