Natasha A Hares,James P Sanders,Dale W Esliger,Jonah J C Thomas,Beatrice Bourron,Heather J MacKinnon,Claire D Madigan
{"title":"关节置换术的术前运动干预对改善围手术期预后有效吗:随机对照试验的系统回顾和荟萃分析","authors":"Natasha A Hares,James P Sanders,Dale W Esliger,Jonah J C Thomas,Beatrice Bourron,Heather J MacKinnon,Claire D Madigan","doi":"10.1016/j.jshs.2025.101083","DOIUrl":null,"url":null,"abstract":"BACKGROUND\r\nEvidence on pre-operative physical activity before hip and knee arthroplasty is limited and heterogeneous. Intervention components and behavior change techniques remain underexplored. This review examined the effectiveness of pre-operative physical activity interventions on patient and surgical outcomes in elective hip and knee arthroplasty up to 12 weeks post-surgery.\r\n\r\nMETHODS\r\nA systematic search of 8 databases up to August 8, 2024 identified randomized controlled trials of physical activity interventions before total hip and knee arthroplasty. Quality of evidence was evaluated with Grading of Recommendations, Assessment, Development and Evaluation framework. Random-effects models were used for meta-analyses. The Template for Intervention Description and Replication (TIDieR) was used for detailing the included interventions.\r\n\r\nRESULTS\r\nForty trials were included. Significant mean differences in favor of the intervention groups were found at pre- and post-surgery in 4 outcomes: health-related quality of life (Knee pre-surgery SMD = -0.5, 95%CI: -0.1to -0.1 and Hip and Knee post-surgery SMD = -0.4, 95%CI: -0.6 to -0.1), pain (Hip and Knee pre-surgery SMD = -0.4, 95%CI: -0.6 to -0.1 and Knee post-surgery SMD = -0.3, 95%CI: -0.6 to -0.1), function (Hip and Knee pre-surgery SMD = -0.5, 95%CI: -0.8 to -0.2 and Knee post-surgery SMD = -0.6, 95%CI: -1 to -0.2), and timed-up-and-go (Hip and Knee MD = -1.2, 95%CI -2.0 to -0.3 and Hip and Knee MD = -1.3, 95%CI: -1.7 to -0.8). Half of the interventions reported over 75% of the TIDieR items, while behavior change techniques reporting was limited.\r\n\r\nCONCLUSION\r\nPre-operative exercise improves health-related quality of life, pain, and function pre- and post-surgery in elective hip and knee arthroplasty. Standardized reporting is needed for establishing effective intervention components.","PeriodicalId":48897,"journal":{"name":"Journal of Sport and Health Science","volume":"29 1","pages":"101083"},"PeriodicalIF":10.3000,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Are pre-operative exercise interventions for joint arthroplasty effective at improving peri-operative outcomes: A systematic review and meta-analysis of randomized controlled trials.\",\"authors\":\"Natasha A Hares,James P Sanders,Dale W Esliger,Jonah J C Thomas,Beatrice Bourron,Heather J MacKinnon,Claire D Madigan\",\"doi\":\"10.1016/j.jshs.2025.101083\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\r\\nEvidence on pre-operative physical activity before hip and knee arthroplasty is limited and heterogeneous. Intervention components and behavior change techniques remain underexplored. This review examined the effectiveness of pre-operative physical activity interventions on patient and surgical outcomes in elective hip and knee arthroplasty up to 12 weeks post-surgery.\\r\\n\\r\\nMETHODS\\r\\nA systematic search of 8 databases up to August 8, 2024 identified randomized controlled trials of physical activity interventions before total hip and knee arthroplasty. Quality of evidence was evaluated with Grading of Recommendations, Assessment, Development and Evaluation framework. Random-effects models were used for meta-analyses. The Template for Intervention Description and Replication (TIDieR) was used for detailing the included interventions.\\r\\n\\r\\nRESULTS\\r\\nForty trials were included. Significant mean differences in favor of the intervention groups were found at pre- and post-surgery in 4 outcomes: health-related quality of life (Knee pre-surgery SMD = -0.5, 95%CI: -0.1to -0.1 and Hip and Knee post-surgery SMD = -0.4, 95%CI: -0.6 to -0.1), pain (Hip and Knee pre-surgery SMD = -0.4, 95%CI: -0.6 to -0.1 and Knee post-surgery SMD = -0.3, 95%CI: -0.6 to -0.1), function (Hip and Knee pre-surgery SMD = -0.5, 95%CI: -0.8 to -0.2 and Knee post-surgery SMD = -0.6, 95%CI: -1 to -0.2), and timed-up-and-go (Hip and Knee MD = -1.2, 95%CI -2.0 to -0.3 and Hip and Knee MD = -1.3, 95%CI: -1.7 to -0.8). Half of the interventions reported over 75% of the TIDieR items, while behavior change techniques reporting was limited.