The effect of proprioceptive training on knee joint recovery among patients with total knee replacement:A Meta-analysis of randomized controlled trials / 中华老年医学杂志

ABSTRACT

Objective To systematically review the effect of proprioceptive training for knee joints recovery among patients with total knee replacement (TKR).Methods We searched Chinese BioMedical Literature Database,CNKI,WanFang database,Chinese Scientific Journals Full-text Database,PubMed,EMbase,MEDLINE and Cochrane Library for randomized controlled trials (RCT) about proprioceptive training for knee joint recovery after TKR and the retrieval covered the period to November 2017.Two reviewers independently selected studies,extracted data,evaluated quality,and analyzed data,which was conducted using the RevMan software.Results Five studies involving 278 patients were selected.Meta-analysis showed that the knee joint function score was significantly increased in the proprioceptive training group than that in the control group [standard mean difference (SMD) =0.38,95％ CI (0.26,049),P＜0.0001].Moreover,proprioceptive training could significantly improve the joints' function (P=0.0006),up-regulate the joints' range of motion (P=0.006) and increase the strength (P=0.005) and stability (P＜0.0001) of knee joints compared with those in the control group.Conclusions Proprioceptive training on the basis of routine rehabilitation can improve the joints' stability,enhance the balance and coordination,and increase the quality of life in elderly patients after TKR,and could be recommended as a comprehensive rehabilitation program.