Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

Changes in pain, swelling, and range of motion according to physical therapy intervention after total knee arthroplasty in elderly patients

  • Received : 2015.11.24
  • Accepted : 2015.12.07
  • Published : 2015.12.26
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study was carried out to compare changes in pain, swelling and range of motion (ROM) between the two groups according to physical therapy intervention. Design: Randomized controlled trial. Methods: There were a total of 20 elderly subjects ages 65-75 years old who have been admitted to the hospital for a total knee arthroplasty. After surgery, the experimental group (n=10) carried out quadriceps femoris muscle strengthening exercise, hamstring stretching exercises and gastrocnemius stretching exercise with a physical therapist for 30 minutes and additionally, received ice pack therapy for 20 minutes once a day. The control group (n=10) carried out continuous passive motion for 30 minutes and received ice pack therapy for 20 minutes once a day. The experimental group and control group carried out each intervention program for 2 weeks 3 times a week. The Visual Analogue Scale was used to assess pain, tape measurements were taken to assess swelling, and a steel goniometer was used to assess knee joint ROM. Results: As a result, the experimental group showed a statistically significant decrease in the pain and swelling, and a significant increase in knee flexion ROM after the intervention, compared to the control group (p<0.05). There was a significant improvement in pain, edema, and knee flexion and extension ROM in all subjects after intervention (p<0.05). Conclusions: According the results of this study, exercise in the experimental group is effect on the pain, swelling and ROM for total knee arthroplasty.