\\r\\n\\r\\nCONCLUSION\\r\\nPre-operative exercise improves health-related quality of life, pain, and function pre- and post-surgery in elective hip and knee arthroplasty. Standardized reporting is needed for establishing effective intervention components.\",\"PeriodicalId\":48897,\"journal\":{\"name\":\"Journal of Sport and Health Science\",\"volume\":\"29 1\",\"pages\":\"101083\"},\"PeriodicalIF\":10.3000,\"publicationDate\":\"2025-08-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Sport and Health Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jshs.2025.101083\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HOSPITALITY, LEISURE, SPORT & TOURISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sport and Health Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jshs.2025.101083","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HOSPITALITY, LEISURE, SPORT & TOURISM","Score":null,"Total":0}
Are pre-operative exercise interventions for joint arthroplasty effective at improving peri-operative outcomes: A systematic review and meta-analysis of randomized controlled trials.
BACKGROUND
Evidence on pre-operative physical activity before hip and knee arthroplasty is limited and heterogeneous. Intervention components and behavior change techniques remain underexplored. This review examined the effectiveness of pre-operative physical activity interventions on patient and surgical outcomes in elective hip and knee arthroplasty up to 12 weeks post-surgery.
METHODS
A systematic search of 8 databases up to August 8, 2024 identified randomized controlled trials of physical activity interventions before total hip and knee arthroplasty. Quality of evidence was evaluated with Grading of Recommendations, Assessment, Development and Evaluation framework. Random-effects models were used for meta-analyses. The Template for Intervention Description and Replication (TIDieR) was used for detailing the included interventions.
RESULTS
Forty trials were included. Significant mean differences in favor of the intervention groups were found at pre- and post-surgery in 4 outcomes: health-related quality of life (Knee pre-surgery SMD = -0.5, 95%CI: -0.1to -0.1 and Hip and Knee post-surgery SMD = -0.4, 95%CI: -0.6 to -0.1), pain (Hip and Knee pre-surgery SMD = -0.4, 95%CI: -0.6 to -0.1 and Knee post-surgery SMD = -0.3, 95%CI: -0.6 to -0.1), function (Hip and Knee pre-surgery SMD = -0.5, 95%CI: -0.8 to -0.2 and Knee post-surgery SMD = -0.6, 95%CI: -1 to -0.2), and timed-up-and-go (Hip and Knee MD = -1.2, 95%CI -2.0 to -0.3 and Hip and Knee MD = -1.3, 95%CI: -1.7 to -0.8). Half of the interventions reported over 75% of the TIDieR items, while behavior change techniques reporting was limited.
CONCLUSION
Pre-operative exercise improves health-related quality of life, pain, and function pre- and post-surgery in elective hip and knee arthroplasty. Standardized reporting is needed for establishing effective intervention components.
期刊介绍:
The Journal of Sport and Health Science (JSHS) is an international, multidisciplinary journal that aims to advance the fields of sport, exercise, physical activity, and health sciences. Published by Elsevier B.V. on behalf of Shanghai University of Sport, JSHS is dedicated to promoting original and impactful research, as well as topical reviews, editorials, opinions, and commentary papers.
With a focus on physical and mental health, injury and disease prevention, traditional Chinese exercise, and human performance, JSHS offers a platform for scholars and researchers to share their findings and contribute to the advancement of these fields. Our journal is peer-reviewed, ensuring that all published works meet the highest academic standards.
Supported by a carefully selected international editorial board, JSHS upholds impeccable integrity and provides an efficient publication platform. We invite submissions from scholars and researchers worldwide, and we are committed to disseminating insightful and influential research in the field of sport and health science.