Evidence Map of Exercise Rehabilitation for Elderly Patients After Hip Arthroplasty

Corresponding author: MO wenjuan, 764971367@qq.com

DOI: 10.12201/bmr.202512.00031

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  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

  Submit time: 11 December 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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