The effects of knee arthroplasty on walking speed: A meta-analysis

BMC Musculoskeletal Disorders

Jaap H van Dieën⁷  Barend J Van Royen⁴  Dirk L Knol²  Li-Yong Yang¹  Sjoerd M Bruijn⁵  Henrica CW de Vet²  Onno G Meijer³  Hamid R Fallah-Yakhdani⁶  Hamid Abbasi-Bafghi⁶ 

[1] Union Hospital Affiliated to Fujian Medical University, Fuzhou, Fujian, P.R. China;Department of Epidemiology and Biostatistics, VU University medical center, Amsterdam, The Netherlands;Department of Rehabilitation, Fujian Medical University, Fuzhou, Fujian, P.R. China;Research Institute MOVE, VU University medical center, Amsterdam, The Netherlands;Department of Orthopedics, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, P.R. China;Department of Physical Education and Sports Science, Yazd University, Yazd, Iran;Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands

关键词: Meta-regression analysis;    Meta-analysis;    Walking speed;    Knee arthroplasty;    Knee osteoarthritis;   

Others  :  1150039
DOI  :  10.1186/1471-2474-13-66

 received in 2011-07-05, accepted in 2012-05-06,  发布年份 2012

【 摘 要 】

Background

Patients with knee osteoarthritis patients have problems with walking, and tend to walk slower. An important aim of knee arthroplasty is functional recovery, which should include a post-operative increase in walking speed. Still, there are several problems with measuring walking speed in groups of knee osteoarthritis patients. Nevertheless, test-retest reliability of walking speed measurements is high, and when the same investigators monitor the same subjects, it should be possible to assess the walking speed effects of knee arthroplasty. The present study reports a meta-analysis of these effects.

Methods

A total of 16 independent pre-post arthroplasty comparisons of walking speed were identified through MEDLINE, Web of Science, and PEDro, in 12 papers, involving 419 patients.

Results

For 0.5–5 months post-operatively, heterogeneity was too large to obtain a valid estimate of the overall effect-size. For 6–12 and 13–60 months post-operatively, heterogeneity was absent, low, or moderate (depending on estimated pre-post correlations). During these periods, subjects walked on average 0.8 standard-deviations faster than pre-operatively, which is a large effect. Meta-regression analysis revealed significant effects of time and time squared, suggesting initial improvement followed by decline.

Conclusion

This meta-analysis revealed a large effect of arthroplasty on walking speed 6–60 months post-operatively. For the first 0.5–5 months, heterogeneity of effect-sizes precluded a valid estimate of short-term effects. Hence, patients may expect a considerable improvement of their walking speed, which, however, may take several months to occur. Meta-regression analysis suggested a small decline from 13 months post-operatively onwards.

【 授权许可】

   
2012 Abbasi-Bafghi et al; BioMed Central Ltd.

【 图 表 】

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