Exercise Combined With Continuous Passive Motion or Slider Board Therapy Compared With Exercise Only: A Randomized Controlled Trial of Patients Following Total Knee Arthroplasty
The primary purpose of this randomized controlled trial was to determine which method of mobilization - (1) standardized exercises (SE) and continuous passive motion (CPM), (2) SE and slider board (SB) therapy, using an inexpensive, nontechnical device that requires minimal knee active range of moti...
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| Veröffentlicht in: | Physical therapy 2001-04, Vol.81 (4), p.1029-1037 |
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| creator | Beaupré, L A Davies, D M Jones, C A Cinats, J G |
| description | The primary purpose of this randomized controlled trial was to determine which method of mobilization - (1) standardized exercises (SE) and continuous passive motion (CPM), (2) SE and slider board (SB) therapy, using an inexpensive, nontechnical device that requires minimal knee active range of motion (ROM), or (3) SE alone-achieved the maximum degree of knee ROM in the fIrst 6 months following primary total knee arthroplasty (TKA). The secondary purpose was to compare health-related quality of life among these 3 groups.
The subjects were 120 patients (n=40/group) who received a TEA at a teaching hospital between June 1997 and July 1998 and who agreed to participate in the study.
Subjects were examined preoperatively, at discharge, and at 3 and 6 months after surgery. The examination consisted of measurement of knee ROM and completion of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
The 3 treatment groups were similar with respect to age, sex, and diagnosis at the start of the study. There were no differences in knee ROM or in WOMAC Osteoarthritis Index or SF-36 scores at any of the measurement intervals. The rate of postoperative complications also was not different among the groups.
When postoperative rehabilitation regimens that focus on early mobilization of the patient are used, adjunct ROM therapies (CPM and SB) that are added to daily SE sessions are not required. Six months after TEA, patients attain a satisfactory level of knee ROM and function. |
| doi_str_mv | 10.1093/ptj/81.4.1029 |
| format | Article |
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The subjects were 120 patients (n=40/group) who received a TEA at a teaching hospital between June 1997 and July 1998 and who agreed to participate in the study.
Subjects were examined preoperatively, at discharge, and at 3 and 6 months after surgery. The examination consisted of measurement of knee ROM and completion of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
The 3 treatment groups were similar with respect to age, sex, and diagnosis at the start of the study. There were no differences in knee ROM or in WOMAC Osteoarthritis Index or SF-36 scores at any of the measurement intervals. The rate of postoperative complications also was not different among the groups.
When postoperative rehabilitation regimens that focus on early mobilization of the patient are used, adjunct ROM therapies (CPM and SB) that are added to daily SE sessions are not required. Six months after TEA, patients attain a satisfactory level of knee ROM and function.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/81.4.1029</identifier><identifier>PMID: 11296803</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Activities of Daily Living ; Aged ; Arthroplasty, Replacement, Knee - psychology ; Arthroplasty, Replacement, Knee - rehabilitation ; Artificial knee ; Care and treatment ; Clinical trials ; Combined Modality Therapy ; Equipment and supplies ; Exercise ; Exercise Therapy - instrumentation ; Exercise Therapy - methods ; Female ; Follow-Up Studies ; Humans ; Knee ; Knee prostheses ; Male ; Motion Therapy, Continuous Passive - methods ; Motion Therapy, Continuous Passive - psychology ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - surgery ; Physical therapy ; Quality of Life ; Range of Motion, Articular ; Recovery of Function ; Single-Blind Method ; Surgery ; Therapeutics, Physiological ; Treatment Outcome</subject><ispartof>Physical therapy, 2001-04, Vol.81 (4), p.1029-1037</ispartof><rights>COPYRIGHT 2001 Oxford University Press</rights><rights>COPYRIGHT 2001 Oxford University Press</rights><rights>Copyright American Physical Therapy Association Apr 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-a0676998283948f346781e877a77f3d457b50e06cdf341a01786cecd51ffafb33</citedby><cites>FETCH-LOGICAL-c496t-a0676998283948f346781e877a77f3d457b50e06cdf341a01786cecd51ffafb33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11296803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beaupré, L A</creatorcontrib><creatorcontrib>Davies, D M</creatorcontrib><creatorcontrib>Jones, C A</creatorcontrib><creatorcontrib>Cinats, J G</creatorcontrib><title>Exercise Combined With Continuous Passive Motion or Slider Board Therapy Compared With Exercise Only: A Randomized Controlled Trial of Patients Following Total Knee Arthroplasty</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>The primary purpose of this randomized controlled trial was to determine which method of mobilization - (1) standardized exercises (SE) and continuous passive motion (CPM), (2) SE and slider board (SB) therapy, using an inexpensive, nontechnical device that requires minimal knee active range of motion (ROM), or (3) SE alone-achieved the maximum degree of knee ROM in the fIrst 6 months following primary total knee arthroplasty (TKA). The secondary purpose was to compare health-related quality of life among these 3 groups.
