Sensorimotor training prior total knee arthroplasty and effects on functional outcome: A systematic review and meta-analysis

Blasco, José-María; Hernández‐Guillén, David; Martí, Luis; Acosta-Ballester, Yolanda; Alakhdar-Mohmara, Yasser; Roig-Casasús, Sergio

doi:10.1016/j.gaitpost.2021.03.001

Cited by 6 publications

(6 citation statements)

References 31 publications

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“…Blasco et al (2021) found limited evidence suggesting that preoperative sensorimotor training enhanced preoperative self-reported function, functional performance, knee function and pain compared with conventional care . Benefits were only maintained in terms of functional performance up to three months after surgery.…”

Section: Resultsmentioning

confidence: 98%

“…Nine systematic reviews (Alshewaier et al, 2017, Blasco et al, 2021, Fenton et al, 2021, Husted et al, 2020, Katsura et al, 2015, Potts et al, 2022, Rodrigues et al, 2021, Wang et al, 2021, Wang et al, 2016) provided evidence on the effectiveness of preoperative exercise interventions on improving outcomes of patients awaiting elective surgery. Six of the systematic reviews focussed on orthopaedic surgical procedures (three total knee replacement/arthroplasty, two anterior cruciate ligament reconstruction, and one on both total knee replacement and total hip replacement); two systematic reviews on cardiac and abdominal surgery, and one on cardiac surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Six of the systematic reviews focussed on orthopaedic surgical procedures (three total knee replacement/arthroplasty, two anterior cruciate ligament reconstruction, and one on both total knee replacement and total hip replacement); two systematic reviews on cardiac and abdominal surgery, and one on cardiac surgery. With regards to interventions, three of the nine systematic reviews examining the evidence of exercised-based interventions, were focussed specifically on preoperative rehabilitation (prehabilitation) (Alshewaier et al, 2017, Fenton et al, 2021, Wang et al, 2016); two systematic reviews focused on preoperative inspiratory muscle training (IMT) (Katsura et al, 2015, Rodrigues et al, 2021), and one systematic review focused on sensorimotor training (Blasco et al, 2021). The remaining three systematic reviews focussed on preoperative strength based exercises (Husted et al, 2020, Potts et al, 2022, Wang et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…No significant differences in quality of life, maximal inspiratory muscle strength, mechanical ventilation exceeding 48 hours, and allcause mortality within 30 days, were found between study groups. Blasco et al (2021) found limited evidence suggesting that preoperative sensorimotor training enhanced preoperative self-reported function, functional performance, knee function and pain compared with conventional care. Benefits were only maintained in terms of functional performance up to three months after surgery.…”

Section: Exercise-based Interventionsmentioning

confidence: 98%

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A rapid review of the effectiveness of innovations to support patients on elective surgical waiting lists

Okolie

Rodriǵuez

Wale

et al. 2022

Preprint

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Surgical waiting times have reached a record high, in particular with elective and non-emergency treatments being suspended or delayed during the COVID-19 pandemic. Prolonged waits for surgery can impact negatively on patients who may experience worse health outcomes, poor mental health, disease progression, or even death. Time spent waiting for surgery may be better utilised in preparing patients for surgery. This rapid review sought to identify innovations to support patients on surgical waiting lists to inform policy and strategy to address the elective surgical backlog in Wales. The review is based on the findings of existing reviews with priority given to robust evidence synthesis using minimum standards (systematic search, study selection, quality assessment, and appropriate synthesis). The search dates for prioritised reviews ranged from 2014-2021. Forty-eight systematic reviews were included. Most available evidence is derived from orthopaedic surgery reviews which may limit generalisability. The findings show benefits of exercise, education, smoking cessation, and psychological interventions for patients awaiting elective surgery. Policymakers, educators, and clinicians should consider recommending such interventions to be covered in curricula for health professionals. Further research is required to understand how various patient subgroups respond to preoperative interventions, including those from underserved and minority ethnic groups, more deprived groups and those with lower educational attainments. Further research is also needed on social prescribing or other community-centred approaches. It is unclear what impact the pandemic (and any associated restrictions) could have on the conduct or effectiveness of these interventions.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Exercise-based Interventionsmentioning

confidence: 98%

See 2 more Smart Citations

A rapid review of the effectiveness of innovations to support patients on elective surgical waiting lists

