Fernando Domínguez-Navarro1, Celedonia Igual-Camacho2, Antonio Silvestre-Muñoz3, Sergio Roig-Casasús4, José María Blasco5. 1. Departamento de Fisioterapia, Universidad de Valencia, Calle Gascó Oliag 5, 46010 Valencia, Spain. Electronic address: ferdona@alumni.uv.es. 2. Departamento de Fisioterapia, Universidad de Valencia, Calle Gascó Oliag 5, 46010 Valencia, Spain; Hospital Clínico y Universitario de Valencia, Avd. Blasco Ibáñez 13, 46010 Valencia, Spain; Group of Physiotherapy in the Ageing Process, Spain. Electronic address: Celedonia.igual@uv.es. 3. Hospital Clínico y Universitario de Valencia, Avd. Blasco Ibáñez 13, 46010 Valencia, Spain; Departmento de Cirugía, Universidad de Valencia, Avd. Blasco Ibáñez 15, 46010 Valencia, Spain. Electronic address: Antonio.Silvestre@uv.es. 4. Departamento de Fisioterapia, Universidad de Valencia, Calle Gascó Oliag 5, 46010 Valencia, Spain; Group of Physiotherapy in the Ageing Process, Spain; Hospital Universitario y Politécnico la Fe, Avd. de Fernando Abril Martorell 106, 46026 València, Spain. Electronic address: Sergio.Roig@uv.es. 5. Departamento de Fisioterapia, Universidad de Valencia, Calle Gascó Oliag 5, 46010 Valencia, Spain; Group of Physiotherapy in the Ageing Process, Spain; IRIMED Joint Research Unit Hospital La Fe - Universidad de Valencia, Spain. Electronic address: Jose.Maria.Blasco@Uv.Es.
Abstract
BACKGOUND: Balance and proprioceptive deficits are frequently persistent after total joint replacement, limiting functionality and involving altered movement patterns and difficulties in walking and maintaining postural control among patients. RESEARCH QUESTION: The goal of this systematic review was to evaluate the short- and mid-term effects of proprioceptive and balance training for patients undergoing total knee and hip replacement. METHODS: This is a systematic review of literature. MEDLINE, Embase, Cochrane Library, PEDro, and Scopus were the databases searched. The review included randomized clinical trials in which the experimental groups underwent a training aimed at improving balance and proprioception, in addition to conventional care. The studies had to assess at least one of the following outcomes: self-reported functionality or balance (primary outcomes), knee function, pain, falls, or quality of life. RESULTS: Eight trials were included, involving 567 participants. The quantitative synthesis found a moderate to high significant effect of balance and proprioceptive trainings on self-reported functionality and balance after total knee replacement. The effects were maintained at mid-term in terms of balance alone. Conversely, preoperative training did not enhance outcomes after total hip arthroplasty. SIGNIFICANCE: The synthesis showed that, in clinical terms, balance trainings are a convenient complement to conventional physiotherapy care to produce an impact on balance and functionality after knee replacement. If outcomes such as improvement in pain, knee range of movement, or patient quality of life are to be promoted, it would be advisable to explore alternative proposals specifically targeting these goals. Further research is needed to confirm or discard the current evidence ultimately, predominantly in terms of the effects on the hips and those yielded by preoperative interventions.
BACKGOUND: Balance and proprioceptive deficits are frequently persistent after total joint replacement, limiting functionality and involving altered movement patterns and difficulties in walking and maintaining postural control among patients. RESEARCH QUESTION: The goal of this systematic review was to evaluate the short- and mid-term effects of proprioceptive and balance training for patients undergoing total knee and hip replacement. METHODS: This is a systematic review of literature. MEDLINE, Embase, Cochrane Library, PEDro, and Scopus were the databases searched. The review included randomized clinical trials in which the experimental groups underwent a training aimed at improving balance and proprioception, in addition to conventional care. The studies had to assess at least one of the following outcomes: self-reported functionality or balance (primary outcomes), knee function, pain, falls, or quality of life. RESULTS: Eight trials were included, involving 567 participants. The quantitative synthesis found a moderate to high significant effect of balance and proprioceptive trainings on self-reported functionality and balance after total knee replacement. The effects were maintained at mid-term in terms of balance alone. Conversely, preoperative training did not enhance outcomes after total hip arthroplasty. SIGNIFICANCE: The synthesis showed that, in clinical terms, balance trainings are a convenient complement to conventional physiotherapy care to produce an impact on balance and functionality after knee replacement. If outcomes such as improvement in pain, knee range of movement, or patient quality of life are to be promoted, it would be advisable to explore alternative proposals specifically targeting these goals. Further research is needed to confirm or discard the current evidence ultimately, predominantly in terms of the effects on the hips and those yielded by preoperative interventions.
Authors: Bronisława Skrzep-Poloczek; Jakub Poloczek; Elżbieta Chełmecka; Wojciech Kazura; Agnieszka Dulska; Maciej Idzik; Jerzy Jochem; Dominika Stygar Journal: Oxid Med Cell Longev Date: 2020-09-24 Impact factor: 6.543
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Authors: Raquel Cantero-Téllez; David Pérez-Cruzado; Jorge Hugo Villafañe; Santiago García-Orza; Nancy Naughton; Kristin Valdes Journal: Int J Environ Res Public Health Date: 2022-03-17 Impact factor: 3.390