Continuous Passive Motion (CPM) in Rehabilitation Following Total Knee Arthroplasty: A Randomised Controlled Trial

Lenssen, Antoine F.; Bie, Robert de; Bulstra, S. K.; Steyn, Mike J A van

doi:10.1179/108331903225003019

Cited by 20 publications

(19 citation statements)

References 14 publications

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“…Their work with rabbit joints showed that joint immobilization had deleterious effects on the articular cartilage of joints (O'Driscoll & Giori, 2000). Lenssen, de Bie, Bulstra, and Van Steyn (2003) noted that the first randomized controlled trials on the efficacy of CPM in TKA were conducted in the late 1980s, about 10 years after the introduction of CPM as a treatment modality. Studies during the years since have produced conflicting results on the efficacy of CPM as a treatment modality after TKA (Brosseau et al, 2004), yet it remains a standard treatment for many patients after TKA.…”

Section: Case Studymentioning

confidence: 97%

“…In addition, patients are at increased risk for pressure complications due to regional and local anesthesia causing a lack of sensation in the operative leg. O' Driscoll and Giori (2000) noted that frequent assessment can prevent pressure-related problems associated with CPM therapy. As the patient with the posterior thigh wound demonstrates, there can be significant injury associated with CPM therapy.…”

Section: Woundsmentioning

confidence: 98%

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Improving Clinical Outcomes With Continuous Passive Motion

Horse¹

2010

Orthopaedic Nursing

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Orthopaedic nursing often involves the use of equipment, and nurses may learn about the use of equipment on the job in informal ways. Staff may have difficulty attending in-services, may be off during quick informal in-services, or may not use equipment for a period of time after an in-service. Due to lack of knowledge, inconsistency in the implementation of ordered therapies resulting in poor outcomes, including pressure wounds and patient dissatisfaction, frequently occurs. Using continuous passive motion therapy as an example, an interactive educational approach to equipment training is presented. Such an approach helps formalize equipment training, provides a standard approach to implementing ordered therapy, provides references for staff after in-services, and improves patient outcomes.

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Section: Case Studymentioning

confidence: 97%

Section: Woundsmentioning

confidence: 98%

Improving Clinical Outcomes With Continuous Passive Motion

Horse¹

2010

Orthopaedic Nursing

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“…Deve ser priorizado o tratamento de reabilitação nas primeiras semanas após o procedimento cirúrgico, afim de obter uma recuperação funcional o mais precoce possível. (OUELLET, MOFFET, 2002;LENSSEN et al, 2003). A fisioterapia convencional de forma bem conduzida pode determinar resultados satisfatórios na reabilitação de pacientes submetidos à ATJ.…”

Section: Avaliação Da Efetividade Da Cirurgia De Artroplastia Total Dunclassified

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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“…For last 25 years continuous passive motion is involved in clinical debate for its merits following knee replacement and now still controversy exists within the current literature for its benefits. Even in various studies no beneficiary effects of CPM were reported when it compare to physical therapy [2]. The main purpose of rehabilitation in total knee arthroplasty is to achieve early knee range of motion with comfortable and pain free mobilization of the patient.…”

Section: Introductionmentioning

confidence: 99%

“…Adequate knee flexion up to 90-120° is required for activities of daily living such as sit to stand transfers and climbing stairs [9]. Consequently, most research on the effectiveness of CPM focuses on range of motion as the primary outcome variable [10][11][12][13][14]. The attainment of at least 0-90° range of motion is the goal upon hospital discharge and a more functional range of 0-120° should be attained upon completion of postoperative physiotherapy.…”

Section: Introductionmentioning

confidence: 99%

“Is Continuous Passive Motion Beneficial for Early Post Operative Period in TKA Patients?”

Shah¹

2018

BJSTR

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Continuous Passive Motion (CPM) in Rehabilitation Following Total Knee Arthroplasty: A Randomised Controlled Trial

Cited by 20 publications

References 14 publications

Improving Clinical Outcomes With Continuous Passive Motion

Improving Clinical Outcomes With Continuous Passive Motion

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

“Is Continuous Passive Motion Beneficial for Early Post Operative Period in TKA Patients?”

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