Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.

<h4>Background</h4>Our aim was to develop a rating scale to assess the therapeutic validity of therapeutic exercise programmes. By use of this rating scale we investigated the therapeutic validity of therapeutic exercise in patients awaiting primary total joint replacement (TJR). Finally...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Thomas J Hoogeboom, Ellen Oosting, Johanna E Vriezekolk, Cindy Veenhof, Petra C Siemonsma, Rob A de Bie, Cornelia H M van den Ende, Nico L U van Meeteren
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5aabad02914040a48c69718284475485
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5aabad02914040a48c69718284475485
record_format	dspace
spelling	oai:doaj.org-article:5aabad02914040a48c697182844754852021-11-18T07:16:49ZTherapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.1932-620310.1371/journal.pone.0038031https://doaj.org/article/5aabad02914040a48c697182844754852012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22675429/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Our aim was to develop a rating scale to assess the therapeutic validity of therapeutic exercise programmes. By use of this rating scale we investigated the therapeutic validity of therapeutic exercise in patients awaiting primary total joint replacement (TJR). Finally, we studied the association between therapeutic validity of preoperative therapeutic exercise and its effectiveness in terms of postoperative functional recovery.<h4>Methods</h4>(Quasi) randomised clinical trials on preoperative therapeutic exercise in adults awaiting TJR on postoperative recovery of functioning within three months after surgery were identified through database and reference screening. Two reviewers extracted data and assessed the risk of bias and therapeutic validity. Therapeutic validity of the interventions was assessed with a nine-itemed, expert-based rating scale (scores range from 0 to 9; score ≥6 reflecting therapeutic validity), developed in a four-round Delphi study. Effects were pooled using a random-effects model and meta-regression was used to study the influence of therapeutic validity.<h4>Results</h4>Of the 7,492 articles retrieved, 12 studies (737 patients) were included. None of the included studies demonstrated therapeutic validity and two demonstrated low risk of bias. Therapeutic exercise was not associated with 1) observed functional recovery during the hospital stay (Standardised Mean Difference [SMD]: -1.19; 95%-confidence interval [CI], -2.46 to 0.08); 2) observed recovery within three months of surgery (SMD: -0.15; 95%-CI, -0.42 to 0.12); and 3) self-reported recovery within three months of surgery (SMD -0.07; 95%-CI, -0.35 to 0.21) compared with control participants. Meta-regression showed no statistically significant relationship between therapeutic validity and pooled-effects.<h4>Conclusion</h4>Preoperative therapeutic exercise for TJR did not demonstrate beneficial effects on postoperative functional recovery. However, poor therapeutic validity of the therapeutic exercise programmes may have hampered potentially beneficial effects, since none of the studies met the predetermined quality criteria. Future review studies on therapeutic exercise should address therapeutic validity.Thomas J HoogeboomEllen OostingJohanna E VriezekolkCindy VeenhofPetra C SiemonsmaRob A de BieCornelia H M van den EndeNico L U van MeeterenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 5, p e38031 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Thomas J Hoogeboom Ellen Oosting Johanna E Vriezekolk Cindy Veenhof Petra C Siemonsma Rob A de Bie Cornelia H M van den Ende Nico L U van Meeteren Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.
description	<h4>Background</h4>Our aim was to develop a rating scale to assess the therapeutic validity of therapeutic exercise programmes. By use of this rating scale we investigated the therapeutic validity of therapeutic exercise in patients awaiting primary total joint replacement (TJR). Finally, we studied the association between therapeutic validity of preoperative therapeutic exercise and its effectiveness in terms of postoperative functional recovery.<h4>Methods</h4>(Quasi) randomised clinical trials on preoperative therapeutic exercise in adults awaiting TJR on postoperative recovery of functioning within three months after surgery were identified through database and reference screening. Two reviewers extracted data and assessed the risk of bias and therapeutic validity. Therapeutic validity of the interventions was assessed with a nine-itemed, expert-based rating scale (scores range from 0 to 9; score ≥6 reflecting therapeutic validity), developed in a four-round Delphi study. Effects were pooled using a random-effects model and meta-regression was used to study the influence of therapeutic validity.<h4>Results</h4>Of the 7,492 articles retrieved, 12 studies (737 patients) were included. None of the included studies demonstrated therapeutic validity and two demonstrated low risk of bias. Therapeutic exercise was not associated with 1) observed functional recovery during the hospital stay (Standardised Mean Difference [SMD]: -1.19; 95%-confidence interval [CI], -2.46 to 0.08); 2) observed recovery within three months of surgery (SMD: -0.15; 95%-CI, -0.42 to 0.12); and 3) self-reported recovery within three months of surgery (SMD -0.07; 95%-CI, -0.35 to 0.21) compared with control participants. Meta-regression showed no statistically significant relationship between therapeutic validity and pooled-effects.<h4>Conclusion</h4>Preoperative therapeutic exercise for TJR did not demonstrate beneficial effects on postoperative functional recovery. However, poor therapeutic validity of the therapeutic exercise programmes may have hampered potentially beneficial effects, since none of the studies met the predetermined quality criteria. Future review studies on therapeutic exercise should address therapeutic validity.
format	article
author	Thomas J Hoogeboom Ellen Oosting Johanna E Vriezekolk Cindy Veenhof Petra C Siemonsma Rob A de Bie Cornelia H M van den Ende Nico L U van Meeteren
author_facet	Thomas J Hoogeboom Ellen Oosting Johanna E Vriezekolk Cindy Veenhof Petra C Siemonsma Rob A de Bie Cornelia H M van den Ende Nico L U van Meeteren
author_sort	Thomas J Hoogeboom
title	Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.
title_short	Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.
title_full	Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.
title_fullStr	Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.
title_full_unstemmed	Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.
title_sort	therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/5aabad02914040a48c69718284475485
work_keys_str_mv	AT thomasjhoogeboom therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis AT ellenoosting therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis AT johannaevriezekolk therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis AT cindyveenhof therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis AT petracsiemonsma therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis AT robadebie therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis AT corneliahmvandenende therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis AT nicoluvanmeeteren therapeuticvalidityandeffectivenessofpreoperativeexerciseonfunctionalrecoveryafterjointreplacementasystematicreviewandmetaanalysis
_version_	1718423665425514496

Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.

Ejemplares similares