Continuous passive motion therapy after total knee arthroplasty

Rex, Colleen

doi:10.1097/01.nurse.0000531010.25095.80

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…As a result, severe knee pain, muscle weakness and gait disturbances are seen. 19 Total knee arthroplasty (TKA) is considered to be an appropriate and effective method for the treatment of knee OA and RA. The main purpose of the TKA procedure is to reduce knee pain and improve knee function.…”

Section: Discussionmentioning

confidence: 99%

Effect of Salat Activity on Knee Pain, Range of Motion and Muscle Strength After Total Knee Arthroplasty: A Single-Blinded Randomized Controlled Trial.

Torlak

ATA

2022

International Journal of Traditional and Complementary Medicine Research

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The aim of this study was to investigate the effect of salat activity on knee pain, muscle strength and range of motion after posterior stabilized total knee arthroplasty. Material-Method: This prospective randomized study was conducted in KTO Karatay University and Medova Hospital, Konya, Türkiye, between March 2019 and June 2019. Thirty volunteers between the ages of 55 and 75 who had undergone total knee arthroplasty participated in this study. Participants were randomly divided into two groups as Physical therapy group and Physical therapy + salat group. The participants in the physical therapy group were provided hot-cold application, transcutenous electrical nerve stimulation (TENS), active-assisted range of motion, stretching and strengthening exercises during four weeks. Physical therapy+salat group performed salat activity in addition to the treatment. The knee joint patency was measured using a digital goniometer, muscle strength using a manual muscle tester, knee pain with the visual analogue scale (VAS). Results: There was no difference in knee flexion and extension muscle strength between the groups before and after treatment (p ˃ 0.05). There was no difference in VAS values between the groups before and after treatment (p ˃ 0.05). Knee flexion angle increased significantly in the physical therapy+prayer group compared to the post-treatment physical therapy group (p˂0.003). There was no significant difference between the groups in knee extension angle before and after treatment (p˃0.05). Conclusion:In this study, it was found that Salat activity after knee arthroplasty improved knee joint range of motion.

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Section: Discussionmentioning

confidence: 99%

Effect of Salat Activity on Knee Pain, Range of Motion and Muscle Strength After Total Knee Arthroplasty: A Single-Blinded Randomized Controlled Trial.

Torlak

ATA

2022

International Journal of Traditional and Complementary Medicine Research

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“…stated that CPM improved collagen tissue repair and mobility restoration after TKA.Studies have shown substantial increases in knee flexion range of motion (ROM) of 7 to 22 degrees and quicker recovery of knee flexion throughout the hospital stay. [7] Long continuous passive motion (CPM) devices are widely utilised in conjunction with physiotherapy to aid with the postoperative recovery process. Numerous studies that used various CPM protocols have produced contradictory results about how it affects knee range of motion.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of continuous passive motion protocol as an adjunct to standard physiotherapy protocol for post-operative rehabilitation in Total Knee Arthroplasty (TKA) cases

Rana

Sheikh

Anwar

et al. 2023

ijhs

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Osteoarthritis (OA) of the knee is a relatively prevalent disorder, and prevalence rises with age. Total knee replacement surgery (TKA) is a frequent operation that has significantly improved the quality of life for millions of people with symptomatic knee OA. TKA postoperative care has been discussed regarding the utility of CPM; it has been shown to speed up the recovery of full range of motion, shorten hospital stays, lessen discomfort, speed up wound healing, and lower the risk of DVT. The current study was conducted to compare Effectiveness of CPM protocol as an adjunct to Standard Physiotherapy protocol in Post-operative Rehabilitation of TKA cases. From July to December 2021, three affiliated hospitals hosted the randomised controlled study, which included patients who had complete knee arthroplasty surgery. After surgery, patients were randomly allocated to one of two groups: From the first surgical day till discharge, Group A got twice daily PT and continuous passive motion (CPM), while Group B only received the usual physiotherapy programme from the first postoperative day. Evaluation of the results took place the day after discharge. The participants in the 2 groups' baseline outcome measurement characteristics were comparable.

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“…The use of CPM hinders the patients from participating in active rehabilitation [21]. Nevertheless, the CPM is frequently implemented by many orthopedic surgeons in postoperative rehabilitation following TKA, despite controversies in the current literature [26, 30]. On the other hand, the actual practice suggests that active rehabilitation and early mobilization of patients should start immediately following TKA surgery [15].…”

Section: Introductionmentioning

confidence: 99%

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

Eymir

Erduran

Ünver

2020

Knee Surg Sports Traumatol Arthrosc

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PurposeThe aim was to compare active heel‐slide exercise (AHSE) + standard physiotherapy (PT) to continuous passive motion (CPM) + standard PT during inpatient rehabilitation of total knee arthroplasty (TKA) patients in terms of postoperative outcomes. MethodsPatients were randomly assigned into AHSE or CPM groups. Both groups received standard PT (range of motion and strengthening exercises, and ambulation) during hospital stay. Patients were evaluated regarding functional outcomes, knee proprioception, pain intensity, active range of motion, knee circumference, length of hospital stay, time for achieving straight leg raise actively, time for achieving 70° knee flexion. ResultsGroups were similar at baseline (n.s.). At discharge, AHSE group was better in terms of pain intensity (p < 0.001), Hospital for Special Surgery knee score (p = 0.001), rise from sitting (p = 0.015), ascend/descend stairs (p = 0.038), and timed up and go test (p = 0.028) compared to CPM group. AHSE group was able to perform the straight leg raise earlier than CPM group during inpatient period (p = 0.001) and demonstrated improved proprioception at discharge and at 3‐month follow‐up (p < 0.05). No statistical differences were detected between groups in other evaluation parameters (n.s.). ConclusionOur findings support AHSE therapy offers a more functional rehabilitation and leads beneficial results for patients following TKA. Therefore, active exercise approach encouraging patients to participate in their rehabilitation should be first choice in acute postoperative rehabilitation following TKA rather than CPM. Level of evidenceII

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Continuous passive motion therapy after total knee arthroplasty

Cited by 6 publications

References 6 publications

Effect of Salat Activity on Knee Pain, Range of Motion and Muscle Strength After Total Knee Arthroplasty: A Single-Blinded Randomized Controlled Trial.

Effect of Salat Activity on Knee Pain, Range of Motion and Muscle Strength After Total Knee Arthroplasty: A Single-Blinded Randomized Controlled Trial.

Effectiveness of continuous passive motion protocol as an adjunct to standard physiotherapy protocol for post-operative rehabilitation in Total Knee Arthroplasty (TKA) cases

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

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