通讯作者: 莫文娟, 764971367@qq.com

DOI：10.12201/bmr.202512.00031

Evidence Map of Exercise Rehabilitation for Elderly Patients After Hip Arthroplasty

• 摘要：目的 通过证据图谱系统描述及评价老年髋关节置换患者运动康复的现有证据，识别证据分布特征及研究空白，为今后开展临床研究与实践提供参考。方法 检索国内外数据库老年髋关节置换患者运动康复的相关文献，检索时间为建库至2025年12月1日。使用Cochrane Rob2.0工具评价随机对照试验，使用AMSTAR 2量表评价系统评价/Meta分析。纳入高质量文献后提取其特征信息，并使用表格和气泡图可视化呈现。结果 最终纳入69篇文献，包括58篇随机对照试验和11篇系统评价/Meta分析。58篇随机对照试验中，运动方案包括24篇多元训练、18篇功能性训练、9篇抗阻训练及7篇平衡与步态训练。多数研究认为运动康复“有益”（49篇），其次为“可能有益”（6篇）。 纳入的11篇系统评价/Meta分析共涵盖176项原始研究。主要结局指标包括髋关节功能、疼痛、生活质量、肌力和并发症发生率。多数研究支持运动康复获益（9篇），仅1篇因数据不足评价为不清楚。结论 运动康复对老年髋关节置换患者具有积极效果。对于不同运动方案的选择，研究人群及康复阶段的覆盖，未来仍需进一步的高质量探讨。

  关键词： 髋关节置换; 运动康复; 证据图谱; 随机对照试验; 系统评价/Meta分析

   

  Abstract: Objective: To systematically describe and evaluate the existing evidence on exercise rehabilitation for elderly patients undergoing hip arthroplasty using an evidence map, identify evidence distribution characteristics and research gaps, and provide a reference for future clinical research and practice.Methods: Relevant literature on exercise rehabilitation for elderly patients with hip arthroplasty was retrieved from domestic and international databases, with the search period spanning from the inception of each database to December 1, 2025. The Cochrane RoB 2.0 tool was used to evaluate randomized controlled trials (RCTs), and the AMSTAR 2 scale was used to assess systematic reviews/Meta-analyses. Following the inclusion of high-quality literature, their characteristic information was extracted and presented visually using tables and bubble charts.Results: A total of 69 studies were finally included, comprising 58 randomized controlled trials (RCTs) and 11 systematic reviews/Meta-analyses. Among the 58 RCTs, the exercise protocols consisted of 24 multimodal training studies, 18 functional training studies, 9 resistance training studies, and 7 balance and gait training studies. Most studies concluded that exercise rehabilitation was beneficial (49 studies), followed by potentially beneficial (6 studies). The 11 included systematic reviews/Meta-analyses encompassed 176 primary studies. The main outcome measures included hip function, pain, quality of life, muscle strength, and complication rates. Most studies supported the benefits of exercise rehabilitation (9 studies), with only one rated as unclear due to insufficient data.Conclusion: Exercise rehabilitation has positive effects on elderly patients undergoing hip arthroplasty. Further high-quality research is needed regarding the selection of different exercise protocols, as well as the coverage of study populations and rehabilitation stages.

  Key words: Hip arthroplasty; Exercise rehabilitation; Evidence mapping; Randomized controlled trial; Systematic review/Meta-analysis

  提交时间：2025-12-11

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• 序号	提交日期	编号	操作
  1	2025-10-08	10.12201/bmr.202512.00031V1	下载

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