The Effect of Resistance Training on the Function after Hip Replacement: A Meta-analysis of Randomized Controlled Trials

Abstract

Introduction The efficacy of resistance training for hip replacement remains controversial. We conducted a systematic review and meta-analysis to explore the influence of resistance training on functional recovery for hip replacement.

Methods We searched PubMed, EMbase, Web of Science, EBSCO, and Cochrane Library databases through April 2018 for randomized controlled trials (RCTs) assessing the effect of resistance training on hip replacement.

Results Five RCTs involving 251 patients are included in the meta-analysis. Overall, compared with the control group for post-hip replacement patients, resistance training can significantly improve hip-related quality of life (standard mean difference [SMD] = 0.35; 95% CI = 0.02 to 0.68; p = 0.04), symptoms (SMD = 0.41; 95% CI = 0.08 to 0.74; p = 0.02), sports and recreation (SMD = 0.41; 95% CI = 0.08 to 0.75; p = 0.01), and reduce pain scores (SMD = 0.41; 95% CI = 0.08 to 0.74; p = 0.02), but has no remarkable impact on activities of daily living function (SMD = 0.48; 95% CI = 0 to 0.96; p = 0.05), sit to stand (SMD = 0.17; 95% CI = − 0.25 to 0.59; p = 0.44), stair climb performance (SMD = 0.06; 95% CI = − 0.36 to 0.48; p = 0.77), and leg extension power (SMD = 0.42; 95% CI = − 0.17 to 1.01; p = 0.17).

Conclusions Resistance training is associated with significantly improved hip-related quality of life, symptoms, and sports and recreation, and decreased pain scores in post-hip replacement patients.

Zusammenfassung

Introduction Die Effektivität von Widerstandstraining nach Hüftgelenkersatzoperationen ist kontrovers. Wir führten eine systematische Überprüfung und eine Metaanalyse durch, um die Auswirkung von Widerstandstraining auf die funktionelle Widerherstellung nach einer Hüftgelenkersatzoperation zu bewerten.

Methoden Die Datenbanken PubMed, EMbase, Web of Science, EBSCO, und Cochrane Library wurden im April 2018 nach randomisierten kontrollieren Studien (RCTs) zur Bewertung der Auswirkung von Widerstandstraining auf die Hüftfunktionalität nach einer Hüftgelenkersatzoperation durchsucht.

Ergebnisse Fünf RCTs mit ingesamt 251 Patienten wurden in die Metaanalyse aufgenommen. Bei einem Vergleich mit einer Kontrollgruppe von Patienten nach Hüftgelenksoperationen, stellte sich heraus, dass Widerstandstraining insgesamt zu einer signifikanten Verbesserung der hüftbezogenen Lebensqualität (Standard-Mittelwertdifferenz [SMD] = 0,35; 95%-KI 0,02 – 0,68; p = 0,04) und der Symptome (SMD = 0,41; 95%-KI 0,08 – 0,74; p = 0,02) sowie beim Sport und in der Freizeit (SMD = 0,41; 95%-KI 0,08 – 0,75; p = 0.01) führt und die Schmerz-Scores verringert (SMD = 0,41; 95%-KI 0,08 – 0,74; p = 0,02). Widerstandstraining hatte aber keine starke Auswirkungen auf die Funktion bei Alltagsaktivitäten (SMD = 0,48; 95%-KI 0 – 0,96; p = 0,05), den Sitz-Stand-Test (SMD = 0,17; 95%-KI − 0,25 – 0,59; p = 0,44), die Treppensteigleistung (SMD = 0,06; 95%-KI = − 0,36 – 0,48; p = 0,77) und die Beinstreckkraft (SMD = 0,42; 95%.KI – 0,17 – 1.01; p = 0,17).

Schlussfolgerung Widerstandstraining führt zu einer signifikanten Verbesserung der hüftbezogenen Lebensqualität und der Symptome sowie beim Sport und in der Freizeit und reduziert die Schmerz-Scores bei Patienten nach Hüftgelenksersatzoperationen.

Key words

resistance training - hip replacement - functional recovery

Schlüsselwörter

Widerstandstraining - Hüftendoprothese - funktionelle Wiederherstellung

Publikationsverlauf

Artikel online veröffentlicht:
09. Dezember 2020

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