Clinical value of regular passive ROM exercise by a physical therapist after total knee arthroplasty

Kim, Tae Kyun; Park, Kwan Kyu; Yoon, Su Won; Kim, Seong-Ju; Chang, Chong Bum; Seong, Sang Cheol

doi:10.1007/s00167-009-0731-2

Cited by 29 publications

(22 citation statements)

References 38 publications

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“…Better alleviated pain sensation in treatment group saved the dosage of opioid analgesics, which reduced the possibility of addiction and adverse effects. Nocturnal pain is not only a perioperative problem but also a common complaint of osteoarthritis patients [13,14]. However, night pain, in many cases, cannot be completely relieved and is hard to be treated by joint arthroplasty alone.…”

Section: Discussionmentioning

confidence: 99%

Sleep Quality Effects Recovery After Total Knee Arthroplasty (TKA) — A Randomized, Double-Blind, Controlled Study

Long

Zhen-hu

Fan

2015

The Journal of Arthroplasty

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Section: Discussionmentioning

confidence: 99%

Sleep Quality Effects Recovery After Total Knee Arthroplasty (TKA) — A Randomized, Double-Blind, Controlled Study

Long

Zhen-hu

Fan

2015

The Journal of Arthroplasty

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“…In this study, we adopted a CPM program comprising exercise of 15 min/day for 7 days/week, starting on the day following surgery. In physical rehabilitation protocols, 15–20-min passive motion treatments with the assistance of a physical therapist are frequently incorporated after knee surgery [31]. Accordingly, given practical considerations in animal CPM application, we used 15-min short-term stimuli in the knee joints to minimize the stress to the rabbits instead of 8 h/day [32] or 24 h/day [33] therapies.…”

Section: Discussionmentioning

confidence: 99%

Can Early Rehabilitation Prevent Posttraumatic Osteoarthritis in the Patellofemoral Joint after Anterior Cruciate Ligament Rupture? Understanding the Pathological Features

Chang

Shie

Lee

et al. 2017

IJMS

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Knee instability resulting from anterior cruciate ligament (ACL) rupture is a high-risk factor for posttraumatic osteoarthritis (PTOA) in the patellofemoral joint (PFJ). However, whether non-weight-bearing and weight-bearing treatments have chondroprotective effects remains unclear. Twenty-four adult New Zealand White male rabbits were employed in this study. All animals received ACL transection in the right knee and sham surgery in the left knee. The rabbits were randomly assigned to the following groups: (I) In the sedentary (SED) group, the rabbits (n = 6) were simply kept in their cage; (II) In the continuous passive motion (CPM) group, the rabbits (n = 6) performed CPM exercise for 7 days, starting from the first postoperative day; (III) In the active treadmill exercise (TRE) group, the rabbits (n = 6) performed TRE for 2 weeks; (IV) In the CPM + TRE group, the rabbits (n = 6) executed CPM exercise, followed by TRE. Two joint surfaces (the retropatella and femoral trochlear groove) were assessed at 4 weeks after operation. Although the gross appearance in each group was comparable, histological examination revealed significant differences in the articular cartilage status. The CPM group exhibited a greater thickness of articular cartilage, maintenance of tidemark continuity, abundant glycosaminoglycan (GAG), and significantly lower inflammatory cytokine 9, e.g., tumor necrosis factor-alpha (TNF-α) 0 levels, with modest cell apoptosis (i.e., caspase-3). By contrast, the TRE group displayed the worst pathological features: an irregular cartilage surface and chondrocyte disorganization, reduced cartilage thickness, breakdown of the tidemark, depletion of collagen fibers, loss of GAG, and the highest levels of TNF-α and caspase-3 expression. Furthermore, the CPM + TRE group had more favorable outcomes than the SED group, indicating that suitable exercise is needed. The sham treatment displayed no variance in the changes in the two joint surfaces among groups. These data indicate that the application of early CPM rehabilitation is suggested for subjects in order to decrease the risk of PTOA without ACL reconstruction in the PFJ compartment in rabbits. The early TRE program, however, had harmful outcomes. Additionally, inactivity was discovered to initiate the development of PTOA.

