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Tytuł:
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The effects of proprioceptive training on anterior cruciate ligament reconstruction rehabilitation: A systematic review and meta-analysis.
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Autorzy:
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Ma J; School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Zhang D; Rehabilitation Department, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Zhao T; School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Liu X; School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Wang J; School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Zheng H; The Third Hospital/Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Jin S; Rehabilitation Department, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
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Źródło:
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Clinical rehabilitation [Clin Rehabil] 2021 Apr; Vol. 35 (4), pp. 506-521. Date of Electronic Publication: 2020 Nov 23.
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Typ publikacji:
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Journal Article; Meta-Analysis; Systematic Review
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Język:
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English
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Imprint Name(s):
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Publication: London : SAGE Publications
Original Publication: London : Edward Arnold ; New York : Cambridge University Press [distributor in North America], c1987-
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MeSH Terms:
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Anterior Cruciate Ligament Injuries/*rehabilitation
Anterior Cruciate Ligament Injuries/*surgery
Anterior Cruciate Ligament Reconstruction/*rehabilitation
Proprioception/*physiology
Anterior Cruciate Ligament Injuries/physiopathology ; Humans ; Range of Motion, Articular
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Contributed Indexing:
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Keywords: Anterior cruciate ligament reconstruction; meta-analysis; proprioceptive training; rehabilitation; systematic review
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Entry Date(s):
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Date Created: 20201123 Date Completed: 20210629 Latest Revision: 20220421
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Update Code:
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20240105
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DOI:
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10.1177/0269215520970737
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PMID:
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33222527
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Objective: To determine the effectiveness of proprioceptive training on knee function and proprioception following anterior cruciate ligament reconstruction.
Data Sources: PubMed, EMBASE, The Cochrane Library, Ovid, EBMSCO- host , ScienceDirect, CNKI, VIP, WanFang Data and CBM were searched until 2nd October 2020.
Review Methods: Trials with proprioceptive training for patients with anterior cruciate ligament reconstruction were included. Study screening, data extraction, risk of bias and quality assessments were performed independently by two researchers. We performed a stratified analysis based on the quality of the study. Sensitivity analyses were performed if the heterogeneity was high.
Results: Seventeen trials with 878 participants were included, and 12/17 with low quality. After stratified analysis, the pooled effect of high-quality studies showed significant improvement for proprioceptive training group in range of motion ( P < 0.05, I 2 = 0%), but no differences in Cincinnati knee rating system score ( P > 0.05, I 2 = 83%), hop test ( P >0.05, I 2 = 0%) and proprioception ( P = 0.17, I 2 = 77%) compared to conventional training group; while the pooled effect of low-quality studies showed significant differences in knee functional improvement ( P < 0.00001, I 2 = 69%), but no difference in proprioception ( P > 0.05, I 2 = 84%) between two groups. The pooled effect of all studies showed a significant benefit in both function and proprioception.
Conclusion: The effects of proprioceptive training on knee functional and proprioceptive improvement after anterior cruciate ligament reconstruction is mixed. It is more likely that proprioceptive training in high-quality studies has few detectable effects and that low-quality studies show an effect because of an unconscious bias. A large well designed high-quality study needs to be undertaken in the future.
