Effect of body mass index on knee function outcomes following continuous passive motion in patients with osteoarthritis after total knee replacement: a retrospective study

Physiotherapy ◽  
2017 ◽  
Vol 103 (3) ◽  
pp. 266-275 ◽  
Author(s):  
C.-D. Liao ◽  
Y.-C. Huang ◽  
Y.-S. Chiu ◽  
T.-H. Liou
Keyword(s):  
Body Mass Index ◽  
Retrospective Study ◽  
Total Knee Replacement ◽  
Body Mass ◽  
Knee Replacement ◽  
Knee Function ◽  
Continuous Passive Motion ◽  
Passive Motion ◽  
Total Knee

scholarly journals Continuous passive motion in the postoperative treatment of patients with total knee replacement: A retrospective study.

1989 ◽  
Vol 37 (3) ◽  
pp. 1027-1031
Author(s):  
Kenshi Sakamoto ◽  
Hiroshi Mizuta ◽  
Koichiro Ishikawa ◽  
Hiroaki Sakata ◽  
Kenji Kubota ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Postoperative Treatment ◽  
Continuous Passive Motion ◽  
Passive Motion ◽  
Total Knee

Randomized Controlled Trial of the Effectiveness of Continuous Passive Motion After Total Knee Replacement

2014 ◽  
Vol 95 (7) ◽  
pp. 1240-1245 ◽  
Author(s):  
Janet A. Herbold ◽  
Kristen Bonistall ◽  
Marielle Blackburn ◽  
Jonila Agolli ◽  
Shawn Gaston ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Controlled Trial ◽  
Continuous Passive Motion ◽  
Passive Motion ◽  
Randomized Controlled ◽  
Total Knee

scholarly journals Assessment of functional mobility and body mass index among patients with a total knee replacement: a retrospective study in Indian population

2019 ◽  
Vol 5 (4) ◽  
pp. 687
Author(s):  
Nagendra Gowtham Rayudu Yelamarthi ◽  
Raghu Yelavarthi ◽  
Rajashekhar Tati
Keyword(s):  
Body Mass Index ◽  
Total Knee Replacement ◽  
Outcome Measures ◽  
Body Mass ◽  
Knee Replacement ◽  
Functional Mobility ◽  
Functional Reach ◽  
Single Leg Stance ◽  
Total Knee

<p class="abstract"><strong>Background:</strong> Obesity is associated with an increased risk of osteoarthritis, and the incidence of obese patients requiring a total knee replacement (TKR) has increased in recent years. A high body mass index (BMI) may influence post‐TKR rehabilitation outcomes. The aim of the present study was to assess the effects of obesity on functional mobility outcomes following post‐TKR rehabilitation in Asian patients where BMI was not as high as those reported in similar studies performed other countries other than Asian.</p><p class="abstract"><strong>Methods:</strong> A total of 100 patients were categorized as normal weight (n=11), overweight (n=10), class I obese (n=28), or class II obese (n=32), class III obese (n=19). Patients were retrospectively followed up for 6 months after undergoing TKR followed by 2 months of active rehabilitation. Outcome measures were recorded at baseline and at the 2‐month and 6‐month follow-up assessments and included the Western Ontario and McMaster Universities Osteoarthritis Index and the following tests: functional reach, single‐leg stance, ten‐meter walk, timed up and go, chair rise, and stair climbing.<strong></strong></p><p class="abstract"><strong>Results:</strong> A 4×3 (group×time) repeated‐measures analysis of variance showed significant improvement in all of the outcome measures for all of the BMI groups at the 2‐month and 6‐month follow-up assessments (p&lt;0.05 for all). No significant intergroup differences at the 2‐month and 6‐month follow-up assessments were observed for any of the mobility measures except the functional reach and single‐leg stance (p&lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> Patients with class II/III obesity benefit from early post‐TKR outpatient rehabilitation and respond well. Also, the patients with lower BMIs showed significant improvements and patients with a high BMI might require additional balance-based exercises in their post-TKR rehabilitation protocols.</p>

scholarly journals Bariatric Orthopaedics: Impact of Obesity on Total Knee Replacement

