Clinical value of regular passive ROM exercise by a physical therapist after total knee arthroplasty
Clinical value of regular passive ROM exercise by a physical therapist after total knee arthroplasty
复制标题
全膝关节置换术后物理治疗师定期进行被动ROM锻炼的临床价值
DOI：
--
复制
发表时间：
2009
期刊：
影响因子：
--
通讯作者：
S. Seong
中科院分区：
文献类型：
--
作者：
T. K. Kim;K. Park;Su Won Yoon;Sung Ju Kim;C. Chang;S. Seong
在全膝关节置换术(TKA)后，物理治疗师的定期被动关节活动(PROME)经常被纳入康复方案中。这项随机对照试验研究了在全膝关节置换术后，将普罗米特纳入术后康复方案是否能提供更好的临床结果。连续50例接受双侧全膝关节置换术的患者相隔2周接受一侧膝关节PROME治疗，另一侧未接受PROME治疗。观察两组膝关节疼痛程度(7D和14D)、患者偏好(出院前6M)、最大屈曲(7D、14D、3M、6M)、美国膝关节协会评分和WOMAC评分(6M)，并进行比较。两组在最大屈曲、疼痛程度、患者喜好、AKS评分和WOMAC评分方面均无显著差异。这项研究表明，加入PROME并不能为TKA术后的患者提供额外的临床益处。我们的发现可能表明，鼓励患者进行主动关节活动锻炼将是一个更好的选择，物理治疗师的理疗课程可以专注于更多的功能康复，例如准备恢复日常活动。
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.
DOI：
10.1016/0197-2456(90)90005-m
发表时间：
1990-04-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
DUPONT, WD;PLUMMER, WD
通讯作者：
PLUMMER, WD
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