Perioperative medicine & outcomes

Influence of proprioceptive enhancement training combined with staged rehabilitation training on knee joint function of patients after total knee arthroplasty

Perioper Med (Lond)Published Randomised controlled trial

Primary result · Knee function (HSS score)Result — go to the resultCohen's d 0.720

Authors' conclusion

Proprioceptive enhancement training & staged rehabilitation training provides superior outcomes in pain relief, functional recovery, and complication reduction post-TKA.

Study context

Population
Patients with knee osteoarthritis after total knee arthroplasty (TKA)
Participants
80 patients
Comparison
Observation vs Control
  • Observationn = 40
  • Controln = 40reference
Primary endpoint
Knee function (HSS score)
Follow-up
After the 4-week intervention
Methodological detailsprospective, Continuous training for 4 weeks, intensity tailored to patients' tolerance
  • Prospective
  • Continuous training for 4 weeks, intensity tailored to patients' tolerance

Primary result

As reported in the abstract

After the intervention

Cohen's d

0.720

P = 0.002

Further findings

OutcomeEstimateP value
Pain (VAS) · After the interventionLower VAS score in Observation; Z = −4.448η² 0.228P < 0.001
Daily living ability (ADL) · After the interventionLower ADL score in Observation; Z = −2.654η² 0.088P = 0.008
Balance (BBS) · After the interventionHigher BBS score in Observation; t = 2.980Cohen's d 0.665P = 0.004
Range of motion (MKFA) · After the interventionHigher MKFA in Observation; t = 4.464Cohen's d 0.999P < 0.001

All functional measures, within groups · After the intervention

Both groups showed noticeable post-intervention improvement in all functional measures

Safety

OutcomeP value
Postoperative complicationsLower incidence in ObservationP = 0.048

Original publication

Influence of proprioceptive enhancement training combined with staged rehabilitation training on knee joint function of patients after total knee arthroplasty. Perioper Med (Lond). Published 20 May 2026. doi:10.1186/s13741-026-00698-x

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