The effects of preoperative balance training on balance and functional outcome after total knee replacement: a randomized controlled trial

Blasco, José-María; Acosta-Ballester, Yolanda; Martínez-Garrido, I.; García-Molina, Pablo; Camacho, Celedonia Igual; Roig-Casasús, Sergio

doi:10.1177/0269215519880936

Cited by 19 publications

(12 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…38 Moreover, in the Physical Activity Guidelines for Americans, they claim that in addition to balance exercises, strength work on the trunk and legs muscles also increases balance and prevents falls. 39 Similarly, for other diseases such as ataxia, 40 Parkinson's 41 and osteoarthritis 42,43 and also in total knee replacements, 44 studies showed that balance and coordination can be improved not only by training using specific balance exercises but also with combined strength, aerobic (cycling or walk), or virtual reality exercises.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of physical exercise on postural balance in patients with haemophilia: A systematic review

et al. 2022

View full text Add to dashboard Cite

Introduction Balance training is important to improve balance and to decrease the risk of falls in patients with haemophilia (PWH). Aim To analyse the current knowledge about the effectiveness of physical exercise on postural balance in PWH. Methods A systematic search for clinical trials, published before November 2021, was conducted using the following electronic databases: PubMed/MEDLINE, Web of Science, Embase, Wiley Online Library and the Cochrane Central Register of Controlled Trials (CENTRAL). Two independent reviewers extracted the data and assessed the risk of bias. The certainty of the evidence was analyzed using GRADE. Results A total of ten studies involving 304 patients were included. The studies performed strength and balance exercises, and some included flexibility, mobilization, and/or aerobic exercises in their training programs. Postural balance was evaluated using a force platform and the one leg stand test was the most frequently used. Only five exercise programs achieved a significant increase in balance (pre‐post) with a strength, postural balance, flexibility, and aerobic intervention. In general, the quality rate of the risk of bias was fair but the overall quality of the evidence across the studies was very low. Conclusion Five studies showed that there is a positive change in balance after the intervention. However, there is currently an unclear demonstration of evidence for the use of physical exercises to improve postural balance in people with haemophilia. Further studies with a higher methodological quality are needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Effectiveness of physical exercise on postural balance in patients with haemophilia: A systematic review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Balance training is necessary for KOA patients with a higher risk of falling; it can reduce the risk of falls in patients with KOA ( Levinger et al, 2017 ; Anderson et al, 2019 ). The clinical trial showed that preoperative balance training can improve the early postoperative balance but not the perceived functionality of patients with KOA ( Blasco et al, 2020 ). Balance training can improve walking ability and balance performance, alleviate pain, as well as enhance physical function ( Doma et al, 2018 ).…”

Section: Exercise Training and Koamentioning

confidence: 99%

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

et al. 2021

View full text Add to dashboard Cite

Knee osteoarthritis is a chronic degenerative disease. Cartilage and subchondral bone degeneration, as well as synovitis, are the main pathological changes associated with knee osteoarthritis. Mechanical overload, inflammation, metabolic factors, hormonal changes, and aging play a vital role in aggravating the progression of knee osteoarthritis. The main treatments for knee osteoarthritis include pharmacotherapy, physiotherapy, and surgery. However, pharmacotherapy has many side effects, and surgery is only suitable for patients with end-stage knee osteoarthritis. Exercise training, as a complementary and adjunctive physiotherapy, can prevent cartilage degeneration, inhibit inflammation, and prevent loss of the subchondral bone and metaphyseal bone trabeculae. Increasing evidence indicates that exercise training can improve pain, stiffness, joint dysfunction, and muscle weakness in patients with knee osteoarthritis. There are several exercise trainings options for the treatment of knee osteoarthritis, including aerobic exercise, strength training, neuromuscular exercise, balance training, proprioception training, aquatic exercise, and traditional exercise. For Knee osteoarthritis (KOA) experimental animals, those exercise trainings can reduce inflammation, delay cartilage and bone degeneration, change tendon, and muscle structure. In this review, we summarize the main symptoms of knee osteoarthritis, the mechanisms of exercise training, and the therapeutic effects of different exercise training methods on patients with knee osteoarthritis. We hope this review will allow patients in different situations to receive appropriate exercise therapy for knee osteoarthritis, and provide a reference for further research and clinical application of exercise training for knee osteoarthritis.