The subjects were 120 patients (n=40/group) who received a TEA at a teaching hospital between June 1997 and July 1998 and who agreed to participate in the study.
Subjects were examined preoperatively, at discharge, and at 3 and 6 months after surgery. The examination consisted of measurement of knee ROM and completion of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
The 3 treatment groups were similar with respect to age, sex, and diagnosis at the start of the study. There were no differences in knee ROM or in WOMAC Osteoarthritis Index or SF-36 scores at any of the measurement intervals. The rate of postoperative complications also was not different among the groups.
When postoperative rehabilitation regimens that focus on early mobilization of the patient are used, adjunct ROM therapies (CPM and SB) that are added to daily SE sessions are not required. Six months after TEA, patients attain a satisfactory level of knee ROM and function.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - psychology</subject><subject>Arthroplasty, Replacement, Knee - rehabilitation</subject><subject>Artificial knee</subject><subject>Care and treatment</subject><subject>Clinical trials</subject><subject>Combined Modality Therapy</subject><subject>Equipment and supplies</subject><subject>Exercise</subject><subject>Exercise Therapy - instrumentation</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee prostheses</subject><subject>Male</subject><subject>Motion Therapy, Continuous Passive - methods</subject><subject>Motion Therapy, Continuous Passive - psychology</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Physical therapy</subject><subject>Quality of Life</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Single-Blind Method</subject><subject>Surgery</subject><subject>Therapeutics, Physiological</subject><subject>Treatment Outcome</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFksGO0zAQhiMEYsvCkSuyOHAiu3bsxg63Uu0CYlERFHG03GTSunLsYDvslrfiDXHUQgWqhHywx_PNP_LvybKnBF8QXNHLPm4vBblgKSqqe9mETKnIS16w-9kEY0ryChf0LHsUwhZjTDirHmZnhBRVKTCdZD-v7sDXOgCau26lLTToq46bFNmo7eCGgD6qEPR3QB9c1M4i59Fnoxvw6LVTvkHLDXjV78b6Xvnf9X9kF9bsXqEZ-qRs4zr9IwGjtnfGpOPSa2WQa1OTqMHGgK5Twt1qu0ZLF1PuvQVAMx833vVGhbh7nD1olQnw5LCfZ1-ur5bzt_nN4s27-ewmr1lVxlzhkpdVJQpBKyZaykouCAjOFectbdiUr6YYcFk3KUdUckaUNdTNlLStaleUnmcv9rq9d98GCFF2OtRgjLKQbJGcY8b5lPwXJIJiRooigc__Abdu8DY9QqYsIRWpygS93ENrZUBq27roVb0Gm1w2zkKr0_WMM0wwo2Pz_ASeVgOdrk_xf8snJMJdrMfvWINMDs4Xp-Rr70Lw0Mre6075nSRYjvMn0_xJQSST4_wl_tnhicOqg-ZIHwbu2H-j15tb7UGGThmT8GKU2vtx1PsFTFHl9w</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>Beaupré, L A</creator><creator>Davies, D M</creator><creator>Jones, C A</creator><creator>Cinats, J G</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20010401</creationdate><title>Exercise Combined With Continuous Passive Motion or Slider Board Therapy Compared With Exercise Only: A Randomized Controlled Trial of Patients Following Total Knee Arthroplasty</title><author>Beaupré, L A ; Davies, D M ; Jones, C A ; Cinats, J G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-a0676998283948f346781e877a77f3d457b50e06cdf341a01786cecd51ffafb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - psychology</topic><topic>Arthroplasty, Replacement, Knee - rehabilitation</topic><topic>Artificial knee</topic><topic>Care and treatment</topic><topic>Clinical trials</topic><topic>Combined Modality Therapy</topic><topic>Equipment and supplies</topic><topic>Exercise</topic><topic>Exercise Therapy - instrumentation</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee prostheses</topic><topic>Male</topic><topic>Motion Therapy, Continuous Passive - methods</topic><topic>Motion Therapy, Continuous Passive - psychology</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Physical therapy</topic><topic>Quality of Life</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Single-Blind