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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۶، صفحات ۳۷۳-۳۷۹
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عنوان انگلیسی Hip Strengthening After Total Knee Arthroplasty: A Meta-analysis and Systematic Review
چکیده انگلیسی مقاله Objectives: As the population is growing older, incidence of knee osteoarthritis is largely increasing and the rate total knee arthroplasty surgery is following that same trend. However, patients postoperatively are retaining weakness in the quadriceps and hip abductors for a period reaching up to 3 years following surgery. The current literature results on the effectivenes s of rehabilitation programs that also includes hip strengthening exercises are still highly contradicting. This meta -analysis studies and assesses the efficacy of hip strengthening exercises following total knee arthroplasty surgery.Methods: PubMed, Embase, Cochrane and Google Scholar (page 1-20) were searched till January 2024. The clinical outcomes consisted of the post-operative tests (6MWT, TUG, SLS), pain, and range of motion (flexion and extension).Results: Three randomized clinical studies were included in the meta-analysis. When compared to the standard rehabilitation, hip strengthening exercises proved a better improvement of single leg stance with no difference observed in the remaining outcomes.Conclusion: Hip strengthening exercise protocols ensured a better improvement of single leg stance scores. However, no difference was observed in the remaining analyzed outcomes. This contradictions between studies can be explained by the different physical therapy protocols used. Nevertheless, more randomized controlled studies are needed to confirm such results. Level of evidence: II
کلیدواژه‌های انگلیسی مقاله Hip abductors, Knee Osteoarthritis, Rehabilitation, Total knee arthroplasty, Total knee replacement
نویسندگان مقاله | Mohammad Daher
Hotel Dieu de France, Orthopedics department, Beirut, Lebanon


| Michel Estephan
Division of Orthopaedic Surgery and Sports Medicine, McGill University Health Centre, Montreal, Quebec, Canada


| Ali Ghoul
Hotel Dieu de France, Orthopedics department, Beirut, Lebanon


| Jean Tarchichi
Hotel Dieu de France, Orthopedics department, Beirut, Lebanon


| Jad Mansour
Division of Orthopaedic Surgery and Sports Medicine, McGill University Health Centre, Montreal, Quebec, Canada
نشانی اینترنتی https://abjs.mums.ac.ir/article_23979.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده SYSTEMATIC REVIEW
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