{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T13:21:30Z","timestamp":1794316890715,"version":"4.9.0"},"reference-count":106,"publisher":"Human Kinetics","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Objective<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    This meta-analysis aimed to compare the efficacy of balance or proprioceptive training and conventional training among older adults undergoing total hip and knee arthroplasty.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    We systematically searched PubMed, the Cochrane Library, Scopus, and Web of Science from study inception to March 8, 2025 to identify randomized controlled trials comparing the efficacy of balance or proprioceptive training with conventional training among older adults undergoing total hip and knee arthroplasty. The two methods of training were compared in terms of pain, function, and balance. We adopted a random-effects model (DerSimonian\n                    <jats:italic>\u2013<\/jats:italic>\n                    Laird) to pool data.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Nineteen clinical trials with 579 individuals in the balance or proprioceptive training group and 556 individuals in the conventional training group were included in this meta-analysis. There were no significant differences between balance training and conventional training in terms of 10-min walk, average velocity, functional reach, single-leg standing, strength, timed up and go test, knee extension, knee flexion, Berg scale score, the Knee Injury and Osteoarthritis Outcome Score Activities of Daily Living subscale score, Knee Injury and Osteoarthritis Outcome Score pain score, Knee Injury and Osteoarthritis Outcome Score quality of life score, Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain score, WOMAC physical function score, and WOMAC stiffness score. Compared with conventional training, balancing training only decreased the WOMAC total score (standardized mean difference: \u22120.60, 95% confidence interval [\u22120.95, \u22120.25],\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200939.15%) and path length (weighted mean difference: \u221220.84\u00a0mm, 95% confidence interval [\u221232.85, \u22128.83],\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.00%).\n                    <jats:italic>\n                      <jats:bold>Conclusion<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Balance training is not superior to conventional training for the rehabilitation of older adults undergoing total hip or knee arthroplasty.\n                    <jats:italic>\n                      <jats:bold>Implications<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Balance training should not be necessarily preferred over conventional training for the rehabilitation of patients undergoing total hip or knee arthroplasty.\n                  <\/jats:p>","DOI":"10.1123\/japa.2024-0390","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T18:03:36Z","timestamp":1758045816000},"page":"82-90","source":"Crossref","is-referenced-by-count":3,"title":["Effects of Balance and Proprioceptive Training on Rehabilitation After Total Knee and Total Hip Replacement: A Systematic Review and Meta-Analysis"],"prefix":"10.1123","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0942-2776","authenticated-orcid":true,"given":"Huiwu","family":"Qu","sequence":"first","affiliation":[{"name":"Operating Room, The Affiliated Taizhou People\u2019s Hospital of Nanjing Medical University, Taizhou City, JS, China"},{"name":"Department of Orthopedics, People\u2019s Hospital Affiliated of Jiangsu University, Zhenjiang, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0291-0824","authenticated-orcid":true,"given":"Qiyun","family":"Zhen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, People\u2019s Hospital Affiliated of Jiangsu University, Zhenjiang, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8344-0936","authenticated-orcid":true,"given":"Haixia","family":"Li","sequence":"additional","affiliation":[{"name":"Nursing Department, The Affiliated Taizhou People\u2019s Hospital of Nanjing Medical University, Taizhou City, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8974-9297","authenticated-orcid":true,"given":"Qiuping","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery, The Affiliated Taizhou People\u2019s Hospital of Nanjing Medical University, Taizhou City, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9190-7520","authenticated-orcid":true,"given":"Xiuhong","family":"Cao","sequence":"additional","affiliation":[{"name":"Operating Room, The Affiliated Taizhou People\u2019s Hospital of Nanjing Medical University, Taizhou City, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2878-2132","authenticated-orcid":true,"given":"Liyuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Affiliated Taizhou People\u2019s Hospital of Nanjing Medical University, Taizhou City, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3307-1234","authenticated-orcid":true,"given":"Lumei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Affiliated Taizhou People\u2019s Hospital of Nanjing Medical University, Taizhou City, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1449-7394","authenticated-orcid":true,"given":"Hongmei","family":"Dou","sequence":"additional","affiliation":[{"name":"Operating Room, The Affiliated Taizhou People\u2019s Hospital of Nanjing Medical University, Taizhou City, JS, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"9","key":"r1","series-title":"Medicina,","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60091389","article-title":"The effect of combined balance exercise on knee range of motion, balance, gait, and functional outcomes in acute phase following total knee arthroplasty: A single-blind randomized controlled trial","volume":"60","author":"An, J.","year":"2024","unstructured":"An, J., Cheon, S.J., & Lee, B.H. (2024). The effect of combined balance exercise on knee range of motion, balance, gait, and functional outcomes in acute phase following total knee arthroplasty: A single-blind randomized controlled trial. Medicina, 60(9), Article 1389. 10.3390\/medicina60091389"},{"issue":"2","key":"r2","series-title":"Clinical Rehabilitation,","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1177\/0269215519880936","article-title":"The effects of preoperative balance training on balance and functional outcome after total knee replacement: A randomized controlled trial","volume":"34","author":"Blasco, J.M.","year":"2020","unstructured":"Blasco, J.M., Acosta-Ballester, Y., Mart\u00ednez-Garrido, I., Garc\u00eda-Molina, P., Igual-Camacho, C., & Roig-Casas\u00fas, S. (2020). The effects of preoperative balance training on balance and functional outcome after total knee replacement: A randomized controlled trial. Clinical Rehabilitation, 34(2), 182\u2013193. 10.1177\/0269215519880936"},{"key":"r3","series-title":"Gait & Posture,","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1016\/j.gaitpost.2021.03.001","article-title":"Sensorimotor training prior total knee arthroplasty and effects on functional outcome: A systematic review and meta-analysis","volume":"86","author":"Blasco, J.M.","year":"2021","unstructured":"Blasco, J.M., Hern\u00e1ndez-Guillen, D., Dom\u00ednguez-Navarro, F., Acosta-Ballester, Y, Alakhdar-Mohmara, Y., & Roig-Casas\u00fas, S. (2021). Sensorimotor training prior total knee arthroplasty and effects on functional outcome: A systematic review and meta-analysis.\u201d Gait & Posture, 86, 83\u201393. 10.1016\/j.gaitpost.2021.03.001"},{"issue":"1","key":"r4","series-title":"Journal of Human Kinetics,","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1515\/hukin-2017-0088","article-title":"Balance training programs in athletes - A systematic review","volume":"58","author":"Brachman, A.","year":"2017","unstructured":"Brachman, A., Kamieniarz, A., Michalska, J., Paw\u0142owski, M., S\u0142omka, K.J., & Juras, G. (2017). Balance training programs in athletes - A systematic review. 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