膝关节手术后的反重力跑步机训练:范围综述。

IF 2.1 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Advances in Clinical and Experimental Medicine Pub Date : 2024-10-21 DOI:10.17219/acem/189612
Hassan Tarek Hakam, Monika Kentel, Mateusz Kowal, Aleksandra Królikowska, Paweł Reichert, Maciej Daszkiewicz, Maciej Kentel, Roland Becker, Nikolai Ramadanov, Robert Prill
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引用次数: 0

摘要

反重力跑步机训练为膝关节手术后的理疗护理提供了一个可行的选择,尤其是对于在干预后早期阶段无法完全负重的情况。本综述对目前的知识状况进行了概述,找出了差距,并强调了需要对膝关节术后反重力跑步机训练进行更多研究的领域。本综述旨在分析和总结有关反重力跑步机训练对膝关节手术后患者影响的现有证据,包括前交叉韧带重建术(ACLR)、全膝关节置换术(TKA)和单髁膝关节置换术(UKA)。我们在多个数据库中搜索了相关资料,包括 PubMed、Epistemonikos、Cochrane Library、Web of Science 和 Google Scholar。共纳入了七项研究,调查了各种手术后的反重力跑步机训练,包括 ACLR 和 TKA。我们对这些研究进行了总结,并使用适当的工具对证据质量进行了评估。这些研究得出的证据表明,反重力跑步机训练可能在膝关节手术后有用。然而,与传统的物理治疗措施相比,其优越性还有待证实。因此,由于现有证据的质量不高,未来需要进行高质量的随机对照试验(RCT)来研究反重力跑步机训练的效果。此外,还需要进行成本效益分析,以确定所研究的干预措施是否符合目的。
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Antigravity treadmill training after knee surgery: A scoping review.

Antigravity treadmill training provides a viable option for physiotherapeutic care after knee surgery, especially for conditions that do not allow full weight bearing during the early phase post-intervention. This overview of the current state of knowledge identifies gaps and highlights areas where more research on antigravity treadmill training after knee surgery is needed. This review aimed to analyze and summarize the available evidence concerning the effects of antigravity treadmill training on patients after knee joint surgical procedures, including anterior cruciate ligament reconstruction (ACLR) and total (TKA) and unicompartmental knee arthroplasty (UKA). Several databases were searched for relevant material, including PubMed, Epistemonikos, the Cochrane Library, the Web of Science, and Google Scholar. Seven studies investigating antigravity treadmill training after various procedures were included, including ACLR and TKA. The studies were summarized, and the quality of evidence was evaluated using the appropriate tools. The evidence yielded by these studies suggests that antigravity treadmill training might be useful after knee surgery. However, the superiority over traditional physiotherapeutic measures has yet to be established. Therefore, future high-quality randomized controlled trials (RCTs) are needed to investigate the effect of antigravity treadmill training due to the low quality of available evidence. Also, a cost-effectiveness analysis is required to determine whether the investigated intervention fits the purpose.

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来源期刊
Advances in Clinical and Experimental Medicine
Advances in Clinical and Experimental Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
3.70
自引率
4.80%
发文量
153
审稿时长
6-12 weeks
期刊介绍: Advances in Clinical and Experimental Medicine has been published by the Wroclaw Medical University since 1992. Establishing the medical journal was the idea of Prof. Bogumił Halawa, Chair of the Department of Cardiology, and was fully supported by the Rector of Wroclaw Medical University, Prof. Zbigniew Knapik. Prof. Halawa was also the first editor-in-chief, between 1992-1997. The journal, then entitled "Postępy Medycyny Klinicznej i Doświadczalnej", appeared quarterly. Prof. Leszek Paradowski was editor-in-chief from 1997-1999. In 1998 he initiated alterations in the profile and cover design of the journal which were accepted by the Editorial Board. The title was changed to Advances in Clinical and Experimental Medicine. Articles in English were welcomed. A number of outstanding representatives of medical science from Poland and abroad were invited to participate in the newly established International Editorial Staff. Prof. Antonina Harłozińska-Szmyrka was editor-in-chief in years 2000-2005, in years 2006-2007 once again prof. Leszek Paradowski and prof. Maria Podolak-Dawidziak was editor-in-chief in years 2008-2016. Since 2017 the editor-in chief is prof. Maciej Bagłaj. Since July 2005, original papers have been published only in English. Case reports are no longer accepted. The manuscripts are reviewed by two independent reviewers and a statistical reviewer, and English texts are proofread by a native speaker. The journal has been indexed in several databases: Scopus, Ulrich’sTM International Periodicals Directory, Index Copernicus and since 2007 in Thomson Reuters databases: Science Citation Index Expanded i Journal Citation Reports/Science Edition. In 2010 the journal obtained Impact Factor which is now 1.179 pts. Articles published in the journal are worth 15 points among Polish journals according to the Polish Committee for Scientific Research and 169.43 points according to the Index Copernicus. Since November 7, 2012, Advances in Clinical and Experimental Medicine has been indexed and included in National Library of Medicine’s MEDLINE database. English abstracts printed in the journal are included and searchable using PubMed http://www.ncbi.nlm.nih.gov/pubmed.
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