Document Detail


Aggressive continuous passive motion exercise does not improve knee range of motion after total knee arthroplasty.
MedLine Citation:
PMID:  23020840     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims and objectives.  The aim of this study was to evaluate the effects of continuous passive motion on the range of motion, postoperative pain and life quality of patients undergoing total knee arthroplasty within six months after the operation. Background.  Total knee arthroplasty reduces pain and improves range of motion of the osteoarthritic knee joint. Continuous passive motion increases postoperative movement, but there is some controversy regarding whether aggressive continuous passive motion can improve range of motion or life quality, and whether it induces more pain. Design.  A prospective controlled study was conducted in a medical centre in Taiwan from January to December 2006. Methods.  One hundred and seven patients were recruited. The patients underwent the basic rehabilitation protocols (the control group) or the basic rehabilitation protocols and additional daily use of continuous passive motion for more than six hours per day (the experimental group). The range of motion, modified Short Form-36 (SF-36) and semi-quantitative visual analogue scale were recorded. Results.  Range of motion increased from 109° preoperatively to 125° at six months postoperatively in the treatment group and from 111° preoperatively to 125° at six months postoperatively in the control group. Visual analogue scale decreased from 7·78 preoperatively to 0·37 at six months postoperatively in the treatment group and from 7·92 preoperatively to 0·21 at six months postoperatively in the control group. The SF-36 improved from 3·76 preoperatively to 1·77 at six months postoperatively in the treatment group and from 3·68 preoperatively to 1·83 at six months postoperatively in the control group. There was no significant difference in range of motion, visual analogue scale and SF-36 between groups at each visit. Conclusion.  With the advances in total knee arthroplasty surgical technique, aggressive continuous passive motion does not provide obvious benefits. Relevance to clinical practice.  Total knee arthroplasty can alleviate pain and improve range of motion, but aggressive continuous passive motion does not provide additional benefits.
Authors:
Lan-Hui Chen; Chung-Hwan Chen; Sung-Yen Lin; Song-Hsiung Chien; Jiing Yuan Su; Chao-Yung Huang; Hui-Yu Wang; Chih-Liang Chou; Tsung-Yu Tsai; Yuh-Min Cheng; Hsuan-Ti Huang
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-1
Journal Detail:
Title:  Journal of clinical nursing     Volume:  -     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
Authors: Lan-Hui Chen, MHA, RN, Clinical Nurse, Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung; Chung-Hwan Chen, MD, Assistant Professor, Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung and Department of Orthopaedics and Department of Sports Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung; Sung-Yen Lin, MD, Doctor, Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung and Department of Orthopaedics, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung; Song-Hsiung Chien, MD, Assistant Professor, Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung and Department of Orthopaedics, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung; Jiing Yuan Su, MD, Assistant Professor, Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung and Department of Orthopaedics, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung; Chao-Yung Huang, BSc, RN, Clinical Nurse, Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung; Hui-Yu Wang, BSc, RN, Clinical Nurse, Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung; Chih-Liang Chou, BSc, Physical Therapist, Department of Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung; Tsung-Yu Tsai, BSc, Physical Therapist, Department of Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung; Yuh-Min Cheng, MHA, MD, Professor, Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung and Department of Orthopaedics, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung; Hsuan-Ti Huang, MD, Assistant Professor, Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung and Department of Orthopaedics, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
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