Recovery from total knee arthroplasty through continuous passive motion

Abstract

The purpose of this study was to know the effects of continuous passive mobilization in patients who underwent total knee arthroplasty. A search strategy was developed to retrieve all clinical trials, written in English and/or Spanish, published in the electronic search databases PubMed, Cochrane Library Plus, Dialnet, CSIC and PEDro. The inclusion criteria were: clinical trials published from January 2000 until November 2014 in English or Spanish. Out of 537 clinical trials that were potentially relevant, a total of 12 were included in this review. The evaluation of 1,153 patients shows that there is no significant difference in improving the range of the joint, pain, balance, motion, healing and hospital stay using continuous passive mobilization against the regular physiotherapy treatment for total knee arthroplasty. The application of continuous passive mobilization in the long-term does not provide any benefit in terms of the breadth of the range of the joint, pain and improvement of standing and motion in comparison with conventional postoperative physiotherapy treatment in total knee arthroplasty. In the short term an improvement is obtained in the range of joint motion in knee flexion.

Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty

“…It reduces both the length of stay in hospital and pain scores and improves function compared to starting physiotherapy a day later. Continuous passive motion for early joint mobilisation after TKA has been shown to be beneficial due to preventing haemarthrosis, peri-articular oedema and joint stiffness, which improves the range of motion ( Sanchez Mayo et al 2015 ).…”

Efficacy of hydrotherapy versus gym treatment in primary total knee prosthesis due to osteoarthritis: a randomized controlled trial

“…Son factores de riesgo la edad, la osteoporosis, la obesidad, el sexo, los traumatismos y las alteraciones anatómicas 2 . Los principales síntomas que caracterizan a la OA son el dolor, la rigidez, la incapacidad funcional, la inestabilidad articular y la inflamación 3 . El resultado de toda esta sintomatología es una disminución de la calidad de vida, un aumento del riesgo de la morbimortalidad y un mayor coste sanitario 4 .…”

“…La fisioterapia se postula como una terapia eficaz para el tratamiento de la PTR, existiendo variabilidad en los programas propuestos por los diferentes autores 13 . Los objetivos fisioterápicos son disminuir el dolor y la inflamación, mejorar la fuerza muscular y el equilibrio, aumentar el balance articular y mejorar el patrón de la marcha y, por tanto, la calidad de vida del paciente 3,14 . Actualmente, el proceso de rehabilitación se inicia en las primeras 24 horas tras la cirugía.…”