Document Detail


Rehabilitation of the arthrofibrotic knee.
MedLine Citation:
PMID:  14653482     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper describes the postoperative rehabilitation of the arthrofibrotic knee, with specific emphasis on modern rehabilitation techniques. The significance of prevention and early recognition is discussed. The importance of early motion and patellar mobility is emphasized and specific exercises to prevent and treat stiffness are described. Continuous passive motion, bracing, and exercise--on the stationary bicycle, on the treadmill, and in water--are adjuncts in the program. Strengthening is added when motion is re-established and there is no swelling or pain. Sport-specific activities are added if progress is satisfactory and motion is maintained. If pain, swelling, or stiffness develops, exercises should be discontinued. Modalities such as cryotherapy, ultrasound, electrical stimulation, rest, and manipulation can be used judiciously. Anti-inflammatory and analgesic medications should be used to prevent inflammation, to control pain, and to allow more aggressive rehabilitative exercises.
Authors:
Peter J Millett; Burt Johnson; Jeff Carlson; Sumant Krishnan; J Richard Steadman
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of orthopedics (Belle Mead, N.J.)     Volume:  32     ISSN:  1078-4519     ISO Abbreviation:  Am J. Orthop.     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-12-04     Completed Date:  2004-03-18     Revised Date:  2010-01-05    
Medline Journal Info:
Nlm Unique ID:  9502918     Medline TA:  Am J Orthop (Belle Mead NJ)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  531-8     Citation Subset:  IM    
Affiliation:
Harvard Shoulder Service/Sports Medicine, Harvard Medical School, and Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. pmillett@partners.org
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MeSH Terms
Descriptor/Qualifier:
Arthritis / rehabilitation*,  surgery
Fibrosis
Humans
Knee Joint / pathology*,  physiopathology,  surgery
Manipulation, Osteopathic
Motion Therapy, Continuous Passive
Physical Therapy Modalities*
Postoperative Period
Range of Motion, Articular

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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