https://orcid.org/0000-0002-7872-9745
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Abstract
Background
Stationary cycling offers a unique rehabilitative strategy to engage recovering tissues of the surgical lower extremity, however, cycling is not routinely implemented following all lower extremity surgeries. There is a need to systematically review and summarize the evidence on rehabilitative cycling after lower extremity musculoskeletal surgeries.
Objectives
To conduct a systematic review evaluating stationary cycling initiated within three months post-surgery following lower extremity musculoskeletal surgeries to improve gross motor related activities of daily living, lower extremity pain, and body structure and function measures of the operative lower extremity.
Methods
Two independent reviewers searched MEDLINE, EMBASE, CINAHL, and Cochrane Reviews databases. Risk of bias was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) criteria.
Results
3758 articles were screened and three were included, two were rated acceptable and one was rated low quality. Cycling was shown to improve gross motor related activities of daily living following total hip arthroplasty and partial meniscectomy, and decrease knee pain following partial meniscectomy. Evidence does not support the use of cycling to improve body structure and function measures.
Conclusions
Evidence supports the use of stationary cycling following total hip arthroplasty and partial knee meniscectomy. Further research is required to build the evidence base.
Disclosure statement
No potential conflict of interest was reported by the authors.
Additional information
Notes on contributors
Analyssa Cardenas
Analyssa Cardenas is a graduate student at the University of Toronto’s Rehabilitation Sciences Institute and Holland Bloorview Kids Rehabilitation Hospital. She completed her HBSc in Kinesiology at the University of Waterloo.
Marina Nikolopoulos
Marina Nikolopoulos is a graduate student at the University of Toronto’s Institute of Medical Sciences. She completed her HBSc in Neuroscience at the University of Toronto.
Kristin Musselman
Dr. Kristin Musselman is a physical therapist and Scientist with the Neural Engineering and Therapeutics Team and the Mobility Team at the Toronto Rehabilitation Institute – Lyndhurst Centre. She completed a BSc (Life Sciences) and BScPT at Queen’s University, followed by a MSc (Neurosciences) and PhD (Rehabilitation Science) at the University of Alberta. Dr. Musselman was a CIHR Post-doctoral Fellow at the Johns Hopkins School of Medicine and Kennedy Krieger Institute from 2010-2013. She is active in the Canadian Physiotherapy Association, serving on the Executive of the Neurosciences Division. She is also co-lead of the Walking Measures Group for the Rick Hansen Spinal Cord Injury Registry.
Darcy Fehlings
Dr. Darcy Fehlings is Head of the Division of Developmental Paediatrics and is a Professor in the Department of Paediatrics, at the University of Toronto. Dr. Fehlings is a Senior Clinician Scientist in the Bloorview Research Institute. Her research focuses on the innovation and evaluation of interventions for children with cerebral palsy. Professor Fehlings is the lead investigator of an Ontario Brain Institute integrated neuroscience network focused on children with cerebral palsy (CP-NET) and leads the Cerebral Palsy Discovery Project. She has been an active member of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) since 1998 and served as President in 2015 and has played a leadership role in developing the AACPDM Care Pathways.