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

Cited 18 time in Web of Science Cited 18 time in Scopus
Authors
Kim, Tae Kyun; Park, Kwan Kyu; Yoon, Su Won; Kim, Sung Ju; Seong, Sang Cheol; Chang, Chong Bum
Issue Date
2009-10
Publisher
SPRINGER
Citation
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY; Vol.17, No.10; 1152-1158
Keywords
Total knee arthroplastyRehabilitationPassive 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.
ISSN
0942-2056
Language
English
URI
http://hdl.handle.net/10371/78440
DOI
https://doi.org/10.1007/s00167-009-0731-2
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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