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Frontiers in Medical Science Research, 2023, 5(7); doi: 10.25236/FMSR.2023.050703.

A Meta-Analysis of the Effects of Otago Exercise in Patients after Hip and Knee Replacement

Author(s)

Jiayang Zhang1, Yin Yang2, Xinyu Zhang1, Xinjian Ai1

Corresponding Author:
Yin Yang
Affiliation(s)

1School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China

2Second Department of Orthopedics, Xi'an Central Hospital, Xi'an, Shaanxi, China

Abstract

Hip and knee osteoarthritis is common in the elderly, and its prevalence is increasing, which is one of the important causes of physical disability. At present, hip and knee replacement is one of the important means of treatment, and it is of great significance to promote the recovery of limb function as soon as possible. In order to evaluate the effect of Otago exercise on hip and knee replacement after hip and knee replacement, this study conducted a meta-analysis of relevant clinical studies to provide a theoretical basis for clinical care. Meta results showed that Otago exercise had a good effect after hip/knee replacement, which could reduce the level of phobia, improve fall efficiency and balance ability, promote the recovery of hip/knee function, reduce joint swelling, and further improve patients' daily living ability.

Keywords

Hip arthroplasty; Knee arthroplasty; Otago exercise program; Meta-analysis

Cite This Paper

Jiayang Zhang, Yin Yang, Xinyu Zhang, Xinjian Ai. A Meta-Analysis of the Effects of Otago Exercise in Patients after Hip and Knee Replacement. Frontiers in Medical Science Research (2023) Vol. 5, Issue 7: 14-22. https://doi.org/10.25236/FMSR.2023.050703.

References

[1] Li Mucong, Wu Chanyuan, Leng Xiaomei. Small symptoms, big burden: Overview of the epidemiology of osteoarthritis [J]. Chinese Journal of Clinical Immunology and Allergology, 2022, 03: 331. 

[2] Arnold JB, Walters JL, Ferrar KE. Does Physical Activity Increase After Total Hip or Knee Arthroplasty for Osteoarthritis? A Systematic Review. J Orthop Sports Phys Ther. 2016 Jun; 46(6): 431-42. 

[3] Sattler L, Kisaloff L, Cragnolini T, et al. A comparison of functional outcomes following inpatient versus outpatient hip or knee arthroplasty. J Orthop Surg Res. 2022 Aug 2;17(1): 372. 

[4] Robinson PD, McEwan J, Adukia V, et al. Osteoarthritis and arthroplasty of the hip and knee. Br J Hosp Med (Lond). 2018 Apr 2; 79(4): C54-C59. 

[5] Qiu Guixing. Guidelines for prevention of venous thromboembolism in major orthopaedic surgery in China [J]. Chinese Journal of Joint Surgery (electronic version), 2009, 3(03): 380-383. 

[6] Campbell AJ, Robertson MC, Gardner MM, et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ. 1997 Oct 25; 315(7115): 1065-9. 

[7] Higgins J, Thompson S G, Deeks J J , et al. Cochrane handbook for systematic reviews of interventions version 5. 1. 0. The cochrane collaboration [J]. Naunyn-Schmiedebergs Archiv für experimentelle Pathologie und Pharmakologie, 2008, 5(2): S38. 

[8] Mat S, Ng CT, Tan PJ, et al. Effect of Modified Otago Exercises on Postural Balance, Fear of Falling, and Fall Risk in Older Fallers With Knee Osteoarthritis and Impaired Gait and Balance: A Secondary Analysis. PM R. 2018 Mar; 10(3): 254-262. 

[9] Yu Q. Analysis of the effect of Otago exercise on knee rehabilitation in patients after knee replacement [J]. Chinese Science and Technology Journal Database (Citation Edition) Medicine and Health, 2022(10): 0266-0269 

[10] Liu H, Ji D H, Chi X, et al. Effect of Otago exercise on balance and fear of falling in elderly patients after knee arthroplasty [J]. China Nursing Management, 2019, 19(1): 133-138. 

[11] Zhou C. Study on the application of Otago exercise in the continuity of care for elderly patients after total knee arthroplasty [J]. Contemporary Nurse (Upper Journal), 2022, 29(10): 46-49. 

[12] Zong Shujun, Hu Shili, Li Lu, et al. Application of Otago exercise program in functional exercise before knee arthroplasty [J]. Journal of Nursing, 2018, 33(12): 26-28. 

[13] Zhang Qingyu. Effect of Otago exercise on balance and occurrence of falls in patients after performing artificial total knee arthroplasty [J]. Pharmacy Weekly, 2022, 31(13): 97-99. 

[14] Li H Y, Xu H. Effect of Otago exercise on the degree of agoraphobia and fall risk in elderly patients after total knee arthroplasty [J]. Journal of Nursing Continuing Education, 2020, 35(11): 965-969. 

