TY - JOUR
T1 - Effect of Prehabilitation in Older Adults Undergoing Total Joint Replacement
T2 - an Overview of Systematic Reviews
AU - Almeida, Gustavo J.
AU - Khoja, Samannaaz S.
AU - Zelle, Boris A.
N1 - Funding Information:
Gustavo J. Almeida and Samannaaz S. Khoja have nothing to disclose. Boris A. Zelle has consulted for KCI Inc. USA and DepuySynthes® and received compensation. Dr. Zelle has received speaker fees from AO North America and research grants from DepuySynthes, KCI, Department of Defense, and the Orthopedic Trauma Association. Dr. Zelle has received educational grants from Smith and Nephew Inc. and Arthrex®. None of these activities are related to the content of this article.
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/12
Y1 - 2020/12
N2 - Purpose of Review: To review and discuss the findings of systematic reviews that synthesized the evidence on the effect of preoperative exercises (prehabilitation) on postoperative functional recovery in older adults undergoing total knee or hip joint replacement. Recent Findings: Ten systematic reviews (8 meta-analyses) were included in this review. Findings from the systematic reviews indicated that prehabilitation decreases length of hospital stay but does not improve postoperative functional recovery in older adults undergoing joint replacement. Individual studies in the systematic reviews varied considerably in prehabilitation protocol, assessment timepoints, and outcome measures. Most importantly, systematic reviews did not assess the outcomes pre-post prehabilitation, as this timepoint was not addressed in most individual studies. Therefore, it is not known whether the prehabilitation programs improved outcomes preoperatively. Summary: There is a need to develop comprehensive prehabilitation protocols and systematically assess the preoperative and postoperative effectiveness of prehabilitation protocols on functional outcomes (i.e., self-reported and performance-based) in older adults undergoing total joint replacement.
AB - Purpose of Review: To review and discuss the findings of systematic reviews that synthesized the evidence on the effect of preoperative exercises (prehabilitation) on postoperative functional recovery in older adults undergoing total knee or hip joint replacement. Recent Findings: Ten systematic reviews (8 meta-analyses) were included in this review. Findings from the systematic reviews indicated that prehabilitation decreases length of hospital stay but does not improve postoperative functional recovery in older adults undergoing joint replacement. Individual studies in the systematic reviews varied considerably in prehabilitation protocol, assessment timepoints, and outcome measures. Most importantly, systematic reviews did not assess the outcomes pre-post prehabilitation, as this timepoint was not addressed in most individual studies. Therefore, it is not known whether the prehabilitation programs improved outcomes preoperatively. Summary: There is a need to develop comprehensive prehabilitation protocols and systematically assess the preoperative and postoperative effectiveness of prehabilitation protocols on functional outcomes (i.e., self-reported and performance-based) in older adults undergoing total joint replacement.
KW - Osteoarthritis
KW - Physical function
KW - Prehabilitation
KW - Preoperative exercise
KW - Total hip replacement
KW - Total knee replacement
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U2 - 10.1007/s13670-020-00342-6
DO - 10.1007/s13670-020-00342-6
M3 - Review article
C2 - 33344110
AN - SCOPUS:85096486153
SN - 2196-7865
VL - 9
SP - 280
EP - 287
JO - Current Geriatrics Reports
JF - Current Geriatrics Reports
IS - 4
ER -