Outcomes of proprioceptive training on recovery after anterior cruciate ligament reconstruction: A systematic review and meta-analysis.

IF 2.2 4区医学 Q1 REHABILITATION American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-26 DOI:10.1097/PHM.0000000000002639

Lei Huang, Guixuan You, Minghui Li, Zhangrong Xia, Siyi Yang, Xin Zhou, Houyin Shi, Dingxuan Wang, Lei Zhang

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Abstract

Objective: The study was designed to explore the effect of proprioceptive training in contrast to conventional training among individuals following anterior cruciate ligament reconstruction (ACLR). It includes joint position sense (JPS), subjective functional outcomes (Cincinnati, Knee injury Osteoarthritis Outcome Score, International Knee Documentation Committee knee form), muscle strength, pain, and kinesthesia.

Methods: PubMed, EMBASE, The Cochrane Library, and Web of Science databases were searched. Quality assessment was performed through the Cochrane Risk of Bias tool and GRADE system. The standardized mean deviation (SMD) was selected as the effect size.

Results: Fifteen studies and 537 participants were included. Compared with conventional training, proprioceptive training may significantly enhance passive JPS (SMD = -1.87 [95%CI: -2.39 to -1.34]) and single-leg hop function test performance (SMD = 0.29 [95%CI 0.04 to 0.54]). Data also indicated that proprioceptive training can moderately improve subjective functional outcomes (SMD = 0.61 [95%CI, 0.23 to 0.99]). However, there were no significant effects on active JPS, muscle strength and VAS.

Conclusion: Proprioceptive training has the potential to yield beneficial effects on knee passive JPS, hop functional test and subjective functional outcomes in patients after ACLR. However, its impact on enhancing knee active JPS and kinesthesia may not be statistically significant.

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本体感觉训练对前十字韧带重建后恢复的影响：系统回顾和荟萃分析。

研究目的本研究旨在探讨本体感觉训练与传统训练相比，对前交叉韧带重建（ACLR）术后患者的影响。研究内容包括关节位置感（JPS）、主观功能结果（辛辛那提、膝关节损伤骨关节炎结果评分、国际膝关节文献委员会膝关节表格）、肌力、疼痛和运动感觉：方法：检索了 PubMed、EMBASE、The Cochrane Library 和 Web of Science 数据库。通过 Cochrane 偏倚风险工具和 GRADE 系统进行质量评估。选择标准化平均偏差（SMD）作为效应大小：结果：共纳入 15 项研究和 537 名参与者。与传统训练相比，本体感觉训练可显著提高被动 JPS（SMD = -1.87 [95%CI: -2.39至-1.34]）和单腿跳跃功能测试成绩（SMD = 0.29 [95%CI 0.04至0.54]）。数据还表明，本体感觉训练可适度改善主观功能结果（SMD = 0.61 [95%CI, 0.23 to 0.99]）。结论：本体感觉训练有可能改善患者的主观功能结果（SMD = 0.61 [95%CI = 0.23 至 0.99]），但对主动 JPS、肌肉力量和 VAS 没有明显影响：前交叉韧带修复术后的患者进行感觉知觉训练可能会对膝关节被动JPS、hop功能测试和主观功能结果产生有益的影响。结论：知觉训练可能会对前交叉韧带修复术后患者的膝关节被动JPS、跳跃功能测试和主观功能结果产生有益影响，但其对增强膝关节主动JPS和运动感觉的影响在统计学上可能并不显著。

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

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).