Stair negotiation as a rehabilitation intervention for enhancing recovery following total hip and knee replacement surgery
Stair negotiation as a rehabilitation intervention for enhancing recovery following total hip and knee replacement surgery
BACKGROUND: Total hip replacement (THR) and total knee replacement (TKR) are common orthopaedic procedures. However, an optimal programme for post-operative rehabilitation has yet to be established. Stair negotiation is a challenging, habitual task, regularly used as a post-operative functional outcome measure; yet as a physical rehabilitation intervention it appears to be rarely used.
AIM: The review purpose was to investigate the effectiveness of stair climbing as a rehabilitation intervention for THR and TKR patients.
METHODS: MEDLINE, PsycINFO, Science Citation Index, CINAHL, SPORTDiscus and the Cochrane Database of Systematic Reviews were searched. The systematic review targeted studies using stair negotiation as a rehabilitation intervention. Randomised and non-randomised controlled trials, pilot studies, and case studies were included; systematic reviews and meta-analyses were excluded.
RESULTS: Of 650 articles identified, ten studies were eligible for review. A predefined data table to extract information from selected studies was used. Of the ten identified reports, two prehabilitation and eight rehabilitation studies included stair negotiation exercises as part of multi-modal physical interventions. Outcome measures were classified as: functional self-reported, perceptual, psychological and those relating to quality of life.
CONCLUSION: Studies were methodologically heterogeneous and typically lacked adequate control groups. It was not possible to determine the impact of stair negotiation exercise on the positive outcomes of interventions. Stair negotiation warrants further investigation as a rehabilitation activity.
Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Humans, Mobility Limitation, Osteoarthritis, Hip, Osteoarthritis, Knee, Range of Motion, Articular, Recovery of Function, Stair Climbing, Journal Article, Review, Systematic Review
3-10
Gavin, James P.
e0d9b404-3f63-4855-8e64-bf1692e6cc3f
Immins, Tikki
94a80bd2-c2f2-4f1b-b04a-4f03e29a2eac
Wainwright, Thomas
f039346e-c1f4-4602-82df-b23cc4141392
May 2017
Gavin, James P.
e0d9b404-3f63-4855-8e64-bf1692e6cc3f
Immins, Tikki
94a80bd2-c2f2-4f1b-b04a-4f03e29a2eac
Wainwright, Thomas
f039346e-c1f4-4602-82df-b23cc4141392
Gavin, James P., Immins, Tikki and Wainwright, Thomas
(2017)
Stair negotiation as a rehabilitation intervention for enhancing recovery following total hip and knee replacement surgery.
International Journal of Orthopaedic and Trauma Nursing, 25, .
(doi:10.1016/j.ijotn.2016.10.001).
Abstract
BACKGROUND: Total hip replacement (THR) and total knee replacement (TKR) are common orthopaedic procedures. However, an optimal programme for post-operative rehabilitation has yet to be established. Stair negotiation is a challenging, habitual task, regularly used as a post-operative functional outcome measure; yet as a physical rehabilitation intervention it appears to be rarely used.
AIM: The review purpose was to investigate the effectiveness of stair climbing as a rehabilitation intervention for THR and TKR patients.
METHODS: MEDLINE, PsycINFO, Science Citation Index, CINAHL, SPORTDiscus and the Cochrane Database of Systematic Reviews were searched. The systematic review targeted studies using stair negotiation as a rehabilitation intervention. Randomised and non-randomised controlled trials, pilot studies, and case studies were included; systematic reviews and meta-analyses were excluded.
RESULTS: Of 650 articles identified, ten studies were eligible for review. A predefined data table to extract information from selected studies was used. Of the ten identified reports, two prehabilitation and eight rehabilitation studies included stair negotiation exercises as part of multi-modal physical interventions. Outcome measures were classified as: functional self-reported, perceptual, psychological and those relating to quality of life.
CONCLUSION: Studies were methodologically heterogeneous and typically lacked adequate control groups. It was not possible to determine the impact of stair negotiation exercise on the positive outcomes of interventions. Stair negotiation warrants further investigation as a rehabilitation activity.
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More information
Accepted/In Press date: 12 October 2016
e-pub ahead of print date: 20 October 2016
Published date: May 2017
Keywords:
Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Humans, Mobility Limitation, Osteoarthritis, Hip, Osteoarthritis, Knee, Range of Motion, Articular, Recovery of Function, Stair Climbing, Journal Article, Review, Systematic Review
Identifiers
Local EPrints ID: 430105
URI: http://eprints.soton.ac.uk/id/eprint/430105
ISSN: 1878-1241
PURE UUID: c9c163f1-9c5c-4425-86d6-bc53c903ebd3
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Date deposited: 11 Apr 2019 16:30
Last modified: 16 Mar 2024 04:40
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Author:
Tikki Immins
Author:
Thomas Wainwright
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