TY - JOUR
T1 - Effectiveness of mental simulation practices after total knee arthroplasty in patients with knee osteoarthritis
T2 - A systematic review and meta-analysis of randomized controlled trials
AU - Lee, Ting Hsuan
AU - Liu, Chia Hung
AU - Chen, Pei Chi
AU - Liou, Tsan Hon
AU - Escorpizo, Reuben
AU - Chen, Hung Chou
N1 - Funding Information:
The author(s) received no specific funding for this work. This manuscript was edited by Wallace Academic Editing.
Publisher Copyright:
Copyright: © 2022 Lee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2022/6
Y1 - 2022/6
N2 - Mental simulation practices, such as motor imagery, action observation, and guided imagery, have been an intervention of interest in neurological and musculoskeletal rehabilitation. Application of such practices to postoperative patients in orthopedics, particularly after total knee arthroplasty, has resulted in favorable physical function outcomes. In this systematic review and meta-analysis, we wish to determine the effectiveness of mental simulation practices with standard physical therapy compared to standard physical therapy alone in patients who underwent total knee arthroplasty in terms of postoperative pain, physical functions, and patient-reported outcome measures. We identified randomized controlled trials from inception to August 28, 2021, by using the PubMed, Cochrane Library, EMBASE, and Scopus databases. Data collection was completed on August 28, 2021. Finally, eight articles (249 patients) published between 2014 and 2020 were included. The meta-analysis revealed that mental simulation practices caused more favorable results in pain [standardized mean difference = −0.42, 95% confidence interval (CI) (−0.80 to −0.04), P = 0.03], range of motion [0.55, 95% CI (0.06–1.04), P = 0.03], maximal strength of quadriceps [1.21, 95% CI (0.31–2.12), P = 0.009], and 36-Item Short-Form Survey [0.53, 95% CI (0.14–0.92), P = 0.007]. Our data suggest that mental simulation practices may be considered adjunctive to standard physiotherapy after total knee arthroplasty in patients with knee osteoarthritis.
AB - Mental simulation practices, such as motor imagery, action observation, and guided imagery, have been an intervention of interest in neurological and musculoskeletal rehabilitation. Application of such practices to postoperative patients in orthopedics, particularly after total knee arthroplasty, has resulted in favorable physical function outcomes. In this systematic review and meta-analysis, we wish to determine the effectiveness of mental simulation practices with standard physical therapy compared to standard physical therapy alone in patients who underwent total knee arthroplasty in terms of postoperative pain, physical functions, and patient-reported outcome measures. We identified randomized controlled trials from inception to August 28, 2021, by using the PubMed, Cochrane Library, EMBASE, and Scopus databases. Data collection was completed on August 28, 2021. Finally, eight articles (249 patients) published between 2014 and 2020 were included. The meta-analysis revealed that mental simulation practices caused more favorable results in pain [standardized mean difference = −0.42, 95% confidence interval (CI) (−0.80 to −0.04), P = 0.03], range of motion [0.55, 95% CI (0.06–1.04), P = 0.03], maximal strength of quadriceps [1.21, 95% CI (0.31–2.12), P = 0.009], and 36-Item Short-Form Survey [0.53, 95% CI (0.14–0.92), P = 0.007]. Our data suggest that mental simulation practices may be considered adjunctive to standard physiotherapy after total knee arthroplasty in patients with knee osteoarthritis.
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U2 - 10.1371/journal.pone.0269296
DO - 10.1371/journal.pone.0269296
M3 - Review article
C2 - 35657803
AN - SCOPUS:85131700966
SN - 1932-6203
VL - 17
JO - PLoS ONE
JF - PLoS ONE
IS - 6 June
M1 - e0269296
ER -