The Effects of Balance Training on Balance Performance and Functional Outcome Measures Following Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.

摘要: Several studies have examined the effects of balance training in elderly individuals following total knee arthroplasty (TKA), although findings appear to be equivocal. This systematic review and meta-analysis on walking capacity, balance-specific performance other functional outcome measures TKA. Data sources: Pubmed, PEDro, Cinahl, SportDiscus, Scopus. Eligibility criteria: were aggregated population-intervention-comparison-outcome (PICO) principles. criteria included: (1) randomised controlled trials; (2) with comparative groups; (3) interventions incorporated post-TKA; (4) included measures, subjective physical function pain range-of-motion. Participants: Elderly (65 + years) who underwent arthroplasty. Interventions: Balance that consisted exercises, which compared control did not involve or a lesser extent. Participants also undertook usual physiotherapy care conjunction either and/or intervention. The intervention duration ranged from 4 32 weeks reported immediately Of these, four follow-up ranging 6 12 months post-interventions. Study appraisal: PEDro scale. Quantitative analysis was conducted by generating forest plots report standardised mean differences (SMD; i.e. effect size), test statistics for statistical significance (i.e. Z values) inter-trial heterogeneity inspecting I2. A meta-regression determine whether predicted magnitude SMD. exhibited significantly greater improvement capacity (SMD = 0.57; Z = 6.30; P   0.05; I2 = 95%) range-of-motion (SMD = 0.05; Z = 0.39; P > 0.05; I2 = 1%) between interventions. At 6- 12-month period, combined (SMD = 041; Z = 3.55; I2 = 0%). Finally, (r2 = 0.85; β = 0.92; P < 0.001), this observed (r2 = 0.02; β = 0.13; P = 0.48). number indicated high only articles published English included. improved These may improve clinical decision-making appropriate post-TKA exercise prescription minimise falls risks optimise function.