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Clinical value of regular passive ROM exercise by a physical therapist after total knee arthroplasty

Authors
 Tae Kyun Kim  ;  Kwan Kyu Park  ;  Su Won Yoon  ;  Sung Ju Kim  ;  Chong Bum Chang  ;  Sang Cheol Seong 
Citation
 KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol.17(10) : 1152-1158, 2009 
Journal Title
 KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 
ISSN
 0942-2056 
Issue Date
2009
MeSH
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*
Keywords
Total knee arthroplasty ; Rehabilitation ; Passive ROM exercise
Abstract
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.
Full Text
http://link.springer.com/article/10.1007%2Fs00167-009-0731-2
DOI
10.1007/s00167-009-0731-2
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Kwan Kyu(박관규) ORCID logo https://orcid.org/0000-0003-0514-3257
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105990
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