The effects of prehabilitation on the functional status of patients undergoing total joint arthroplasty: A Literature Review
Abstract
Background: Total Joint Arthroplasty (TJA) has been proven as the common procedure for end-stage disease in both hip and knee OA. TJA surgery is usually elective. There is a long waiting time between the diagnosis and the surgery, creating a potential for functional decline during the preoperative period that makes a greater effect of disease severity on postoperative result. Therefore, preoperative management is important in TJA preparation in allowing an opportunity window to improve function in patients waiting for TJA surgery and improve postoperative functional recovery. Preoperative exercise programs, known as prehabilitation, have been studied to improve results, before and after surgery. The implementation of prehabilitation before TJA in the recent literature has been shown has many benefits to improve functional status
Objectives: This literature review sought to assess the effects of prehabilitation on the functional status of patients undergoing TJA.
Methods: This review made use of articles obtained through online search on the database of EBSCO, Science Direct, Proquest, and Scopus, with inclusion criteria having full text, published in 2016-2021, and written in English which then matched with certain specific keywords to get the appropriate article.
Results: A total of 7 selected articles have been reviewed in accordance with the search objectives and the results are presented in tabular form. The results of the article indicate that the participants in this study consisted of patients who underwent TKA or THA.
Conclusions: Based on a review conducted on selected articles, it was revealed that prehabilitation provides several benefits including increasing muscle strength, increasing ROM, reducing pain, reducing hospital stay duration, and allowing faster physical and functional recovery after TJA surgery.
Keywords
Full Text:
PDFReferences
Almeida GJ, Khoja SS, Zelle BA. Effect of Prehabilitation in Older Adults Undergoing Total Joint Replacement: an Overview of Systematic Reviews. Current Geriatri Reports. 2020;9(4):280–7. DOI: 10.1007/s13670-020-00342-6
Delgado-López PD, Rodríguez-Salazar A, Castilla-Díez JM. Prehabilitation in degenerative spine surgery: A literature review. Neurocirugia (English Ed [Internet]. 2019;30(3):124–32. DOI: 10.1016/j.neucie.2018.11.002
Svinøy OE, Bergland A, Risberg MA, Pripp AH, Hilde G. Better before-better after: Efficacy of prehabilitation for older patients with osteoarthritis awaiting total hip replacement - A study protocol for a randomised controlled trial in South-Eastern Norway. British Medical Journal Open. 2019;9(12):1–8. DOI: 10.1136/bmjopen-2019-031626
An JA, Ryu HK, Lyu SJ, Yi HJ, Lee BH. Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: A single-blind randomized controlled trial. International Journal of Environmental Research and Public Health. 2021;18(11). DOI: 10.3390/ijerph18116071
Calatayud J, Casaña J, Ezzatvar Y, Jakobsen MD, Sundstrup E, Andersen LL. High‑intensity preoperative training improves physical and functional recovery in the early post‑operative periods after total knee arthroplasty: a randomized controlled trial. Knee Surgery, Sports Traumatology, Arthroscopy. 2017; 25:2864–2872. DOI: 10.1007/s00167-016-3985-5
Vasta S, Papalia R, Torre G, Vorini F, Papalia G, Zampogna B, et al. The influence of preoperative physical activity on postoperative outcomes of knee and hip arthroplasty surgery in the elderly: A systematic review. Journal of Clinical Medicine. 2020;9(4):1–14. DOI: 10.3390/jcm9040969
Pinskiy M, Lubovsky O, Kalichman L. The effect of a preoperative physical therapy education program on short-term outcomes of patients undergoing elective total hip arthroplasty: A controlled prospective clinical trial. Acta Orthopedica Traumatologica Turcica. 2021;55(4):306–10. DOI: 10.5152/j.aott.2021.20108
Cavill S, McKenzie K, Munro A, McKeever J, Whelan L, Biggs L, et al. The effect of prehabilitation on the range of motion and functional outcomes in patients following the total knee or hip arthroplasty: A pilot randomized trial. Physiotherapy Theory and Practice. 2016;32(4):262–70. DOI: 10.3109/09593985.2016.1138174
Wang L, Lee M, Zhang Z, Moodie J, Cheng D, Martin J. Does preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta-analysis of randomised controlled trials. British Medical Journal Open. 2016;6(2). DOI: 10.1136/bmjopen-2015-009857
Topp R, Swank AM, Quesada PM, Nyland J, Malkani A. The Effect of Prehabilitation Exercise on Strength and Functioning After Total Knee Arthroplasty. Physical Medicine and Rehabilitation. 2009;1(8):729–35. DOI: 10.1016/j.pmrj.2009.06.003
Guangjin Z, Junxin Y. Nursing interventions in improving the postoperative recovery of patients with orthopedic hip and knee surgery: A descriptive literature review. Faculty Of Health And Occupational Studies 2018;44. J You, G Zheng - 2018 - diva-portal.org
Gurlit S, Gogol M. Prehabilitation is better than cure. Current Opinion in Anaesthesiology. 2019;32(1):108–15. DOI: 10.1097/ACO.0000000000000678
Moyer R, Ikert K, Long K, Marsh J. The Value of Preoperative Exercise and Education for Patients Undergoing Total Hip and Knee Arthroplasty: A Systematic Review and Meta-Analysis. The Journal Of Bone And Joint Surgery, Incorporated. 2017;5(12):e2. DOI: 10.2106/JBJS.RVW.17.00015
ckerman C. Preoperative Therapy to Improve Outcomes in Total Joint Arthroplasty Patients. College of Nursing and Professional Disciplines, University of North Dakota. 2020; https://commons.und.edu/nurs-capstones/290
DOI: http://dx.doi.org/10.21927/jnki.2022.10(4).272-284
Refbacks
- There are currently no refbacks.
Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:
View My Stats