Active heel-slide exercise therapy facilitates the functional and proprioceptive enhancement following total knee arthroplasty compared to continuous passive motion

Eymir, Musa; Erduran, Mehmet; Ünver, Bayram

doi:10.1007/s00167-020-06181-4

Cited by 15 publications

(43 citation statements)

References 36 publications

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“…Specific exercise components within rehabilitation goal components varied across programs. Nine studies included an adjunctive modality in combination with the rehabilitation program: two (Li 2014 andLi 2017) with the same adjunctive modalities delivered to both study arms and seven , Eymir 2020, Stevens-Lapsley 2012, Tsukada 2018, Jin 2018, Rockstroh 2010, Zapparoli 2020 where the added benefit of adjunctive therapy was the question of interest and the adjuvant modality varied between arms. The adjunctive modalities evaluated in these seven studies included neuromuscular electrical stimulation (NMES; n=3 RCTs); transcutaneous electrical nerve stimulation (TENS; n=1 RCT), biofeedback (n=1 RCT), motor imagery (n=1 RCT), and continuous passive motion (vs. active-heel slides which was the comparison of interest for this review) (n=1 RCT).…”

Section: Acute-phase Rehabilitationmentioning

confidence: 99%

“…The adjunctive modalities evaluated in these seven studies included neuromuscular electrical stimulation (NMES; n=3 RCTs); transcutaneous electrical nerve stimulation (TENS; n=1 RCT), biofeedback (n=1 RCT), motor imagery (n=1 RCT), and continuous passive motion (vs. active-heel slides which was the comparison of interest for this review) (n=1 RCT). Eight studies reported some form of exercise progression, of which three were assessed by clinical experts on our team as appropriate , Eymir 2020, Stevens-Lapsley 2012. One study (Piquerras 2013) compared acute-phase virtual rehabilitation with progression to acute-phase conventional rehabilitation without progression.…”

Section: Acute-phase Rehabilitationmentioning

confidence: 99%

“…All acute-phase rehabilitation interventions were delivered to patients inperson (although, two studies that compared discharge destinations did not report the mode of delivery for each discharge destination). In addition to in-person delivery, three studies had a self-guided home-based component , Eymir 2020, Stevens-Lapsley 2012, and one study had a remote (via app or telephone) component (Piqueras 2013). Ten studies were delivered exclusively in an inpatient rehabilitation setting (den Hertog 2012, , Iwakiri 2020, Lenssen 2006, Li 2017, Li 2014, Tsukada 2018, Jin 2018, Rockstroh 2010, Zapparoli 2020.…”

Section: Acute-phase Rehabilitationmentioning

confidence: 99%

“…Twelve studies reported pain data (Harmer 2009, Lenssen 2006, , Li 2015, Piqueras 2013, Rockstroh 2010, Eymir 2020, Stevens-Lapsley 2012, Tsukada 2020) using three different measurement instruments (the pain component of the WOMAC, EQ-5D VAS, and VAS) (Table 25). Most studies (n=10) found no difference in pain data between comparison groups.…”

Section: Painmentioning

confidence: 99%

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Prehabilitation and Rehabilitation for Major Joint Replacement

Konnyu¹,

Thoma²,

Bhuma³

et al. 2021

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Objectives. This systematic review evaluates the rehabilitation interventions for patients who have undergone (or will undergo) total knee arthroplasty (TKA) or total hip arthroplasty (THA) for the treatment of osteoarthritis. We addressed four Key Questions (KQs): comparisons of (1) rehabilitation prior (“prehabilitation”) to TKA versus no prehabilitation, (2) comparative effectiveness of different rehabilitation programs after TKA, (3) prehabilitation prior to THA versus no prehabilitation, (4) comparative effectiveness of different rehabilitation programs after THA. Data sources and review methods. We searched Medline®, PsycINFO®, Embase®, the Cochrane Register of Clinical Trials, CINAHL®, Scopus®, and ClinicalTrials.gov from Jan 1, 2005, to May 3, 2021, to identify randomized controlled trials (RCTs) and adequately adjusted nonrandomized comparative studies (NRCSs). We evaluated clinical outcomes selected with input from a range of stakeholders. We assessed the risk of bias and evaluated the strength of evidence (SoE) using standard methods. Meta-analysis was not feasible, and evidence was synthesized and reported descriptively. The PROSPERO protocol registration number is CRD42020199102. Results. We found 78 RCTs and 5 adjusted NRCSs. Risk of bias was moderate to high for most studies. • KQ 1: Compared with no prehabilitation, prehabilitation prior to TKA may increase strength and reduce length of hospital stay (low SoE) but may lead to comparable results in pain, range of motion (ROM), and activities of daily living (ADL) (low SoE). There was no evidence of an increased risk of harms due to prehabilitation (low SoE). • KQ 2: Various rehabilitation interventions after TKA may lead to comparable improvements in pain, ROM, and ADL (low SoE). Rehabilitation in the acute phase (initiated within 2 weeks of surgery) may lead to increased strength (low SoE) but result in similar strength when delivered in the post-acute phase (low SoE). No studies reported evidence of risk of harms due to rehabilitation delivered in the acute period following TKA. Compared with various controls, post-acute rehabilitation may not increase the risk of harms (low SoE). • KQ 3: For all assessed outcomes, there is insufficient (or no) evidence addressing the comparison between prehabilitation and no prehabilitation prior to THA. • KQ 4: Various rehabilitation interventions after THA may lead to comparable improvements in pain, strength, ADL, and quality of life. There is some evidence of no increased risk of harms due to the intervention (low SoE). • There is insufficient evidence regarding which patients may benefit from (p)rehabilitation for all KQs and insufficient evidence regarding comparisons of different providers and different settings of (p)rehabilitation for all KQs. There is insufficient evidence on costs of (p)rehabilitation and no evidence on cost effectiveness for all KQs. Conclusion. Despite the large number of studies found, the evidence regarding various prehabilitation programs and comparisons of rehabilitation programs for TKA and THA is ultimately sparse. This is a result of the diversity of interventions studied and outcomes reported across studies. As a result, the evidence is largely insufficient or of low SoE. New high-quality research is needed, using standardized intervention terminology and core outcome sets, especially to allow network meta-analyses to explore the impact of intervention attributes on patient-reported, performance-based, and healthcare-utilization outcomes.

