Effect of strength training on knee proprioception in patients with knee osteoarthritis:A systematic review and meta-analysis  

作　　者：Francisco Guede-Rojas Alexis Benavides-Villanueva Sergio Salgado-Gonzalez Cristhian Mendoza Gonzalo Arias-Alvarez Adolfo Soto-Martínez Claudio Carvajal-Parodi 

机构地区：[1]Exercise and Rehabilitation Sciences Institute,School of Physical Therapy,Faculty of Rehabilitation Sciences,Universidad Andres Bello,Santiago,7591538,Chile [2]Universidad San Sebastian,Programa Magíster en Kinesiología Musculoesquel etica,Lientur#1457,Concepcion,Chile [3]Universidad San Sebastian,Laboratorio de Neurobiología.Facultad de Odontología y Ciencias de la Rehabilitaci on,Lientur#1457,Concepcion,Chile [4]Universidad San Sebastian,Escuela de Kinesiología,Facultad de Odontología y Ciencias de la Rehabilitaci on,Lientur#1457,Concepcion,Chile [5]Departamento de Kinesiología,Facultad de Medicina,Universidad de Concepcion,Concepcion,4030000,Chile

出　　处：《Sports Medicine and Health Science》2024年第2期101-110,共10页运动医学与健康科学（英文）

摘　　要：Proprioception is significantly impaired in knee osteoarthritis(KOA),contributing to reduced functionality.Strength training(ST)is essential in KOA by improving muscle strength,although it may also be effective in improving proprioception.The purpose was to determine the effect of ST on knee proprioception in KOA patients.Pubmed,CINAHL,Scopus,WOS,and PEDro were searched for randomized controlled trials(RCTs)(inception to March 2023).Comparisons for ST were physical exercise different from ST,non-exercise-based interventions,and no intervention.Methodological quality was assessed using the PEDro scale,and risk of bias(RoB)using the Cochrane tool.Meta-analyses were performed by comparison groups using the standardized mean difference(SMD)(Hedge's g)with random effects models,also considering subgroups by proprioception tests.Finally,six RCTs were included.The mean PEDro score was 6.3,and the highest proportion of biases corresponds to per-formance,selection,and detection.The meta-analysis indicated that only when compared with non-intervention,ST significantly improved knee proprioception for the joint position sense(JPS)(activeþpassive),JPS(passive),and threshold to detect passive motion(TTDPM)subgroups(g=-1.33[-2.33,-0.32],g=-2.29[-2.82,-1.75]and g=-2.40[-4.23,-0.58],respectively).However,in the knee JPS(active)subgroup,ST was not significant(g=-0.72[-1.84,0.40]).In conclusion,ST improves knee proprioception compared to non-intervention.However,due to the paucity of studies and diversity of interventions,more evidence is needed to support the effectiveness of ST.Future RCTs may address the limitations of this review to advance knowledge about pro-prioceptive responses to ST and contribute to clinical practice.

关 键 词：OSTEOARTHRITIS KNEE PROPRIOCEPTION Resistance training 

分 类 号：R684.3[医药卫生—骨科学]