Static progressive stretch for the treatment of knee stiffness

Bonutti, Peter M.; McGrath, Mike; Ulrich, Slif D.; McKenzie, Shelton A.; Seyler, Thorsten M.; Mont, Michael A.

doi:10.1016/j.knee.2008.04.002

Cited by 41 publications

(26 citation statements)

References 29 publications

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“…Failure to achieve full knee extension ROM can have a significant long-term impact on pain, gait and function, with arthrofibrosis as a potential complication. Arthrofibrosis is an inflammatory response which results in joint fibrosis and restricted knee motion [10], which can occur following knee surgery, trauma or immobilization [11]. Prevention of knee joint stiffness and potential arthrofibrosis should be a primary goal early post-operatively [12].…”

Section: Early Post-operative Complicationsmentioning

confidence: 99%

“…Additional conservative measures may include joint aspiration, nonsteroidal anti-inflammatory drugs, and oral corticosteroids. For patients who fail to regain functional and symmetrical knee ROM, operative procedures may include manipulation under anaesthesia, arthroscopic lysis of adhesions and or soft tissue release [11]. Following any additional surgical procedure, formal physical therapy is initiated within the first several days to maximize knee ROM and assist with carryover of motion obtained in surgery.…”

Section: Early Post-operative Complicationsmentioning

confidence: 99%

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Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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Section: Early Post-operative Complicationsmentioning

confidence: 99%

Section: Early Post-operative Complicationsmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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“…Other approaches include neuromuscular electrical stimulation, joint aspiration, corticosteroid and/or local anesthetic injections into the joint, and botulinum toxin injections into the hamstring and gastrocnemius muscles [31]. Various orthoses have also been used, including casts or braces to hold the joint in extension [1]; low-load progressive stretch splints, which apply a constant low-grade force to the joint to gradually extend it [29]; and static progressive stretch splints, which hold the joint at progressively greater degrees of extension [5]. These methods may require prolonged treatment times (e.g., 4 to 55 weeks).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Custom Device for the Treatment of Flexion Contractures after Total Knee Arthroplasty

McGrath

Mont

Siddiqui

et al. 2009

Clin Orthop Relat Res

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Knee flexion contractures can severely impair function after total knee arthroplasties. We evaluated the use of a custom-molded knee device to treat 47 patients who had knee flexion contractures (mean, 22°; range, 10°-40°) after primary or revision total knee arthroplasties and who had failed conventional therapeutic methods. The device was used for 30 to 45 minutes per session two to three times per day in conjunction with standard physical therapy modalities two to three times per week. Twentyseven of 29 patients who underwent primary total knee arthroplasty and 13 of 18 patients who underwent revisions achieved full extension after a mean treatment time of 9 weeks (range, 6-16 weeks). Full knee extension was maintained at a minimum followup of 18 months (mean, 24 months; range, 18-36 months). The mean Knee Society knee and functional scores improved from 50 points and 34 points to 91 points and 89 points, respectively. This protocol had comparable rates of improvement in knee extension with less treatment time when compared with other nonoperative treatments reported in the literature.

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“…Such exercise was originally designed to restore mobility of joints previously immobilized for a long postoperative period. In this experiment, instead of using a passive articulated splint [1], the device is used to pull the subject knee from an angular position to a new one. The subject was seated during the experiment.…”

Section: Resultsmentioning

confidence: 99%

Self-adjusting, isostatic exoskeleton for the human knee joint

Cai

Bidaud

Hayward

et al. 2011

2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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Abstract-A knee-joint exoskeleton design that can apply programmable torques to the articulation and that self-adjusts to its physiological movements is described. Self-adjustment means that the articular torque is automatically produced around the rotational axis of the joint. The requirements are first discussed and the conditions under which the system tracks the spatial relative movements of the limbs are given. If these conditions are met, the torque applied to the joint takes into account the possible relative movements of the limbs without introducing constraints. A prototype was built to demonstrate the applicability of these principles and preliminary tests were carried out to validate the design.

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Static progressive stretch for the treatment of knee stiffness

Cited by 41 publications

References 29 publications

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Evaluation of a Custom Device for the Treatment of Flexion Contractures after Total Knee Arthroplasty

Self-adjusting, isostatic exoskeleton for the human knee joint

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