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Section: Acute-phase Rehabilitationmentioning

confidence: 99%

Section: Acute-phase Rehabilitationmentioning

confidence: 99%

Section: Acute-phase Rehabilitationmentioning

confidence: 99%

Section: Painmentioning

confidence: 99%

See 2 more Smart Citations

Prehabilitation and Rehabilitation for Major Joint Replacement

Konnyu¹,

Thoma²,

Bhuma³

et al. 2021

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“…The other potential reason for such low participation in the early mobilization program was due to the fact that the authors aimed to implement only an active exercise program where the patients had to actively use their muscles and participate rather than a combination of both an active and a passive exercise program. Active exercises promote better functional outcomes such as improved bed mobility, ambulation distance, and timed up and go (TUG) test (12). Even though active exercises are the better choice in terms of functional outcomes, in cases where the patients are unable to actively participate in the program, passive exercises that are safe Literatürdeki mevcut kanıtlara göre hepsi, hastaların sağlığını tehlikeye atabilecek aktif egzersizlerin yerine,hasta sağlığı açısından güvenli ve uygulanabilir alternatifler olarak uygun görüldü.…”

Section: Introductionmentioning

confidence: 99%

Safe Rehabilitation Practices For COVID-19 Patients on Mechanical Ventilators in the Intensive Care Units

Cüre¹

2020

MJWBS

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A new type of coronavirus called Severe Acute Respiratory Syndrome (SARS-Cov-2) emerged in the city of Wuhan of China in December 2019. Due to its highly infectious nature, the new coronavirus (COVID-19) has spread over to more than 200 countries in the world and continues to infect more and more people worldwide. According to the World Health Organization, 5% of COVID-19 patients require the use of mechanical ventilators. Due to the fragile nature of the COVID-19 patients, it is of utmost importance that evidence-based safe exercises be applied to these patients. In this review, whole-body vibration, cycle ergometer, and electrical muscle stimulation were all investigated and evaluated in terms of their safety, feasibility, practicality, and the quality of evidence presented. According to the current evidence in the literature, they were all deemed safe and feasible alternatives to active exercises that could put the patients' health in jeopardy. Physiotherapists are recommended to work with the intensive care unit physicians regarding the implementation of these exercise programs and determine whether the patients with COVID-19 are suitable for the program. This review concluded that whole-body vibration, cycle ergometer, and electrical muscle stimulation modalities may serve as the safe rehabilitation practices for the physiotherapists worldwide to improve functional outcomes in patients with COVID-19, prevent muscle wasting, delirium, and decrease respiratory complications of COVID-19.

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Relaxation exercise therapy improves pain, muscle strength, and kinesiophobia following total knee arthroplasty in the short term: a randomized controlled trial

Eymir

Ünver

Karatosun

2021

Knee Surg Sports Traumatol Arthrosc

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Purpose This study aimed to compare progressive muscle relaxation (PMR) + standard physiotherapy (PT) to standard PT during inpatient rehabilitation of total knee arthroplasty (TKA) patients in terms of post-operative outcomes. The hypothesis was that PMR + standard PT would lead to better pain, function, and neuromuscular outcomes than standard PT. Methods A total of 106 patients were randomly allocated into PMR or standard rehabilitation (SR) groups. Both groups received standard PT during their hospital stay. PMR group additionally performed PMR exercise on post-operative days 1, 2, and 3. Patients were evaluated regarding pain intensity, functional outcomes, muscle strength, active range of motion, knee edema, anxiety, depression, and kinesiophobia. Results There were no diferences between groups at baseline (n.s.). During the inpatient period and at discharge, the PMR group had better results in terms of pain relief (p < 0.05), quadriceps strength (p = 0.001), kinesiophobia level (p = 0.011) compared to the SR group. No diference was detected between groups regarding other evaluation parameters during the inpatient period, at discharge, and third post-operative month (n.s.). The within-group analysis showed statistically signiicant diferences over time in both groups in each variable (p < 0.05). Conclusion Our indings support that PMR therapy ofers beneicial results in subjective and objective measures of TKA patients during the inpatient period. Therefore, PMR therapy could be implemented into the rehabilitation program of TKA patients to enhance their early recovery from various symptoms following TKA. Level of evidence II.

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Active heel-slide exercise therapy facilitates the functional and proprioceptive enhancement following total knee arthroplasty compared to continuous passive motion

Cited by 15 publications

References 36 publications

Prehabilitation and Rehabilitation for Major Joint Replacement

Prehabilitation and Rehabilitation for Major Joint Replacement

Safe Rehabilitation Practices For COVID-19 Patients on Mechanical Ventilators in the Intensive Care Units

Relaxation exercise therapy improves pain, muscle strength, and kinesiophobia following total knee arthroplasty in the short term: a randomized controlled trial

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