关节整形手术前的运动干预是否有效改善术后的结果:随机对照试验的系统审查和元分析
Natasha A Hares1, James P Sanders1, Dale W Esliger2
1Centre for Lifestyle Medicine and Behaviour, School of Sport Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK.
Journal of sport and health science
|September 2, 2025
概括
手术前的运动显著改善了关节和膝关节置换患者的生活质量,减少了疼痛,并提高了功能. 标准化的干预报告对于未来的有效性至关重要.
科学领域:
- 骨科手术
- 康复医学
- 基于证据的实践
背景情况:
- 对于关节和膝关节整形手术的手术前体力活动的证据有限.
- 在此背景下,干预组件和行为改变技术未得到充分探索.
研究的目的:
- 评估手术前体力活动的有效性.
- 在选择性关节和膝关节整形手术后12周评估患者和手术结果.
主要方法:
- 对8个随机对照试验数据库进行系统搜索.
- 使用推,评估,开发和评估 (GRADE) 的质量评估.
- 使用随机效应模型进行的元分析;用于干预细节的干预描述和复制模板 (TIDieR).
主要成果:
- 包括40项试验;手术前的运动改善了生活质量,疼痛,功能和时间.
- 在多个结局中,在手术前和手术后都观察到显著的改善.
- 干预报告是可变的,对行为改变技术的细节有限.
结论:
- 在手术前的运动有效改善关节和膝关节整形患者的关键结果.
- 为了确定有效的策略,需要对干预组件进行标准化报告.
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