Okolie

Rodriǵuez

Wale

et al. 2022

Preprint

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“…Patients can potentially achieve their preoperative activity levels by receiving proper instruction and dedicating themselves to rehabilitation [ 47 ]. Long-term deficits in skeletal muscle health can occur during rehabilitation for UKA, such as muscle atrophy, strength loss, and impaired neuromuscular activity [ 48 , 49 ]. Pre-operatively, these defects commonly present themselves and amplify the limitation of knee motion during the surgical procedure and subsequent hospitalization [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Postoperative Knee Stiffness in Patients with Anteromedial Knee Osteoarthritis Undergoing Unicompartmental Knee Arthroplasty with Cemented Prostheses: A Short-Term, Retrospective, Case-Control Study

Wei,

Zhang,

Dong

et al. 2023

Med Sci Monit

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Background The present study was performed to determine the potential risk factors for postoperative knee stiffness in patients with anteromedial knee osteoarthritis undergoing unicompartmental knee arthroplasty with cemented prostheses. Material/Methods This retrospective cohort study evaluated patients with anteromedial knee osteoarthritis who underwent medial unicompartmental knee arthroplasty at our hospital between May 2017 and May 2020. The patients were divided into 2 groups according to their prognosis: those who experienced knee stiffness after undergoing unicompartmental knee arthroplasty and those who did not. The factors associated with stiffness after UKA were identified using univariate analysis. Frequencies are used to express categorical variables, while mean±SD is used to express continuous variables. The t test and chi-square test were used. A multivariate logistic regression model was built to identify the risk factors for postoperative stiffness. Results We included 590 knees in the study after unicompartmental knee arthroplasty. The overall incidence of postoperative stiffness in unicompartmental knee arthroplasty surgery was 10.17%. In terms of the radiological measurements, varus deformity (70.34% vs 29.66%) and tibial component posterior slope angle (4.8±2.0 vs 4.6±2.0, P <0.001) were significantly differences between the 2 groups. Four independent risk factors for stiffness after unicompartmental knee arthroplasty were identified: age (95% CI, 1.022–1.048), varus deformity (95% CI, 1.186–1.192), tibial component posterior slope angle (95% CI, 0.550–0.870), and preoperative maximum flexion (95% CI, 0.896–0.923). Conclusions The overall incidence of postoperative knee stiffness in patients with anteromedial knee osteoarthritis undergoing unicompartmental knee arthroplasty with cemented prostheses was 10.17%, which was at a moderate level compared to patients with other diseases undergoing unicompartmental knee arthroplasty. Four independent risk factors were identified: age, varus deformity, preoperative maximum flexion, and tibial component posterior slope angle. Awareness these risk factors might help surgeons prevent the occurrence of postoperative knee stiffness in patients with UKA.

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Prähabilitation vor Knieendoprothetik

Valle,

von Roth

2024

Orthopädie

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Sensorimotor training prior total knee arthroplasty and effects on functional outcome: A systematic review and meta-analysis

Cited by 6 publications

References 31 publications

A rapid review of the effectiveness of innovations to support patients on elective surgical waiting lists

A rapid review of the effectiveness of innovations to support patients on elective surgical waiting lists

Risk Factors for Postoperative Knee Stiffness in Patients with Anteromedial Knee Osteoarthritis Undergoing Unicompartmental Knee Arthroplasty with Cemented Prostheses: A Short-Term, Retrospective, Case-Control Study

Prähabilitation vor Knieendoprothetik

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