Article

OBJECTIVE: To determine the effects of using a continuous passive motion (CPM)
device for individuals with poor range of motion (ROM) after a total knee
replacement (TKR) admitted for postacute rehabilitation. DESIGN: Randomized
controlled trial. SETTING: Inpatient rehabilitation facility (IRF). PARTICIPANTS:
Adults (N=141) after TKR with initial active knee flexion <75 degrees on
admission to the IRF. INTERVENTION: Two randomized groups: group 1 (n=71)
received the conventional 3 hours of therapy per day, and group 2 (n=70) received
the addition of daily CPM use for 2 hours throughout their length of stay. MAIN
OUTCOME MEASURES: The primary outcome measure was active knee flexion ROM.
Secondary outcome measures included active knee extension ROM length of stay,
estimate of function using the FIM and Timed Up and Go test, girth measurement,
and self-reported Western Ontario and McMaster Universities Osteoarthritis Index
scores. RESULTS: All subjects significantly improved from admission to discharge
in all outcome measures. However, there were no statistically significant
differences in any of the discharge outcome measures of the CPM group compared
with the non-CPM group. CONCLUSIONS: CPM does not provide an additional benefit
over the conventional interventions used in an IRF for patient after TKR,
specifically in patients with poor initial knee flexion ROM after surgery.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS