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Title: :  Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis
PaperId: :  27716
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 11 Issue 6 2025
DUI:    16.0415/IJARIIE-27716
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Muhammad Abbas Khan (Department of Orthopedics (Joints and sports medicine ) The Second Affiliated Hospital of Shandong, First Medical University
Professor Xiucheng Guo(Department of Orthopedics (Joints and sports medicine ) The Second Affiliated Hospital of Shandong, First Medical University

Abstract

Medical (Orthopedics)
Preoperative exercise intervention; total knee arthroplasty (TKA); rehabilitation effect; meta-analysis
Background: In this study a number of researches indicated preoperative functional exercise may improve the rehabilitation progress. This paper aimed to investigate the effect of preoperative exercise intervention on rehabilitation before total knee arthroplasty (TKA) by literature retrieval and meta-analysis. Methods: Embase, Cochrane library, PubMed, Ovid, and ClinicalTrials.gov were selected as the search database platforms. All published English articles related to preoperative exercise of TKA from January 2003 to January 2024 were searched with the following keyword strategy: (“preoperative functional exercise” or “prehabilitation exercise”) AND (“TKA” or “total knee arthroplasty”). After literature screened according to the inclusion and exclusion criteria, the risk of bias and quality of the included articles were evaluated. RevMan 5.3.5 software was used for analysis to obtain the forest plot and funnel plot. Results: A total of 921 articles were preliminary searched in this study, and 12 were finally included for the quantitative analysis, comprising 897 patients; the result showed after intervention, the experimental group patients had wider ROM flexion than the control group patients [mean difference (MD) =2.32; 95% CI: 5.83 to 8.15; Z=4.19; p<0.00010]; the experimental group patients were with higher quadriceps strength value than the control group (MD =3.09, 95% CI: 3.06–6.15; Z=2.84, p=0.005); the WOMAC score (The Western Ontario and McMaster Universities Osteoarthritis Index), were higher for the experimental group patients (MD =–10.59; 95% CI: –14.98 to –13.37; Z=16.03; P<0.00001); and the standing and walking test index are higher (MD =–1.29, 95% CI: –2.19 to –1.52; Z=4.08; p<0.001); the quality of life score were higher too for the experimental group patients (MD =1.97; 95% CI: 9.00–10.97; Z=6.08; p<0.00001). Discussion: Preoperative exercise intervention before TKA can improve knee flexion and flexibility, reduce inflammatory pain and stiffness, improve muscle strength, improve joint function, and thus improve the quality of life of patients.

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IJARIIE Muhammad Abbas Khan , and Professor Xiucheng Guo. "Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis" International Journal Of Advance Research And Innovative Ideas In Education Volume 11 Issue 6 2025 Page 632-644
MLA Muhammad Abbas Khan , and Professor Xiucheng Guo. "Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis." International Journal Of Advance Research And Innovative Ideas In Education 11.6(2025) : 632-644.
APA Muhammad Abbas Khan , & Professor Xiucheng Guo. (2025). Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis. International Journal Of Advance Research And Innovative Ideas In Education, 11(6), 632-644.
Chicago Muhammad Abbas Khan , and Professor Xiucheng Guo. "Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis." International Journal Of Advance Research And Innovative Ideas In Education 11, no. 6 (2025) : 632-644.
Oxford Muhammad Abbas Khan , and Professor Xiucheng Guo. 'Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis', International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 6, 2025, p. 632-644. Available from IJARIIE, http://ijariie.com/AdminUploadPdf/Evaluation_of_Exercise_Interventions_and_Outcomes_After_Knee_Arthroplasty__Systematic_Review_and_Meta_Analysis_ijariie27716.pdf (Accessed : ).
Harvard Muhammad Abbas Khan , and Professor Xiucheng Guo. (2025) 'Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis', International Journal Of Advance Research And Innovative Ideas In Education, 11(6), pp. 632-644IJARIIE [Online]. Available at: http://ijariie.com/AdminUploadPdf/Evaluation_of_Exercise_Interventions_and_Outcomes_After_Knee_Arthroplasty__Systematic_Review_and_Meta_Analysis_ijariie27716.pdf (Accessed : )
IEEE Muhammad Abbas Khan , and Professor Xiucheng Guo, "Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis," International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 6, pp. 632-644, Nov-Dec 2025. [Online]. Available: http://ijariie.com/AdminUploadPdf/Evaluation_of_Exercise_Interventions_and_Outcomes_After_Knee_Arthroplasty__Systematic_Review_and_Meta_Analysis_ijariie27716.pdf [Accessed : ].
Turabian Muhammad Abbas Khan , and Professor Xiucheng Guo. "Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 11 number 6 ().
Vancouver Muhammad Abbas Khan , and Professor Xiucheng Guo. Evaluation of Exercise Interventions and Outcomes After Knee Arthroplasty: Systematic Review and Meta-Analysis. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2025 [Cited : ]; 11(6) : 632-644. Available from: http://ijariie.com/AdminUploadPdf/Evaluation_of_Exercise_Interventions_and_Outcomes_After_Knee_Arthroplasty__Systematic_Review_and_Meta_Analysis_ijariie27716.pdf
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