Science and Research Centre, Institute for Kinesiology Research, Koper, Slovenia.
School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Arch Phys Med Rehabil. 2020 Aug;101(8):1447-1461. doi: 10.1016/j.apmr.2020.04.004. Epub 2020 May 11.
To determine the effectiveness of mental simulation practice (MSP) on measures of physical function recovery in patients who have undergone a joint replacement surgery of lower limbs.
A systematic review was conducted using CINAHL, PubMed/MEDLINE, Embase, SPORTDiscus, PEDro, Cochrane Register of Controlled Trials, and Google Scholar from the earliest record until August 16, 2019.
The following inclusion criteria were used to determine eligibility for studies: (1) randomized and matched controlled trials recruiting men and women who underwent primary unilateral joint arthroplasty; (2) the study examined the effects of MSP intervention on measures of physical function recovery (both performance-based and patient self-reported); and (3) measures of interest were compared between MSP and control groups. A total of 8 papers (7 studies) met the inclusion criteria and were included.
Data were extracted by 1 reviewer and checked by a second reviewer, independently.
When compared with standard physical therapy (SPT), MSP showed an effect on physical function in general (effect size [ES], 0.67; 95% confidence interval [CI], 0.38-0.96; n=7), maximal voluntary strength of knee extensor muscles of the affected leg (ES, 1.41; 95% CI, 0.64-2.18; n=2), brisk walking speed (ES, 1.20; 95% CI, 0.58-1.83; n=2), brisk walking speed with dual task (ES, 1.02; 95% CI, 0.41-1.63; n=2), timed up-to go test (ES, 0.96; 95% CI, 0.15-1.77; n=3), and active flexion of the affected leg (ES, 0.70; 95% CI, 0.29-1.11; n=4). Finally, meta-regression analysis revealed that the effects of MSP were significantly predicted only by total number of training sessions per study.
The present meta-analysis demonstrated that MSP intervention has multiple positive effects on measures of physical function recovery in patients who have undergone total knee or hip replacement surgery in comparison with SPT. Thus, MSP can be applied as an effective complementary therapy to SPT in physical rehabilitation of this specific population, especially in the early postacute and acute phase.
确定心理模拟练习（MSP）对下肢关节置换术后患者身体功能恢复测量值的有效性。
系统评价使用 CINAHL、PubMed/MEDLINE、Embase、SPORTDiscus、PEDro、Cochrane 对照试验登记册和 Google Scholar 进行，检索时间为最早记录至 2019 年 8 月 16 日。
使用以下纳入标准确定研究的资格：（1）招募接受初次单侧关节置换术的男性和女性的随机对照试验和匹配对照试验；（2）研究检查 MSP 干预对身体功能恢复测量值（基于表现和患者自我报告）的影响；（3）将感兴趣的测量值与 MSP 和对照组进行比较。共有 8 篇论文（7 项研究）符合纳入标准并被纳入。
由 1 名审查员提取数据，并由另一名审查员独立检查。
与标准物理治疗（SPT）相比，MSP 对一般身体功能（效应量 [ES]，0.67；95%置信区间 [CI]，0.38-0.96；n=7）、患侧膝关节伸肌最大自愿力量（ES，1.41；95% CI，0.64-2.18；n=2）、快速步行速度（ES，1.20；95% CI，0.58-1.83；n=2）、双任务快速步行速度（ES，1.02；95% CI，0.41-1.63；n=2）、计时起身试验（ES，0.96；95% CI，0.15-1.77；n=3）和患侧主动屈曲（ES，0.70；95% CI，0.29-1.11；n=4）均有影响。最后，元回归分析表明，MSP 的效果仅由每项研究中的总训练次数显著预测。
本荟萃分析表明，与 SPT 相比，MSP 干预对全膝关节或髋关节置换术后患者的身体功能恢复测量值有多种积极影响。因此，MSP 可作为特定人群物理康复的有效补充治疗，特别是在急性和亚急性期。
