Summary of the Evidence:
1. Purpose: To determine if pre-operative interventions for hip and knee osteoarthritis provide
benefit before and after joint replacement. Even though, this research article was about both hip
and knee arthroplasty, and the PICO question was more pertaining to hip arthroplasty, this
article was chosen due to the quality of study and higher level of evidence demonstrated by the
study.
2. Study Design and Level of Evidence: The study design was based on the systematic review
with meta-analysis of 23 randomized controlled trials (RCTs) of pre-operative interventions for
1461 participants with hip or knee osteoarthritis awaiting joint replacement surgery.
Standardized mean differences (SMD) were calculated …show more content…
Sample: The sample was consisted of participants with the hip or knee osteoarthritis
waiting for joint replacement surgery. From 23 RCTs involving 1461 participants, 922 were
awaiting knee replacement, 305 awaiting hip replacement and 234 awaiting either hip or knee
replacement. Mean duration of osteoarthritis symptoms was 6.7 years
4. What happened: Meta-analyses provided low to moderate quality evidence that exercise
interventions with education programs improved the level of activity after hip replacement
resulting in reaching functional goals with reduced time period during the hospital stay.
5 Outcome Measures: Standardized mean differences (SMD) were calculated for pain,
musculoskeletal impairment, activity limitation, quality of life, and health service utilization.
Positive SMD values were used to indicate that the outcome favored the intervention group.
Values of 0.8 a
larger effect size.
6 Results: The results demonstrated limited post-operative benefits for investigated outcome
factors including pain, musculoskeletal impairment, activity performance for knee
osteoarthritis, quality of life, length of hospital stay and discharge. …show more content…
More researches with reduced limitations are needed to
further investigate the effectiveness of pre-operative interventions in hip arthroplasty.
References:
Wallis, J, A., & Taylor, N. F. (2011). Pre-operative interventions (non-surgical and non-
pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement
surgery--a systematic review and meta-analysis. Osteoarthritis Cartilage, 19(12), 1381-1395.
http://dx.doi.org/10.1016/j.joca.2011.09.001
CAT 2 - Title
Appraised by: Sreejesh Kumar Date: 9/29/16
PICO Question: PICO - In patients between 50-60 years of age who will undergo a posterior approach total hip arthroplasty, would pre-operative exercises and patient education lead to faster recovery and better outcomes than without preoperative rehabilitation?
Study Citation: Wang et al, 2016.
Summary of the Evidence:
1. Purpose: The study was aimed at assessing the clinical impact of preoperative physiotherapy
on recovery after joint
1. Purpose: To determine if pre-operative interventions for hip and knee osteoarthritis provide
benefit before and after joint replacement. Even though, this research article was about both hip
and knee arthroplasty, and the PICO question was more pertaining to hip arthroplasty, this
article was chosen due to the quality of study and higher level of evidence demonstrated by the
study.
2. Study Design and Level of Evidence: The study design was based on the systematic review
with meta-analysis of 23 randomized controlled trials (RCTs) of pre-operative interventions for
1461 participants with hip or knee osteoarthritis awaiting joint replacement surgery.
Standardized mean differences (SMD) were calculated …show more content…
Sample: The sample was consisted of participants with the hip or knee osteoarthritis
waiting for joint replacement surgery. From 23 RCTs involving 1461 participants, 922 were
awaiting knee replacement, 305 awaiting hip replacement and 234 awaiting either hip or knee
replacement. Mean duration of osteoarthritis symptoms was 6.7 years
4. What happened: Meta-analyses provided low to moderate quality evidence that exercise
interventions with education programs improved the level of activity after hip replacement
resulting in reaching functional goals with reduced time period during the hospital stay.
5 Outcome Measures: Standardized mean differences (SMD) were calculated for pain,
musculoskeletal impairment, activity limitation, quality of life, and health service utilization.
Positive SMD values were used to indicate that the outcome favored the intervention group.
Values of 0.8 a
larger effect size.
6 Results: The results demonstrated limited post-operative benefits for investigated outcome
factors including pain, musculoskeletal impairment, activity performance for knee
osteoarthritis, quality of life, length of hospital stay and discharge. …show more content…
More researches with reduced limitations are needed to
further investigate the effectiveness of pre-operative interventions in hip arthroplasty.
References:
Wallis, J, A., & Taylor, N. F. (2011). Pre-operative interventions (non-surgical and non-
pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement
surgery--a systematic review and meta-analysis. Osteoarthritis Cartilage, 19(12), 1381-1395.
http://dx.doi.org/10.1016/j.joca.2011.09.001
CAT 2 - Title
Appraised by: Sreejesh Kumar Date: 9/29/16
PICO Question: PICO - In patients between 50-60 years of age who will undergo a posterior approach total hip arthroplasty, would pre-operative exercises and patient education lead to faster recovery and better outcomes than without preoperative rehabilitation?
Study Citation: Wang et al, 2016.
Summary of the Evidence:
1. Purpose: The study was aimed at assessing the clinical impact of preoperative physiotherapy
on recovery after joint