scholarly journals Role of physiotherapy in post-operative knee stiffness: A literature review

2020 ◽  
Vol 2 ◽  
pp. 31-35
Author(s):  
Rajjat Kumar ◽  
Kavita Kaushal ◽  
Simratjeet Kaur
Keyword(s):  
English Language ◽  
Tendon Repair ◽  
Physiotherapy Treatment ◽  
Exercise Interventions ◽  
Graston Technique ◽  
Knee Stiffness ◽  
Motion Range ◽  
Total Knee ◽  
Study Support ◽  
Efficient Recovery

Objectives: Restricted motion range, also known as knee stiffness, is one of the significant complications after intra-articular or extra-articular injury. Postoperatively, it is primarily due to articular fibrosis (intra and extra) and scarring adhesions in the quadriceps-femoral apparatus after ligament reconstruction, patellar tendon repair, burn, and total knee arthroplasty. Knee stiffness is both preventable and treatable with physiotherapy treatment. Physiotherapy includes electrotherapy and exercises therapy playing an important role in reduction of knee stiffness. The aim of the present study to survey the existing literature related to exercise therapy and electrotherapy programs for the management of post-operative knee stiffness. Materials and Methods: A computerized search of the ELSEVIER, PubMed, and Medline database was conducted for year 2008 onward. The search was performed using English language. Results: Based on the literature survey undertaken, the best approach for efficient recovery is to plan and start treatment regime preoperatively that should be continued until achieving knee symmetry postoperatively. Conclusion: The findings of the current study support that both electrotherapy and exercise interventions play a significant role to overcome the consequences of post-operative knee stiffness. In addition to it, literature enlightens that advanced techniques such as unique sustained method and Graston technique are much more beneficial and advantageous over traditional and conventional methods of physiotherapy treatment to manage post-operative knee stiffness.

Fri0611 english language proficiency and total knee/hip replacement outcomes: is there a relationship?

2018 ◽  
Author(s):  
B. Mehta ◽  
J. Szymonifka ◽  
S. A. Dey ◽  
I. Y. Navarro-Millan ◽  
S. V. Grassia ◽  
...  
Keyword(s):  
Language Proficiency ◽  
Hip Replacement ◽  
English Language ◽  
English Language Proficiency ◽  
Total Knee

scholarly journals Reporting of post-operative rehabilitation interventions for Total knee arthroplasty: a scoping review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nora Bakaa ◽  
Lu Hsi Chen ◽  
Lisa Carlesso ◽  
Julie Richardson ◽  
Luciana Macedo
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Scoping Review ◽  
Literature Search ◽  
Exercise Adherence ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Quality Of Reporting ◽  
Exercise Interventions ◽  
Total Knee

Abstract Objective The aim of this study was to evaluate the completeness of reporting of exercise adherence and exercise interventions delivered as part of clinical trials of post-operative total knee replacement (TKA) rehabilitation. Design: Scoping review Literature search A literature search was conducted in PubMed, EMBASE, AMED, CINAHL, SPORTDiscus and Cochrane Library. Study selection criteria All randomized controlled trials (RCT) that examined post-operative exercise-based interventions for total knee arthroplasty were eligible for inclusion. Studies that were multifactorial or contained exercise interventions for both hip and knee arthroplasty were also included. Data synthesis The definition, type of measurement used and outcome for exercise adherence were collected and analyzed descreptively. Quality of reporting of exercise interventions were assessed using the Consensus for Exercise Reporting Tool (CERT) and the Cochrane Risk of Bias Tool. Results There were a total of 112 RCTs included in this review. The majority of RCTs (63%, n = 71) did not report exercise adherence. Only 23% (n = 15) of studies provided a definition of adherence. RCTs were of poor quality, with 85% (n = 95) of studies having high or unclear risk of bias. Reporting of exercise interventions was poor, with only 4 items (of 19) (21%) of the CERT adequately reported (88–99%), with other items not fulfilled on at least 60% of the RCTs. There were no RCTs that had fulfilled all the criteria for the CERT. Conclusion The RCTs included in this study poorly reported exercise adherence, as well as description of the post-operative TKA rehabilitation intervention. Future RCTs should use valid and reliable measures of adherence and a proper tool for reporting of exercise interventions (e.g., CERT, TiDER). Pre-registration OSF:https://osf.io/9ku8a/

scholarly journals Acceptable Functional Outcomes and Patient Satisfaction Following Total Knee Arthroplasty in Asians with Severe Knee Stiffness: A Matched Analysis

