Effect of prehabilitation in older adults undergoing total joint replacement: An Overview of Systematic Reviews.

IF 1.1 Q4 GERIATRICS & GERONTOLOGY Current Geriatrics Reports Pub Date : 2020-12-01 Epub Date: 2020-11-24 DOI:10.1007/s13670-020-00342-6

Gustavo J Almeida, Samannaaz S Khoja, Boris A Zelle

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引用次数: 9

Abstract

Purpose of review: To review and discuss the findings of systematic reviews that synthesized the evidence on the effect of preoperative exercises (prehabilitation) on postoperative functional recovery in older adults undergoing total knee or hip joint replacement.

Recent findings: Ten systematic reviews (8 meta-analyses) were included in this review. Findings from the systematic reviews indicated that prehabilitation decreases length of hospital stay but does not improve postoperative functional recovery in older adults undergoing joint replacement. Individual studies in the systematic reviews varied considerably in prehabilitation protocol, assessment timepoints, and outcome measures. Most importantly, systematic reviews did not assess the outcomes pre-post prehabilitation as this timepoint was not addressed in most individual studies. Therefore, it is not known whether the prehabilitation programs improved outcomes preoperatively.

Summary: There is a need to develop comprehensive prehabilitation protocols and systematically assess the preoperative and postoperative effectiveness of prehabilitation protocols on functional outcomes (i.e., self-reported and performance-based) in older adults undergoing total joint replacement.

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老年人全关节置换术的康复效果:系统综述。

综述目的:回顾和讨论系统综述的结果，这些综述综合了术前锻炼(预适应)对老年人全膝关节或髋关节置换术后功能恢复的影响。最新发现:本综述纳入了10项系统综述(8项荟萃分析)。系统综述的研究结果表明，康复治疗减少了接受关节置换术的老年人的住院时间，但并不能改善其术后功能恢复。系统综述中的个别研究在康复方案、评估时间点和结果测量方面差异很大。最重要的是，系统评价没有评估康复前后的结果，因为这个时间点在大多数个体研究中没有得到解决。因此，尚不清楚康复方案是否能改善术前预后。总结:有必要制定全面的康复方案，并系统地评估术前和术后康复方案对老年人全关节置换术的功能结果(即自我报告和基于表现的)的有效性。

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

Current Geriatrics Reports Medicine-Geriatrics and Gerontology

CiteScore

2.20

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0.00%

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期刊介绍： This journal aims to offer in-depth review articles on the most recent innovative publications in geriatrics and gerontology. By providing clear, insightful contributions by international experts, the journal intends to serve clinicians and researchers involved in the diagnosis, management, treatment, prevention, and study of patients affected by age-related conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as the age-related change in cognitive function, the influence of genetics on neurodegenerative disorders, and traumatic brain injury and dementia. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board of more than 20 members reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.