A Comparison Between Intensive and Conventional Therapies: A Systematic Review and Meta-Analysis Regarding the Pre-operative Outcomes After Total Knee Replacement
2024

Comparing Intensive and Conventional Therapies for Knee Replacement

Sample size: 490 publication Evidence: high

Author Information

Author(s): Muacevic Alexander, Adler John R, Zahed Mohamed, Alesawy Alzahraa Faris, Zahed Ziad Samir, Mohamed Ahmed, Samir Rahafat, Eleisawy Mahmoud

Primary Institution: John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, GBR

Hypothesis

Does intensive therapy training provide better preoperative outcomes than conventional therapy training for total knee replacement patients?

Conclusion

Intensive therapy training generally leads to better outcomes than conventional therapy for patients undergoing total knee replacement.

Supporting Evidence

  • Intensive therapy training showed significant improvements in walking distance and quadriceps strength.
  • Patients undergoing intensive therapy reported better quality of life measures.
  • Conventional therapy was superior in isometric knee extension outcomes.

Takeaway

This study found that doing more intense exercises before knee surgery helps people recover better than regular exercises.

Methodology

The study compared intensive and conventional preoperative physical therapy in randomized and non-randomized controlled trials, assessing outcomes using mean differences and confidence intervals.

Potential Biases

Some studies showed concerns regarding randomization and deviations from intended interventions.

Limitations

The study had limited long-term follow-up and varied training programs, which could affect the results.

Participant Demographics

The majority of participants were elderly females over 60 years old, with a BMI ranging from 29 to 35.

Statistical Information

P-Value

<0.000001

Confidence Interval

95% CI (31.04 to 59.1)

Statistical Significance

p<0.000001

Digital Object Identifier (DOI)

10.7759/cureus.75141

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