2018 ◽  
Vol 10 (3) ◽  
pp. 337 ◽  
Author(s):  
Bryce W Polascik ◽  
Hamid Rahmatullah Bin Abd Razak ◽  
Hwei-Chi Chong ◽  
Ngai-Nung Lo ◽  
Seng-Jin Yeo
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Knee Arthroplasty ◽  
Functional Outcomes ◽  
Knee Stiffness ◽  
Total Knee

Devices for the prevention and treatment of knee stiffness after total knee arthroplasty

2011 ◽  
Vol 8 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Mark J McElroy ◽  
Aaron J Johnson ◽  
Michael G Zywiel ◽  
Michael A Mont
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Stiffness ◽  
Prevention And Treatment ◽  
Total Knee

Disparities in Outcomes for African Americans and Whites Undergoing Total Knee Arthroplasty: A Systematic Literature Review

2016 ◽  
Vol 43 (4) ◽  
pp. 765-770 ◽  
Author(s):  
Susan M. Goodman ◽  
Michael L. Parks ◽  
Kelly McHugh ◽  
Kara Fields ◽  
Rie Smethurst ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
African Americans ◽  
Knee Arthroplasty ◽  
English Language ◽  
The United States ◽  
Hand Search ◽  
Related Quality ◽  
Total Knee

Objective.African Americans in the United States undergo total knee arthroplasty (TKA) less often than whites, in part because of lower expectations among African Americans for successful surgery. Whether this lower expectation is justified is unknown. Our objective is to compare health-related quality of life (HRQOL) and satisfaction after TKA between African Americans and whites.Methods.A systematic review of English language articles using Medline, the Cochrane register, Embase (April 21, 2015), and a hand search of unlisted disparities journals was performed. Search terms included total knee replacement, quality of life, outcomes, and satisfaction. High-quality cohort studies that examined HRQOL in African Americans and white adults 6 months or more after TKA were included.Results.Of the 4781 studies screened by title, and 346 by abstract, 7 studies included race in their analysis. Results included 5570 TKA patients, 4077 whites (89%), and 482 (11%) blacks. Because studies used different outcome measures and were inconsistent in their adjustment for confounders, we could not perform a quantitative synthesis of results. In 5 studies, US blacks had worse pain, in 5 worse function, and in 1 less satisfaction 6 months to 2 years after TKA.Conclusion.US blacks may derive less benefit from TKA than whites as measured by HRQOL, pain, function, and satisfaction. Many studies assessing predictors of patient-related TKA outcomes fail to analyze race as a variable, which limited our study. More studies assessing the effect of race and socioeconomic factors on TKA outcome are needed.

scholarly journals PrimaryCandida guilliermondiiInfection of the Knee in a Patient without Predisposing Factors

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Gun Woo Lee ◽  
Tae-Hun Kim ◽  
Jung-Hwan Son
Keyword(s):  
Knee Joint ◽  
English Language ◽  
Predisposing Factors ◽  
Oral Fluconazole ◽  
Degenerative Osteoarthritis ◽  
Mild Pain ◽  
Joint Infections ◽  
Candidal Infection ◽  
Total Knee ◽  
Language Literature

Isolated primary candidal infection of joint is extremely rare, with only a few reported cases. It occurs as a result of accidental implantations of fungus during traumatic procedures, such as surgery, and is usually reported in patients with predisposing factors such as immunosuppression, malignancy, and drug abuse. If left untreated, irreversible deformity and pain with severe osteoarticular destruction occur. Thus, early diagnosis and treatment are important. This paper presents a case of 72-year-old man with primaryC. guilliermondiiinfection of knee joint without predisposing factors and previous traumatic procedures, who was misdiagnosed with advanced degenerative osteoarthritis. Our case is the second case of primaryC. guilliermondiiarthritis of knee to be reported in the English-language literature and the first to be successfully treated with total knee arthroplasty following IV amphotericin B and oral fluconazole. Primary candidal infection of joint is generally asymptomatic or involves only mild pain and swelling in the affected knee. Thus, although the majority of knee joint infections are of a pyogenic or tuberculous origin, if a patient complains of mild pain and swelling in the knee and has mild signs of infection, the possibility of fungal infection should be considered.

scholarly journals VALIDATION AND CROSS-CULTURAL ADAPTATION OF RATING SYSTEMS WOMAC, KSS AND FJS-12 IN PATIENTS WITH KNEE DISORDERS AND INJURIES

