Why the study?
Does prehabilitation improve preoperative and postoperative outcomes compared to usual care in patients undergoing orthopedic surgery?
Does prehabilitation improve preoperative and postoperative outcomes compared to usual care in patients undergoing orthopedic surgery?
Prehabilitation provides moderate-to-high certainty evidence for improving preoperative and postoperative functional outcomes, strength, and quality of life in patients undergoing major orthopedic surgeries.
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Prehabilitation warrants integration into orthopedic perioperative care; confirms moderate-to-high certainty functional and strength benefits from RCTs.
In this systematic review and meta-analysis of RCTs, moderate-certainty evidence supported prehabilitation over usual care in improving preoperative function and strength in TKR and HRQOL and muscle strength in THR, high-certainty evidence in reducing back pain, and moderate-certainty evidence in improving HRQOL in lumbar surgery. Postoperatively, moderate-certainty evidence supported prehabilitation for function following TKR at 6 weeks and lumbar surgery at 6 months. Prehabilitation showed promising results for other outcomes, although high risk of bias and heterogeneity affected overall quality of evidence. Additional RCTs with a low risk of bias investigating preoperative and postoperative outcomes for all orthopedic surgical procedures are required.
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Punnoose et al. (2023) studied this question.
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