A Systematic Review of the Effectiveness of Rehabilitation Programmes or Strategies to Treat People With Persistent Knee Pain Following a Total Knee Replacement.

IF 1.5 Q3 RHEUMATOLOGY
Nathan Johns, Justine M Naylor, Dean McKenzie, Bernadette Brady, Brinda Thirugnanam, John Olver
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引用次数: 0

Abstract

Background: Persistent high levels of knee pain after a total knee replacement have been estimated to affect 5%-10% of people and this is related to dissatisfaction with surgery, reduced function and reduced quality of life. This systematic review aims to evaluate the effectiveness of rehabilitation programs or strategies to reduce persistent pain and improve function and quality of life in people following a total knee replacement.

Methods: The systematic review was conducted following PRISMA guidelines with a search of relevant online databases up to 17 July 2024. The search criteria included English language randomised controlled trials of rehabilitation programs or strategies in any setting to treat people with persistent knee pain more than 3 months after a total knee replacement. Rehabilitation could include exercise, education, cognitive strategies and self-management programs and excluded medication trials, procedural techniques and complementary therapies.

Results: After removal of duplicates, there were 468 abstracts screened for eligibility with 23 remaining for full-text screening and finally, one study meeting the eligibility criteria. This study's interventions were pain neuroscience education alone and pain neuroscience education plus neuromuscular exercise. There were no statistically significant between-group differences for pain reduction or functional improvement.

Conclusion: The evidence examining the value of rehabilitation programs or strategies for pain reduction and functional improvement in people with persistent pain following total knee replacement is deficient. Given the high number of people affected annually, further research concerning both prevention and management of persistent pain after knee replacement is warranted.

关于治疗全膝关节置换术后持续膝关节疼痛患者的康复计划或策略的有效性的系统性综述。
背景:据估计,5%-10%的人在接受全膝关节置换术后会持续感到膝关节疼痛,这与对手术不满意、功能减退和生活质量下降有关。本系统性综述旨在评估康复计划或策略对减少全膝关节置换术后患者持续疼痛、改善其功能和生活质量的有效性:本系统性综述遵循 PRISMA 指南,搜索了截至 2024 年 7 月 17 日的相关在线数据库。检索标准包括在任何环境下对全膝关节置换术后持续膝关节疼痛超过 3 个月的患者进行康复计划或策略治疗的英语随机对照试验。康复治疗可包括运动、教育、认知策略和自我管理计划,但不包括药物试验、程序技术和辅助疗法:去除重复内容后,共筛选出 468 篇符合条件的摘要,剩下 23 篇进行全文筛选,最终有一项研究符合资格标准。该研究的干预措施为单独的疼痛神经科学教育和疼痛神经科学教育加神经肌肉锻炼。在减轻疼痛或改善功能方面,组间差异无统计学意义:研究全膝关节置换术后持续疼痛患者的康复计划或策略在减轻疼痛和改善功能方面的价值的证据尚不充分。鉴于每年受影响的人数众多,有必要对膝关节置换术后持续性疼痛的预防和治疗进行进一步研究。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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