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Meta-Analysis
. 2020 Nov 3;15(1):505.
doi: 10.1186/s13018-020-01970-6.

Efficacy of proprioceptive training on the recovery of total joint arthroplasty patients: a meta-analysis

Wen-Chao Zhang  1 , Deng Xiao  2
Affiliations
Meta-Analysis

Efficacy of proprioceptive training on the recovery of total joint arthroplasty patients: a meta-analysis

Wen-Chao Zhang et al. J Orthop Surg Res. .

Abstract

Background: Optimal balance control is of paramount importance for function recovery after total joint arthroplasty (TJA). The study objective of this meta-analysis was to assess the short- and mid-term effects of proprioceptive and balance training for patients undergoing TJA.

Methods: Electronic searches were conducted from PubMed, Cochrane library, and Embase databases to identify eligible RCTs through May 2020. Standard mean difference (SMD) with 95% confidence interval (95%CI) was applied to calculate pooled effect estimates between proprioceptive and balance training and control group. Main outcomes were self-reported functionality, balance, pain, quality of life, and function (range of motion).

Results: Seven randomized controlled trials were finally included in this meta-analysis. Pooled results found that balance and proprioceptive trainings have a positive role in improving self-reported functionality at short-term after TJA. Moreover, balance and proprioceptive trainings were associated with an increase of the balance at short- and mid-term after TJA. These results were further confirmed by subgroup analysis between preoperative and postoperative administration of balance and proprioceptive trainings.

Conclusion: Our meta-analysis suggests that balance and proprioceptive trainings after TJA improved self-reported functionality and balance. These improvements were maintained at mid-terms. More research is needed to confirm balance and proprioceptive trainings for pain and quality of life for TJA.

Keywords: Meta-analysis; Osteoarthritis; Proprioceptive training.

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Conflict of interest statement

All the authors in this manuscript have read and approved the final version submitted, and there are no conflicts involved in this submission.

Figures

Fig. 1
Fig. 1
The PRISMA flowchart regarding the study selection process
Fig. 2
Fig. 2
Risk of bias summary for the included studies. Plus sign indicates low risk of bias; minus sign indicates high risk of bias; question mark indicates unclear risk of bias
Fig. 3
Fig. 3
Risk of bias graph for the included studies
Fig. 4
Fig. 4
Balance and proprioceptive trainings and control on self-reported functionality
Fig. 5
Fig. 5
Forest plot of proprioceptive trainings and control in terms of balance
Fig. 6
Fig. 6
Forest plot of proprioceptive trainings and control in terms of pain scores
Fig. 7
Fig. 7
Forest plot of proprioceptive trainings and control in terms of quality of life
Fig. 8
Fig. 8
Forest plot of proprioceptive trainings and control in terms of function (ROM)
Fig. 9
Fig. 9
Forest plot of proprioceptive trainings and control in terms of self-reported functionality at mid-term
Fig. 10
Fig. 10
Forest plot of proprioceptive trainings and control in terms of balance at mid-term
Fig. 11
Fig. 11
Forest plot of proprioceptive trainings and control in terms of pain at mid-term
Fig. 12
Fig. 12
Forest plot of proprioceptive trainings and control in terms of quality of life at mid-term
Fig. 13
Fig. 13
Funnel plot of self-reported functionality
See this image and copyright information in PMC

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