[15] Yang H, Zhao Qiaoyu. Application of Otago exercise in the post-discharge fall management of elderly total hip arthroplasty patients[J]. Journal of Nursing Management, 2016, 16(3): 192-194. 

[16] Niu M, Chen WX. Effect of Otago exercise program based on 5E rehabilitation concept on motor function, self-management level, and adverse events in patients after hip arthroplasty[J]. Clinical Medicine Research and Practice, 2022, 7(8): 195-198. 

[17] Wang Q, Yan M, Yang C, et al. Intervention effect of preoperative Otago exercise on functional exercise in patients with artificial knee arthroplasty [J]. Journal of Liberation Army Nursing, 2018, 35(17): 7-11. 

[18] Xiao Meihui, Wang Qin, Liu Xie, et al. Effect of Otago exercise on the recovery of limb function in elderly patients with hip arthroplasty for femoral neck fractures [J]. Journal of Central South University (Medical Edition), 2022, 47(09): 1244-1252. 

[19] FAN Linlin, GU Benjin, TANG Meixiu. Application of pressurized cold therapy combined with otago exercise in postoperative rehabilitation of knee arthroplasty [J]. Hebei Medicine, 2022, 44(07): 1038-1041. 

[20] Jia XD, Sun LQ, Pang Q. Follow-up study of Otago exercise on fear of falling in elderly patients with total hip arthroplasty [J]. Psychological Monthly, 2018(10): 262. 

[21] Chen FQ. Effect of pressurized cold therapy combined with Otago exercise on joint swelling and balance after knee arthroplasty [J]. Nursing Practice and Research, 2020, 17(06): 82-84. 

[22] Weermeijer JD, Meulders A. Clinimetrics: Tampa Scale for Kinesiophobia. J Physiother. 2018 Apr;64(2): 126. 

[23] Martinez-Calderon J, Struyf F, Meeus M, et al. Influence of psychological factors on the prognosis of chronic shoulder pain: protocol for a prospective cohort study. BMJ Open. 2017 Mar 6; 7(3): e012822. 

[24] Wang B, Wu Q, Zhang P, et al. Research progress of agoraphobia in patients with total hip arthroplasty[J]. Journal of Nursing, 2019, 34(07): 95-98. 

[25] Tsonga T, Michalopoulou M, Kapetanakis S, et al. Risk factors for fear of falling in elderly patients with severe knee osteoarthritis before and one year after total knee arthroplasty. J Orthop Surg (Hong Kong). 2016 Dec;24(3): 302-306. 

[26] Xie Qianqian, Zhang Yongmei, Song Lingxia, et al. Effect of early rehabilitation exercises based on BCW theory on the rehabilitation effect of elderly patients after total hip arthroplasty [J]. China Medical Herald, 2020, 17(7): 181-184. 

[27] Chen Xiaochen, Xiao Yangyang, Pei Xianbo. Effects of Otago exercise on balance ability and balance confidence of elderly people in nursing institutions [J]. Chinese Rehabilitation Theory and Practice, 2019, 10: 1193-1196. 

[28] Son NK, Ryu YU, Jeong HW, et al. Comparison of 2 Different Exercise Approaches: Tai Chi Versus Otago, in Community-Dwelling Older Women. J Geriatr Phys Ther. 2016 Apr-Jun;39(2): 51-7. 

[29] Wu Hongyi, Pi Hongying, Su Qingqing, et al. Analysis of the factors influencing the effectiveness of falls in elderly people living at home [J]. Journal of the PLA Medical College, 2020, 10: 971-975. 

[30] Moutzouri M, Gleeson N, Billis E, et al. The effect of total knee arthroplasty on patients’ balance and incidence of falls: a systematic review[J]. Knee Surgery, Sports Traumatology, Arthroscopy, 2017, 25: 3439-3451. 

[31] Zhong Meyan, Liang Qinghua, Zhuang Xiaoqiang, et al. Study on the application of integrated rehabilitation management model of medical care and treatment in the perioperative period of hip joint replacement patients [J]. Journal of the Right River School of Ethnic Medicine, 2019, 41(03): 359-362. 

[32] Huang Haitao, Li Yanfeng, Xu Yangxi, et al. Efficacy analysis of selective posterior spinal nerve rhizotomy in lumbosacral segment for lower limb spasticity in cerebral palsy[J]. Chinese Journal of Neurosurgery, 2019, 35(1): 39-42

[33] Alphonsus KB, Su Y, D'Arcy C. The effect of exercise, yoga and physiotherapy on the quality of life of people with multiple sclerosis: Systematic review and meta-analysis. Complement Ther Med. 2019 Apr; 43: 188-195.