2020 ◽  
Author(s):  
Ahsan Butt ◽  
Muhammad Zain-ur-Rehman ◽  
Adeel Nawab ◽  
Ahmad Hafeez ◽  
Ali Amjad
Keyword(s):  
Body Mass Index ◽  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Body Mass ◽  
Knee Replacement ◽  
Osteoarthritis Of The Knee ◽  
Significant Difference ◽  
Total Knee ◽  
The Impact

Abstract Introduction: Total knee replacement is a reliable operation for reducing pain and improving function in severe osteoarthritis of the knee. As incidence of obesity is increasing worldwide, there is a debate about the role of Body Mass Index (BMI) in selection of patients requiring total knee replacement. The aim of the study was to evaluate the impact of body mass index on total knee replacement in terms of post-operative improvement in knee range of motion, patient satisfaction and complications.Material and methods: Out of 175 patients who suffered from advance knee osteoarthritis and were candidates for primary total knee replacement from January 2016 to March 2018, 155 patients fit the inclusion criteria. Group 1 included 66 patients who were overweight and class 1 obese while group 2 included 89 patients who were class 2 and 3 obese according to WHO Body Mass Index classification. All patients underwent total knee replacement according to the hospital guidelines. Pre and post-operative range of motion, patient satisfaction and complications were assessed and documented. Results: There was no statistically significant difference in improvements in post-operative knee range of motion between the two groups up to 2 years of follow up. [Mann-Whitney U test p= 0.069]. Similarly, Mann-Whitney U test showed that there is no significant difference between patient satisfaction levels (SF-12 scores) of the two groups (p= 0.09). Conclusion: There is no significant impact of obesity on outcomes after total knee replacement and BMI should not be used as a factor in selecting patients who qualify for total knee replacement.Level of Evidence: Level III

scholarly journals EFFECTS OF FULL IMMERSION VIRTUAL REALITY TRAINING ON BALANCE AND KNEE FUNCTION IN TOTAL KNEE REPLACEMENT PATIENTS: A RANDOMIZED CONTROLLED STUDY

2020 ◽  
Vol 20 (09) ◽  
pp. 2040007
Author(s):  
SAMWON YOON ◽  
HOHEE SON
Keyword(s):  
Virtual Reality ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Function ◽  
Continuous Passive Motion ◽  
Control Group ◽  
Vr Training ◽  
Total Knee ◽  
Full Immersion ◽  
Experimental Group

Background: Recently, new methods have emerged that encourage voluntary participation by allowing patients to perform tasks, including exercises or treatments, in a virtual reality (VR) environment. Aim: This study aimed to examine the effects of full immersion virtual reality training on balance and knee function in patients who had undergone total knee replacement. Design: Single blind randomized controlled trial. Setting: Department of Physical Therapy in a rehabilitation center. Population: A total of 30 elderly patients ([Formula: see text]65 years old) who had undergone total knee replacement. Methods: Participants were randomly allocated to an experimental group ([Formula: see text]) and a control group ([Formula: see text]). The experimental group received with a continuous passive motion machine, exercise therapy, and a full immersion VR training program; the control group received only with a continuous passive motion machine and exercise therapy. Biorescue was used to test static and dynamic balance ability, and the Timed Up and Go and Western Ontario and McMaster Universities tests were used to assess knee function. Paired [Formula: see text]-tests were used to examine differences by time in each group, and independent [Formula: see text]-tests were used to examine differences between the groups. Results: In terms of within-group differences by time, both the experimental group and the control group showed significant changes in the anterior, and posterior limits of stability in both sides; static balance; and knee function. In the between-groups comparison, among static balance tests, there was a significant difference in center of mass path length in the standing position with eyes open ([Formula: see text]); among dynamic balance tests, there were significant differences in left, right, anterior, and posterior limits of stability ([Formula: see text]). Conclusions: VR training produced better early balance ability and knee function than what was seen in the control group. We believe that VR training in initial post-operative rehabilitation of total knee replacement patients may increase the rate of recovery. Clinical Rehabilitation Impact: VR exercise programs are effective in early rehabilitation after total knee replacement, and have clinical value as inexpensive methods that can promote active participation.

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