Article

OBJECTIVE: To investigate the effect of progressive resistance training (PRT) on
muscle strength and functional capacity before and/or after total hip
arthroplasty (THA) and total knee arthroplasty (TKA).
The effects of THA and TKA
upon quality of life and the rate of adverse events were also investigated. DATA
SOURCES: Literature from nine databases. REVIEW METHODS: Studies were included if
1) the effect of a PRT intervention was compared with no intervention or another
type of intervention; 2) the outcomes included muscle strength and/or functional
capacity; 3) all participants were scheduled for or had just undergone THA or
TKA; 4) they were randomized, controlled trials (RCT); and 5) only full-length
papers in English were studied. Data on patient characteristics, training regime,
controls, and outcome measures were extracted. RESULTS: Four RCT studies on PRT
and THA including 136 patients and three RCT studies on PRT and TKA including 284
patients were identified and rated according to the PEDro scale. The general
methodological quality of the studies was low. No adverse events were reported in
any of the studies. Weak evidence of a beneficial effect of PRT before and/or
after THA on muscle strength and functional capacity was found. No effect of PRT
before TKA on muscle strength and functional capacity was found. The results of
postoperative PRT were too heterogeneous to allow conclusions.
CONCLUSION: PRT is
safe and feasible before and/or after THA. PRT is safe, but the methodological
quality of existing evidence permits no conclusion on the effectiveness of PRT
before and/or after TKA.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS