视觉反馈训练对全膝关节置换术后患者康复效果的Meta分析

The Effect of Visual Feedback Training in Subjects Undergoing Total Knee Arthroplasty: A Meta-Analysis

摘要: 目的：分析随机对照试验中报告的结果，这些试验对全膝关节置换术后患者采用了基于视觉反馈的康复训练。方法：检索了四个数据库从建库至2025年期间涉及全膝关节置换术后视觉反馈康复的随机对照试验。通过分析疼痛评分、动态和静态平衡评分和功能结局来探讨视觉反馈康复的效果。结果：共纳入7项随机对照试验，涉及241名患者，术后观察时间从3周到12周不等。动态平衡评分采用步伐长度进行评估。静态平衡评分采用压力中心平均速度和椭圆面积进行评估。接受视觉反馈康复的全膝关节置换术患者与接受传统康复的患者在疼痛评分上无差异。但接受基于视觉反馈康复的患者表现出显著的平衡和功能改善。结论：虽然全膝关节置换术后基于视觉反馈的康复训练在疼痛改善方面与传统康复效果相似，但在增强平衡和功能方面表现出更优的结果。

Abstract: Objective: To analyze the patient-reported outcomes from randomized controlled trials, which utilized visual feedback-based rehabilitation in patients following. Methods: Four databases were searched for randomized controlled trials involving visual feedback rehabilitation following total knee arthroplasty from inception to 2025. Pain scores, dynamic and static balance scores and functional outcomes were analyzed to explore the effect of visual feedback rehabilitation. Results: A total of 7 randomized controlled trials with 241 patients was included, with a post-operation period ranging from 3 weeks to 12 weeks. The dynamic balance scores were utilized from the path length. The static balance scores were utilized from the Center of Pressure average velocity and ellipse area. There were no differences in pain scores between the total knee arthroplasty patients who received visual feedback rehabilitation and those who received traditional rehabilitation. The patients who received visual feedback-based rehabilitation demonstrated significant balance and functional improvement. Conclusion: Although visual feedback-based rehabilitation training post-total knee arthroplasty demonstrates similar effects on pain improvements compared to conventional rehabilitation, it exhibits superior outcomes in enhancing balance and function.