show abstract

“…Sixteen studies identified superior outcomes in the intervention group(s) for at least one of the following: patient-reported outcomes [38,40,41,43,46,47,51,57,58,[64][65][66][67]69], performance-based outcomes [40, 43, 44, 47, 49, 54, 57-59, 63-67, 69], and length of hospital stay [43,54]. Most of these studies employed more than one exercise type (n=14).…”

Section: Outcomes Studiesmentioning

confidence: 99%

“…Three studies involved a control arm and two intervention arms, allowing different exercise types/delivery approaches to be compared [40,46,47]. Blasco et al [40] conducted an RCT in which the intervention groups participated in a hospital-or home-based strength and N no, NMES neuromuscular electrical stimulation, RCT randomized controlled trial, UK United Kingdom, USA United States of America, Y yes, ?…”

Section: Outcomes Studiesmentioning

confidence: 99%

Content and delivery of pre-operative interventions for patients undergoing total knee replacement: a rapid review

Anderson

Drew²,

Antcliff³

et al. 2022

Syst Rev

View full text Add to dashboard Cite

Background Total knee replacement (TKR) is a common operation typically performed for end-stage knee osteoarthritis. Patients awaiting TKR often have poor health-related quality of life. Approximately 20% of patients experience persistent pain post-TKR. Pre-operative TKR interventions could improve pre- and post-operative outcomes, but future research is required to inform their design. This review aimed to identify and synthesize recent literature on the content and delivery of pre-operative TKR interventions to help guide future research and clinical practice. Methods This rapid review included randomized trials of pre-operative TKR interventions (“outcomes studies”) and primary studies exploring patients’ and/or health professionals’ views of pre-operative TKR interventions (“views studies”). Medline, Embase, PsycINFO, CINAHL and the Cochrane Central Register of Controlled Trials were searched for English language studies published between January 2009 and December 2020. Eligible studies’ reference lists were screened. Studies were appraised using the Mixed Methods Appraisal Tool. The findings were narratively synthesized using a convergent segregated approach. Results From 3263 records identified, 52 studies were included (29 outcomes studies, 21 views studies, two outcomes/views studies). The studies’ methodological quality varied but was generally highest in qualitative studies. The outcomes studies investigated education (n=5), exercise (n=20), psychological (n=2), lifestyle (n=1), and/or other interventions (n=5). The views studies addressed education (n=20), exercise (n=3), psychological (n=1), lifestyle (n=4), and/or other interventions (n=1). Only three outcomes studies (two randomized controlled trials (RCTs) and a pilot study) compared the effectiveness of intervention components/delivery approaches. The two RCTs’ results suggest that pre-operative TKR exercise interventions are equally effective regardless of whether they include strength or strength plus balance training and whether they are hospital- or home-based. Personal tailoring and using more than one delivery format were associated with improved outcomes and/or perceived as beneficial for multiple intervention types. Conclusions Definitive evidence on the optimal design of pre-operative TKR interventions is lacking. Personal tailoring and employing multiple delivery formats appear to be valuable design elements. Preliminary evidence suggests that including balance training and hospital versus home delivery may not be critical design elements for pre-operative TKR exercise interventions. Systematic review registration PROSPERO CRD42019143248 Funder National Institute for Health and Care Research (ICA-CDRF-2018-04-ST2-006).

show abstract

The effects of preoperative balance training on balance and functional outcome after total knee replacement: a randomized controlled trial

Cited by 19 publications

References 37 publications

Effectiveness of physical exercise on postural balance in patients with haemophilia: A systematic review

Effectiveness of physical exercise on postural balance in patients with haemophilia: A systematic review

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

Content and delivery of pre-operative interventions for patients undergoing total knee replacement: a rapid review

Contact Info

Product

Resources

About