Keywords

References

  1. Hinton R, Moody RL, Davis AW, Thomas SF. Osteoarthritis: diagnosis and therapeutic considerations. Am Fam Physician 2002;65:841-8.
  2. Farquhar SJ, Reisman DS, Snyder-Mackler L. Persistence of altered movement patterns during a sit-to-stand task 1 year following unilateral total knee arthroplasty. Phys Ther 2008;88:567-79. https://doi.org/10.2522/ptj.20070045
  3. Saxon L, Finch C, Bass S. Sports participation, sports injuries and osteoarthritis: implications for prevention. Sports Med 1999; 28:123-35. https://doi.org/10.2165/00007256-199928020-00005
  4. Brooks PM. Impact of osteoarthritis on individuals and society: how much disability? Social consequences and health economic implications. Curr Opin Rheumatol 2002;14:573-7. https://doi.org/10.1097/00002281-200209000-00017
  5. Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB. Does total knee replacement restore normal knee function? Clin Orthop Relat Res 2005;(431):157-65.
  6. Han J. Effectiveness of 8 weeks of application of aqua complexed exercise on lower limbs muscular strength, pain relief and balance after total knee arthroplasty [Master's degress]. Seoul: Korea University; 2010.
  7. Kramer JF, Speechley M, Bourne R, Rorabeck C, Vaz M. Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty. Clin Orthop Relat Res 2003;(410):225-34.
  8. Naso F, Carner E, Blankfort-Doyle W, Coughey K. Endurance training in the elderly nursing home patient. Arch Phys Med Rehabil 1990;71:241-3.
  9. Stevens JE, Mizner RL, Snyder-Mackler L. Quadriceps strength and volitional activation before and after total knee arthroplasty for osteoarthritis. J Orthop Res 2003;21:775-9. https://doi.org/10.1016/S0736-0266(03)00052-4
  10. Greene KA, Schurman JR 2nd. Quadriceps muscle function in primary total knee arthroplasty. J Arthroplasty 2008;23(7 Suppl):15-9. https://doi.org/10.1016/S0883-5403(08)00797-3
  11. MacDonald SJ, Bourne RB, Rorabeck CH, McCalden RW, Kramer J, Vaz M. Prospective randomized clinical trial of continuous passive motion after total knee arthroplasty. Clin Orthop Relat Res 2000;(380):30-5.
  12. Yim SJ, Min KD, Lee YK, Kim HT, Kang HK. Efficacy of physiotherapist after total knee arthroplasty. J Korean Knee Soc 2009;21:258-64.
  13. Choi JC, Han DU. The effects of quadriceps setting exercise and electrical stimulation on improvement of quadriceps muscle strength. J Korean Soc Phys Ther 2001;13:273-80.
  14. Beaupre LA, Davies DM, Jones CA, Cinats JG. Exercise combined with continuous passive motion or slider board therapy compared with exercise only: a randomized controlled trial of patients following total knee arthroplasty. Phys Ther 2001;81: 1029-37.
  15. Bruun-Olsen V, Heiberg KE, Mengshoel AM. Continuous passive motion as an adjunct to active exercises in early rehabilitation following total knee arthroplasty: a randomized controlled trial. Disabil Rehabil 2009;31:277-83. https://doi.org/10.1080/09638280801931204
  16. Barry S, Wallace L, Lamb S. Cryotherapy after total knee replacement: a survey of current practice. Physiother Res Int 2003; 8:111-20. https://doi.org/10.1002/pri.279
  17. Mora S, Zalavras CG, Wang L, Thordarson DB. The role of pulsatile cold compression in edema resolution following ankle fractures: a randomized clinical trial. Foot Ankle Int 2002;23: 999-1002. https://doi.org/10.1177/107110070202301105
  18. Lee SH. The effects of physical therapy intervention methods on range of motion, muscular strength, and balance after total knee replascement [Master's degress]. Kwangju: Kwangju Woman's University; 2014.
  19. Huskisson EC. Measurement of pain. J Rheumatol 1982;9:768-9.
  20. Shim EO. A study on the effects of structured cryotherapy on pain, Inflammation, range of motion and edema in patients with total knee arthroplasty [Master's degress]. Kwangju: Chonnam National University; 2014.
  21. Gogia PP, Braatz JH, Rose SJ, Norton BJ. Reliability and validity of goniometric measurements at the knee. Phys Ther 1987; 67:192-5. https://doi.org/10.1093/ptj/67.2.192
  22. Park HO, Park KS. A study on experiences of total knee replacement in patients with osteoarthritis. J Muscle Joint Health 1996; 3:135-50.
  23. Yoo MC. New perspectives of treatment of osteoarthritis. J Muscle Joint Health 1995;2:227-9.
  24. Shin JY. The effect of rehabilitation program on pain, ROM of the knee joint, and mobility in elderly with total knee arthroplasty [Master's degress]. Busan: Dongeui University; 2011.
  25. Healy WL, Seidman J, Pfeifer BA, Brown DG. Cold compressive dressing after total knee arthroplasty. Clin Orthop Relat Res 1994;(299):143-6.
  26. Chesterton LS, Foster NE, Ross L. Skin temperature response to cryotherapy. Arch Phys Med Rehabil 2002;83:543-9. https://doi.org/10.1053/apmr.2002.30926
  27. Chiarello CM, Gundersen L, O'Halloran T. The effect of continuous passive motion duration and increment on range of motion in total knee arthroplasty patients. J Orthop Sports Phys Ther 1997;25:119-27. https://doi.org/10.2519/jospt.1997.25.2.119
  28. Kumar PJ, McPherson EJ, Dorr LD, Wan Z, Baldwin K. Rehabilitation after total knee arthroplasty: a comparison of 2 rehabilitation techniques. Clin Orthop Relat Res 1996;(331):93-101.

Cited by

  1. Quality of life of persons after total knee replacement surgery vol.8, pp.3, 2019, https://doi.org/10.14474/ptrs.2019.8.3.170
  2. Comparing the Effectiveness of Blood Flow Restriction and Traditional Heavy Load Resistance Training in the Post-Surgery Rehabilitation of Anterior Cruciate Ligament Reconstruction Patients: A UK Nati vol.49, pp.11, 2015, https://doi.org/10.1007/s40279-019-01137-2