Continuous Passive Motion as an Adjunct to Treatment in the Physiotherapy Management of the Total Knee Arthroplasty Patient

Harms, Michèle; Engstrom, Barbara

doi:10.1016/s0031-9406(10)61768-3

Cited by 30 publications

(28 citation statements)

References 18 publications

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“…Continuous passive motion machine vs control [79][80][81][82] . [81] NS [79,80,82] NS [80,81] n ⁄ a *Supplemental co-dydramol was reduced, but not morphine.…”

Section: Non-pharmacological Techniquesmentioning

confidence: 99%

“…[81] NS [79,80,82] NS [80,81] n ⁄ a *Supplemental co-dydramol was reduced, but not morphine. †Supplemental morphine was reduced, but not ketorolac or pethidine.…”

Section: Non-pharmacological Techniquesmentioning

confidence: 99%

“…Four studies compared continuous passive motion (CPM) treatment with control [79][80][81][82]; three out of four studies reported no significant differences in pain scores between groups [79,80,82], and two out of two studies demonstrated no significant difference in supplemental analgesic use [80,81] (see Table 1). Three studies measuring various functional outcomes reported superiority with CPM compared with control [80][81][82].…”

Section: Physical Therapies and Non-pharmacological Techniques Rehabimentioning

confidence: 99%

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A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

Fischer¹,

Simanski²,

Sharp³

et al. 2008

Anaesthesia

264

218

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SummaryThe PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence‐based consensus recommendations for the effective management of postoperative pain are then developed from these systematic reviews, incorporating clinical practice observations, and transferable evidence from other relevant procedures. We present the results of a systematic review of pain and other outcomes following analgesic, anaesthetic and surgical interventions for total knee arthroplasty (TKA). The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine. The primary technique, together with cooling and compression techniques, should be supplemented with paracetamol and conventional non‐steroidal anti‐inflammatory drugs or COX‐2‐selective inhibitors, plus intravenous strong opioids (high‐intensity pain) or weak opioids (moderate‐ to low‐intensity pain).

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“…Continuous passive motion machine vs control [79][80][81][82] . [81] NS [79,80,82] NS [80,81] n ⁄ a *Supplemental co-dydramol was reduced, but not morphine.…”

Section: Non-pharmacological Techniquesmentioning

confidence: 99%

“…[81] NS [79,80,82] NS [80,81] n ⁄ a *Supplemental co-dydramol was reduced, but not morphine. †Supplemental morphine was reduced, but not ketorolac or pethidine.…”

Section: Non-pharmacological Techniquesmentioning

confidence: 99%

Section: Physical Therapies and Non-pharmacological Techniques Rehabimentioning

confidence: 99%

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A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

Fischer¹,

Simanski²,

Sharp³

et al. 2008

Anaesthesia

264

218

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“…When compared with physical therapy alone, the addition of CPM increases active knee flexion in the weeks after arthroplasty [3,7,12,13]. In a meta-analysis of 952 patients, Brosseau et al [2] reported the length of hospital stay was shorter in patients who received postoperative CPM.…”

Section: Introductionmentioning

confidence: 99%

“…In a meta-analysis of 952 patients, Brosseau et al [2] reported the length of hospital stay was shorter in patients who received postoperative CPM. Furthermore, the addition of this modality to physical therapy also reduced the number of patients requiring postoperative knee manipulations [2,7,12,22,30,31].…”

Section: Introductionmentioning

confidence: 99%

Actual Knee Motion during Continuous Passive Motion Protocols is Less Than Expected

Bible¹,

Simpson²,

Biswas³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Investigations of the usefulness of continuous passive motion (CPM) after TKA have yielded mixed results, with evidence suggesting its efficacy is contingent on the presence of larger motion arcs. Surprisingly, the range of motion (ROM) the knee actually experiences while in a CPM machine has not been elucidated. In this study, the ability of a CPM apparatus to bring about a desired knee ROM was assessed with an electrogoniometer. The knee experienced only 68% to 76% of the programmed CPM arc, with the higher percentages generated by elevating the head of the patient's bed. This disparity between true knee motion and CPM should be accounted for when designing CPM protocols for patients or investigations evaluating efficacy of CPM.

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Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty

et al. 2017

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Continuous Passive Motion as an Adjunct to Treatment in the Physiotherapy Management of the Total Knee Arthroplasty Patient

Cited by 30 publications

References 18 publications

A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

Actual Knee Motion during Continuous Passive Motion Protocols is Less Than Expected

Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty

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