2018 ◽  
Vol 24 (2) ◽  
pp. 70-79 ◽  
Author(s):  
A. A. Irzhanski ◽  
T. A. Kulyaba ◽  
N. N. Kornilov
Keyword(s):  
Cultural Adaptation ◽  
English Language ◽  
Native Speaker ◽  
Russian Language ◽  
Educational Institutions ◽  
Rating Systems ◽  
Retest Reliability ◽  
Reverse Translation ◽  
Total Knee ◽  
English Speaking

The purposeof the work — is validation and cultural adaptation of the english-language rating systems for knee function assessment for use in scientific, medical and educational institutions of the Russian Federation.Materials and Methods.The english versions of rating systems WOMac® 3.1 Index, The knee Society clinical Rating System©, FjS-12® were translated to Russian language by orthopedic surgeon with advanced level of english and the professional translator specializing in the translation of medical texts. Reverse translation was provided by third independent translator born in the english-speaking country (native speaker). a printed version of the various translations of the questionnaires was filled by patients with an interval of two days. The study group included 150 patients with Stage III knee osteoarthritis (90 women and 60 men aged 48 to 75 years, an average of 62.5 years) hospitalized in Vreden Research Institute of Traumatology and Orthopedics from February to april 2017 for total knee arthroplasty.Results.good and very good retest reliability of WOMac (α = 0.87 and α = 0.9), kSS (α = 0.89 and α = 0.86) and FjS-12 (α = 0.94 and α = 0.96) was revealed. The study revealed a strong correlation between the results of the questionnaires performed by different translators: WOMac (Icc = 0.89), kSS (Icc = 0.86), FjS-12 (Icc = 0.92). The correlation dependence between subsections of WOMac (stiffness – Icc = 0.98, pain – Icc = 0.87, daily functions – Icc = 0.89) and kSS (knee score – Icc = 0.94, function score – Icc = 0.88), which indicates a good constructive validity.Conclusion. The results of the study of criterial and constructive validity, as well as the retest reliability of the Russian versions of the WOMac, kSS and FjS-12 scales, indicate that they are a reliable and sensitive tool for assessing the function of knee joint, which can be widely used by Russian researchers in practical and scientific activities.

scholarly journals 93 The Effects of Kinesiophobia on Outcome following Total Knee Replacement: A Systematic Review

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
O Brown ◽  
L Hu ◽  
C Demetriou ◽  
T Smith ◽  
C Hing
Keyword(s):  
Systematic Review ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Functional Outcomes ◽  
English Language ◽  
Psychological Treatment ◽  
Functional Score ◽  
Case Control Studies ◽  
Total Knee

Abstract Aim Kinesiophobia, the fear of physical movement and activity related to injury vulnerability, has been linked to sub-optimal outcomes following total knee replacement (TKR). This systematic review has two aims: to define the relationship between kinesiophobia and functional outcomes, pain and range of motion following TKR, and to evaluate published treatments for kinesiophobia following TKR. Method A primary search was performed in March 2020. English-language studies recruiting adult primary TKR patients, using the Tampa Scale of Kinesiophobia (TSK) were included. Study quality was assessed using the Newcastle Ottawa Scale for cohort or case control studies, and the Cochrane Collaboration Risk of Bias tool for randomised controlled trials. Results All thirteen included papers (82 identified) showed adequately low risk of methodological bias. TSK1 (activity avoidance) correlated with WOMAC functional score at 12 months in three studies (r = 0.20 p < 0.05, R = 0.317 p = 0.001, and correlation coefficient 0.197 p = 0.005). TSK score significantly correlated with mean active range of motion (ROM) at six months (105.33 (SD = 12.34) vs 85.53 (SD = 14.77) p = 0.000) post-operation. Three post-operative interventions improved TSK score vs control following TKR: a home-based functional exercise programme (TSK -14.30 (SD = 0.80) vs -2.10 (SD = 0.80) p < 0.001)), an outpatient CBT programme (TSK 27.76 (SD = 4.56) vs 36.54 (SD = 3.58), and video-based psychological treatment (TSK 24 (SD = 5) vs 29 (SD = 5) p < 0.01). Conclusions Kinesiophobia negatively affects functional outcomes up until one year post-operatively, while active ROM is reduced up to six months post procedure. Post-operative functional and psychological interventions can improve kinesiophobia following TKR.

Sign in / Sign up

Export Citation Format

Share Document