Department of Anatomy, Melaka Manipal Medical College-Manipal Campus, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Department of Physiotherapy, Centre for Podiatry & Diabetic Foot Care and Research, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Musculoskeletal Care. 2024 Sep;22(3):e1930. doi: 10.1002/msc.1930.
Core muscles constitute the centre of the kinetic chain, and core exercises have been effective in improving outcomes in many postsurgical lower extremity musculoskeletal conditions. However, the literature on the implementation of core exercises after TKA has not been summarised.
The objective was to review the evidence on the effect of core exercises on clinical and functional outcomes after TKA in individuals with knee osteoarthritis (OA).
PubMed, Scopus, CINAHL, Web of Science, the Cochrane Library, and ProQuest databases were explored with appropriate keywords for studies published on the effect of core exercises on TKA from inception to 1 April 2024. Two authors independently screened the titles and abstracts and full-texts, and a third author solved the discrepancies. Risk of bias assessment was done with the Joanna Briggs Critical Appraisal tool. The final articles were systematically summarised.
A total of 1485 records were retrieved. Sixty-four articles were included for screening full-texts, and four articles were ultimately included. Core exercises were administered for three to 6 weeks. The administration of core exercises along with the standard knee rehabilitation programme significantly improved balance, mobility, knee function, transverse abdominis muscle thickness, transversus abdominis contraction, and quality of life after TKA (p < 0.05).
Core exercises can be administered as an adjunct to standard rehabilitation programs to improve clinical and functional outcomes after TKA. However, there is a dearth of literature in this domain, and more studies are warranted.
PROSPERO Registration Number: CRD42024542992.
核心肌群构成了运动链的中心，核心训练已被证明在许多下肢运动系统术后病症的治疗中效果显著。然而，关于 TKA 后实施核心训练的文献尚未得到总结。
本研究旨在综述膝关节骨关节炎（OA）患者 TKA 后核心训练对临床和功能结局的影响。
使用适当的关键词，对从建库至 2024 年 4 月 1 日发表的关于 TKA 中核心训练效果的 PubMed、Scopus、CINAHL、Web of Science、Cochrane 图书馆和 ProQuest 数据库进行了检索。两名作者独立筛选标题和摘要及全文，第三位作者解决分歧。使用 Joanna Briggs 批判性评估工具进行偏倚风险评估。最终的文章进行了系统总结。
共检索到 1485 条记录。对 64 篇文章进行了全文筛选，最终纳入 4 篇文章。核心训练持续 3 至 6 周。与标准膝关节康复方案相结合，核心训练可显著改善 TKA 后的平衡、活动能力、膝关节功能、腹横肌厚度、腹横肌收缩和生活质量（p<0.05）。
核心训练可以作为标准康复方案的辅助手段，以改善 TKA 后的临床和功能结局。然而，该领域的文献相对较少，需要进一步研究。
PROSPERO 注册号：CRD42024542992。
