Effects of Balance and Proprioceptive Training on Rehabilitation After Total Knee and Total Hip Replacement: A Systematic Review and Meta-Analysis.

IF 1.5 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of Aging and Physical Activity Pub Date : 2025-09-16 DOI:10.1123/japa.2024-0390

Huiwu Qu, Qiyun Zhen, Haixia Li, Qiuping Jiang, Xiuhong Cao, Liyuan Zhang, Lumei Huang, Hongmei Dou

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引用次数: 0

Abstract

Objective: This meta-analysis aimed to compare the efficacy of balance or proprioceptive training and conventional training among older adults undergoing total hip and knee arthroplasty.

Methods: We systematically searched PubMed, the Cochrane Library, Scopus, and Web of Science from study inception to March 8, 2025 to identify randomized controlled trials comparing the efficacy of balance or proprioceptive training with conventional training among older adults undergoing total hip and knee arthroplasty. The two methods of training were compared in terms of pain, function, and balance. We adopted a random-effects model (DerSimonian-Laird) to pool data.

Results: Nineteen clinical trials with 579 individuals in the balance or proprioceptive training group and 556 individuals in the conventional training group were included in this meta-analysis. There were no significant differences between balance training and conventional training in terms of 10-min walk, average velocity, functional reach, single-leg standing, strength, timed up and go test, knee extension, knee flexion, Berg scale score, the Knee Injury and Osteoarthritis Outcome Score Activities of Daily Living subscale score, Knee Injury and Osteoarthritis Outcome Score pain score, Knee Injury and Osteoarthritis Outcome Score quality of life score, Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain score, WOMAC physical function score, and WOMAC stiffness score. Compared with conventional training, balancing training only decreased the WOMAC total score (standardized mean difference: -0.60, 95% confidence interval [-0.95, -0.25], I2 = 39.15%) and path length (weighted mean difference: -20.84 mm, 95% confidence interval [-32.85, -8.83], I2 = 0.00%).

Conclusion: Balance training is not superior to conventional training for the rehabilitation of older adults undergoing total hip or knee arthroplasty.

Implications: Balance training should not be necessarily preferred over conventional training for the rehabilitation of patients undergoing total hip or knee arthroplasty.

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平衡和本体感觉训练对全膝关节和全髋关节置换术后康复的影响：系统回顾和荟萃分析。

目的：本荟萃分析旨在比较平衡或本体感觉训练与常规训练在接受全髋关节和膝关节置换术的老年人中的疗效。方法：从研究开始到2025年3月8日，我们系统地检索了PubMed、Cochrane图书馆、Scopus和Web of Science，以确定随机对照试验，比较平衡或本体感觉训练与常规训练在接受全髋关节和膝关节置换术的老年人中的疗效。两种训练方法在疼痛、功能和平衡方面进行比较。我们采用随机效应模型（dersimonan - laird）汇集数据。结果：本荟萃分析包括19项临床试验，579名平衡或本体感觉训练组和556名常规训练组。平衡训练与常规训练在10分钟步行、平均速度、功能伸展、单腿站立、力量、计时起跑测试、膝关节伸展、膝关节屈曲、伯格量表评分、膝关节损伤和骨关节炎结局评分日常生活活动亚量表评分、膝关节损伤和骨关节炎结局评分疼痛评分、膝关节损伤和骨关节炎结局评分生活质量评分、西安大略和麦克马斯特大学关节炎指数（WOMAC）疼痛评分、WOMAC身体功能评分和WOMAC僵硬评分。与常规训练相比，平衡训练仅降低了WOMAC总分（标准化平均差值：-0.60,95%可信区间[-0.95,-0.25],I2 = 39.15%）和路径长度（加权平均差值：-20.84 mm， 95%可信区间[-32.85,-8.83],I2 = 0.00%）。结论：平衡训练并不比常规训练更有利于老年人全髋关节或膝关节置换术后的康复。意义：对于接受全髋关节或膝关节置换术的患者，平衡训练不一定优于常规训练。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging and Physical Activity 医学-老年医学

CiteScore

2.60

自引率

6.70%

发文量

105

审稿时长

>12 weeks

期刊介绍： The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.