| Clinical value of regular passive ROM exercise by a physical therapist after total knee arthroplasty. | |
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MedLine Citation:
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PMID: 19225758 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Regular passive ROM exercise (PROME) by a physical therapist is often incorporated in rehabilitation protocols after total knee arthroplasty (TKA). This randomized, controlled trial examined whether or not the incorporation of PROME to a postoperative rehabilitation protocol would offer a better clinical outcome after TKA. Fifty consecutive patients who underwent bilateral TKAs staged 2 weeks apart received PROME for one knee and not for the other. The pain level (7D and 14D), patient's preference (before discharge, 6M), maximum flexion (7D, 14D, 3M, 6M) and American Knee Society and WOMAC scores (6M) were determined in the knees with and without PROME and compared. There were no significant differences in the maximum flexion, pain level, patient's preference, AKS scores and WOMAC scores. This study demonstrates that the incorporation of PROME does not offer additional clinical benefits to the patients after TKA. Our findings may suggest that encouraging patients to perform active ROM exercise would be a better option and that a physiotherapy session by a physical therapist can focus on more functional rehabilitation, such as preparing to return to daily activities. |
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Authors:
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Tae Kyun Kim; Kwan Kyu Park; Su Won Yoon; Sung Ju Kim; Chong Bum Chang; Sang Cheol Seong |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial Date: 2009-02-19 |
Journal Detail:
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Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: 17 ISSN: 1433-7347 ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-01 Completed Date: 2010-01-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: Germany |
Other Details:
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Languages: eng Pagination: 1152-8 Citation Subset: IM |
Affiliation:
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Joint Reconstruction Center, Seoul National University Bundang Hospital, 300 Gumidong, Bundangu, Seongnam-si, Gyunggido 463-707, Korea. osktk@snubh.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Analgesia, Patient-Controlled Arthroplasty, Replacement, Knee / rehabilitation* Exercise Therapy / methods* Female Humans Middle Aged Pain / prevention & control Patient Preference* Range of Motion, Articular* Recovery of Function* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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