Key result
Preoperative training prior to total knee arthroplasty showed similar efficacy to control for functional recovery metrics, but resulted in a significant difference in length of stay (P<0.05).
Why the study?
Does preoperative training improve functional recovery in patients undergoing total knee arthroplasty?
Population
777 patients undergoing total knee arthroplasty (TKA) pooled from 9 RCTs
Comparison
Preoperative training vs Control group
Design
Meta-analysis
Authors
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Preoperative training yields no functional benefit after TKA; challenges routine prehabilitation while leaving open its impact on length of stay.
Meta-Analysis (n=777)
Does preoperative training improve functional recovery in patients undergoing total knee arthroplasty?
Preoperative training does not significantly improve postoperative functional recovery scores compared to control in patients undergoing total knee arthroplasty, though it may affect length of stay.
Ma et al. (2018) conducted a meta-analysis in total knee arthroplasty (n=777). preoperative training vs. control group was evaluated on functional recovery (including VAS, ROM, SF-36, WOMAC, and time up and go). Preoperative training prior to total knee arthroplasty showed similar efficacy to control for functional recovery metrics, but resulted in a significant difference in length of stay (P<0.05).