Method</topic><topic>Surgery</topic><topic>Therapeutics, Physiological</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beaupré, L A</creatorcontrib><creatorcontrib>Davies, D M</creatorcontrib><creatorcontrib>Jones, C A</creatorcontrib><creatorcontrib>Cinats, J G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Career & Technical Education Database</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Homework Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Research Library</collection><collection>ProQuest Science Journals</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beaupré, L A</au><au>Davies, D M</au><au>Jones, C A</au><au>Cinats, J G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise Combined With Continuous Passive Motion or Slider Board Therapy Compared With Exercise Only: A Randomized Controlled Trial of Patients Following Total Knee Arthroplasty</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2001-04-01</date><risdate>2001</risdate><volume>81</volume><issue>4</issue><spage>1029</spage><epage>1037</epage><pages>1029-1037</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>The primary purpose of this randomized controlled trial was to determine which method of mobilization - (1) standardized exercises (SE) and continuous passive motion (CPM), (2) SE and slider board (SB) therapy, using an inexpensive, nontechnical device that requires minimal knee active range of motion (ROM), or (3) SE alone-achieved the maximum degree of knee ROM in the fIrst 6 months following primary total knee arthroplasty (TKA). The secondary purpose was to compare health-related quality of life among these 3 groups.
The subjects were 120 patients (n=40/group) who received a TEA at a teaching hospital between June 1997 and July 1998 and who agreed to participate in the study.
Subjects were examined preoperatively, at discharge, and at 3 and 6 months after surgery. The examination consisted of measurement of knee ROM and completion of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
The 3 treatment groups were similar with respect to age, sex, and diagnosis at the start of the study. There were no differences in knee ROM or in WOMAC Osteoarthritis Index or SF-36 scores at any of the measurement intervals. The rate of postoperative complications also was not different among the groups.
When postoperative rehabilitation regimens that focus on early mobilization of the patient are used, adjunct ROM therapies (CPM and SB) that are added to daily SE sessions are not required. Six months after TEA, patients attain a satisfactory level of knee ROM and function.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>11296803</pmid><doi>10.1093/ptj/81.4.1029</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-9023 |
| ispartof | Physical therapy, 2001-04, Vol.81 (4), p.1029-1037 |
| issn | 0031-9023 1538-6724 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77047751 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB Electronic Journals Library |
| subjects | Activities of Daily Living Aged Arthroplasty, Replacement, Knee - psychology Arthroplasty, Replacement, Knee - rehabilitation Artificial knee Care and treatment Clinical trials Combined Modality Therapy Equipment and supplies Exercise Exercise Therapy - instrumentation Exercise Therapy - methods Female Follow-Up Studies Humans Knee Knee prostheses Male Motion Therapy, Continuous Passive - methods Motion Therapy, Continuous Passive - psychology Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - surgery Physical therapy Quality of Life Range of Motion, Articular Recovery of Function Single-Blind Method Surgery Therapeutics, Physiological Treatment Outcome |
| title | Exercise Combined With Continuous Passive Motion or Slider Board Therapy Compared With Exercise Only: A Randomized Controlled Trial of Patients Following Total Knee Arthroplasty |
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