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“…Lustosa (2010), corrobora com este estudo, ao trazer como forma de tratar essas alterações a utilização de exercícios multimodais, incluindo fortalecimento, flexibilidade, resistência e equilíbrio, com consequente melhora na função física e na qualidade de vida pelo fato de diminuir a dependência e promover a socialização. Kim et al (2009), avaliando o valor clínico de um programa de exercícios para o ganho de ADM passiva no pós-operatório de ATJ através da medição da ADM, da dor e do questionário WOMAC, obtiveram como resultados que a ADM ativa é muito mais importante do que a passiva e que deve-se focar no funcional e nas atividades de vida diária do paciente.…”

Section: Resultsunclassified

Avaliação da efetividade da cirurgia de artroplastia total de joelho associada à fisioterapia sob o ponto de vista da funcionalidade

et al. 2014

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A osteoartrose (OA) é uma doença de caráter inflamatório e degenerativo progressivo que acomete as estruturas articulares causando dor, incapacidade funcional e perda da mobilidade. Mais de 80% dos portadores de OA apresentam limitações na realização das atividades da vida diária (AVDs), como a mobilidade dentro e fora de casa, na execução das tarefas domésticas e no trabalho, comprometendo a qualidade de vida. Quando há insucesso do tratamento conservador os pacientes com OA grave são encaminhados para a cirurgia de Artroplastia Total de Joelho (ATJ), a qual consiste na substituição de toda a articulação por uma prótese metálica, a fim de promover o alívio da dor e restauração da função do joelho. O objetivo deste estudo foi avaliar a efetividade da cirurgia de ATJ associada à fisioterapia sob o ponto de vista da funcionalidade em pacientes pós-operatório de ATJ. Participaram do estudo 25 pacientes voluntários que se submeteram à cirurgia de ATJ realizada pelo mesmo cirurgião e com o mesmo tipo de prótese. O estudo foi realizado nas instalações das clínicas CEOT e UNIMED Fisioterapia localizadas na cidade de Aracaju-Sergipe. Os voluntários que concordaram com a pesquisa responderam ao questionário WOMAC no primeiro dia do tratamento fisioterapêutico e após quatro semanas, totalizando 20 sessões. Os resultados demonstram que houve melhora significativa nos indivíduos submetidos à cirurgia de ATJ após intervenção fisioterapêutica de quatro semanas nas três dimensões do WOMAC: dor, rigidez e função (p<0,001). Conclui-se que a cirurgia de ATJ associada à fisioterapia mostrou-se efetiva nos pacientes pós-operatório de ATJ sob o ponto de vista da funcionalidade. PALAVRAS-CHAVE:Osteoartrose; Artroplastia Total de Joelho; Fisioterapia. EVALUATION OF THE EFFECTIVENESS OF SURGERY TOTAL KNEE ARTHROPLASTY ASSOCIATED WITH PHYSICAL THERAPY FROM THE POINT OF VIEW OF FUNCTIONALITY ABSTRACTThe osteoarthritis (OA) is a disease of progressive degenerative and inflammatory character that affects the joint structures causing pain, disability and loss of mobility. Over 80% of patients with OA have limitations in performing activities of daily living (ADLs), such as mobility inside and outside the home, in the performance of household chores and work, affecting the quality of life. When there is failure of conservative treatment in patients with severe OA are referred for surgery Total Knee Arthroplasty (TKA), which involves replacing the entire joint with a metal prosthesis in order to promote pain relief and restoration of knee function. The objective of this study was to evaluate the effectiveness of TKA surgery associated with physiotherapy from the point of view of functionality in patients postoperative TKA. The study included 25 patients who underwent voluntary surgical TKA performed by the same surgeon and the same type of prosthesis. The study was conducted at the premises of CEOT and UNIMED Physiotherapy clinics located in Aracaju-Sergipe the city. The volunteers who agreed to the survey answered the WOMAC questionnaire on ...

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Clinical value of regular passive ROM exercise by a physical therapist after total knee arthroplasty

Cited by 29 publications

References 38 publications

Sleep Quality Effects Recovery After Total Knee Arthroplasty (TKA) — A Randomized, Double-Blind, Controlled Study

Sleep Quality Effects Recovery After Total Knee Arthroplasty (TKA) — A Randomized, Double-Blind, Controlled Study

Can Early Rehabilitation Prevent Posttraumatic Osteoarthritis in the Patellofemoral Joint after Anterior Cruciate Ligament Rupture? Understanding the Pathological Features

Avaliação da efetividade da cirurgia de artroplastia total de joelho associada à fisioterapia sob o ponto de vista da funcionalidade

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