An umbrella review for preoperative rehabilitation in primary total knee arthroplasty: quality assessment and summary of evidence.

Of these, the first study demonstrated significant effects of prehabilitation in improving postoperative function, pain, muscle strength and quality of life after TKA, further supporting the findings of the present study [ 39 ]; the second study noted that a prehabilitation programme combined with lifestyle interventions (e.g., diet, stress management) demonstrated a positive trend in improving postoperative function and quality of life, but the evidence is still limited, suggesting that a more individualized intervention strategies [ 40 ]; a third study highlighted the effectiveness of prehabilitation as part of a fast-track programme in reducing length of stay and risk of postoperative complications, which provides new support for the practical application of this study [ 41 ].

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