Prospective Randomized Clinical Trial of Continuous Passive Motion After Total Knee Arthroplasty
Prospective Randomized Clinical Trial of Continuous Passive Motion After Total Knee Arthroplasty
复制标题
全膝关节置换术后持续被动运动的前瞻性随机临床试验
DOI：
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发表时间：
2000
影响因子：
4.2
通讯作者：
M. Vaz
中科院分区：
文献类型：
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作者：
S. MacDonald;R. Bourne;C. Rorabeck;R. Mccalden;J. Kramer;M. Vaz
作者报道了一项在全膝关节置换术后使用持续被动活动的前瞻性随机临床试验的结果。将120例患者随机分为三组：无持续被动活动组(I组)、0°~50°持续被动活动组(II组)和70°~110°持续被动活动组(III组)。持续被动活动是在恢复室开始的，并维持了最长24小时，在这一点上，所有患者开始相同的术后物理治疗方案。患者在手术前、住院期间、术后6周、12周、26周和52周进行评估。在累积止痛药需求、任何测量间隔的活动范围、住院时间(组I，5.1天；组II，5.2天；组III，5天)或膝关节协会评分方面，任何治疗组之间都没有统计学差异。目前的研究不支持全膝关节置换术后短期持续被动活动的使用。在评估的参数中，标准的和高屈曲的持续被动运动方案没有显示出任何优于单独物理治疗的优势。
The authors report the results of a prospective randomized clinical trial using continuous passive motion after total knee arthroplasty. One hundred twenty patients were assigned randomly to one treatment group: No continuous passive motion (Group I), continuous passive motion from 0 °to 50 °and increased as tolerated (Group II), and continuous passive motion from 70 °to 110 °(Group III). The continuous passive motion was initiated in the recovery room and was maintained for a maximum of 24 hours at which point all patients began identical postoperative physiotherapy regimens. Patients were assessed preoperatively, during their hospital stay, at 6 weeks, 12 weeks, 26 weeks, and 52 weeks after their surgery. There were no statistical differences between any of the treatment groups regarding cumulative analgesic requirements, range of motion at any measured interval, length of stay (Group I, 5.1 days; Group II, 5.2 days; Group III, 5 days) or Knee Society scores. The current study does not support the use of short-term continuous passive motion after total knee replacement. A standard and a high flexion continuous passive motion protocol failed to show any advantage over physiotherapy alone in the parameters evaluated.
持续被动运动对全膝关节置换术效果的影响
影响因子：
4.2
作者：
ColwellJr,CW;Morris,BA
通讯作者：
Morris,BA
持续被动运动对全膝关节置换术结果的影响。
影响因子：
4.2
作者：
Maloney,WJ;Schurman,DJ;Hangen,D;Goodman,SB;Edworthy,S;Bloch,DA
通讯作者：
Bloch,DA