The Effect of Sling Exercise and Proprioceptive Neuromuscular Facilitation on Foot Pressure and Range of Motion after Total Knee Replacement - Case Study -

2017 ◽  
Vol 26 (5) ◽  
pp. 1335-1343
Author(s):  
Dong-Hun Seong ◽  
Seong-Deok Yoon ◽  
Sang-Hyun Kim ◽  
Ju-Sung Jang ◽  
Suk-Ho Lee ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Foot Pressure ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Total Knee

scholarly journals Adductor canal block to manage flexion contracture deformity (FCD) of knee before total knee replacement (TKR) ‐ a case report

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Jadon Ashok ◽  
Sudarshan Pavan ◽  
Sinha Neelam ◽  
Chakraborty Swastika
Keyword(s):  
Pain Relief ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Continuous Infusion ◽  
Knee Replacement ◽  
Flexion Contracture ◽  
Lower Limbs ◽  
Adductor Canal Block ◽  
Adductor Canal ◽  
Total Knee

Abstract Background The fixed contracture deformity (FCD) which is often present in patients awaiting total knee replacement (TKR) affects the surgical outcome. Therefore, it is necessary to reduce the severity of the FCD before the TKR surgery. Physiotherapy, including active stretching and exercise to increase range of motion are commonly practiced techniques. However, due to the presence of pain, patients are often unable to cooperate and perform exercise up-to the desired levels. We used continuous adductor canal block (CACB) in two patients with severe FCD scheduled for TKR surgery to decrease their pain during physiotherapy and to help them in increasing their range of motion to achieve early fitness for surgery. This approach is not documented and published earlier in the medical literature. Case presentation Two female patients aged 58 and 68 years were scheduled for TKR surgery with severe flexion contracture deformity of both limbs (70°–90°). Due to severe contracture deformity surgeon suggested improvement in ROM before surgery. Ultrasound-guided adductor canal block was given, and catheters were inserted in the adductor canal. Continuous infusion of local anesthetic and bolus injection before active stretching was given. Both patients had good pain relief in existing arthritic pain and pain during active stretching. The flexion deformity was reduced in both the patients up to 30°. The technique of adductor can block with continuous infusion also provided excellent postoperative analgesia and helped in early mobilization without affecting the muscle strength of lower limbs. Conclusion In two patients of severe flexion contracture deformity, the continuous adductor canal block helped to reduce the degree of deformity before the total knee replacement surgery. It also provided excellent pain relief in postoperative pain and helped in early postoperative mobilization without muscle weakness.

Preoperative Low Back Pain Affects Recovery in Knee Flexion Range of Motion Following Total Knee Replacement

2016 ◽  
Vol 28 (1-2) ◽  
pp. 47-55
Author(s):  
Hannah M. Ashworth ◽  
Christian N. Warner ◽  
Saurabh P Mehta ◽  
Franklin D. Shuler ◽  
Ali Oliashirazi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Knee Flexion ◽  
Low Back ◽  
Total Knee

Is discharge knee range of motion a useful and relevant clinical indicator after total knee replacement? Part 1

2011 ◽  
Vol 18 (3) ◽  
pp. 644-651 ◽  
Author(s):  
Justine M. Naylor ◽  
Victoria Ko ◽  
Steve Rougellis ◽  
Nick Green ◽  
Danella Hackett ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Clinical Indicator ◽  
Total Knee ◽  
Replacement Part

scholarly journals Effectiveness of Hold Relax Proprioceptive Neuromuscular Facilitation Technique in Total Knee Arthroplasty

2021 ◽  
Vol 14 (4) ◽  
pp. 1919-1923
Author(s):  
Mohammad Miraj
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Conventional Treatment ◽  
Mean Difference ◽  
Control Group ◽  
Bilateral Knee ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Total Knee ◽  
Experimental Group

Proprioceptive Neuromuscular Facilitation (PNF) is a popular flexibility training, which involves stretching and contraction of the target muscle group. PNF stretching is effective among athletes for improving passive range of motion, flexibility, and performance. Patients who undergo total knee replacement surgeries exhibit pain, swelling, decreased range of motion, muscle weakness, and stiffness. This study aimed to investigate the effect of the hold relax PNF technique to improve the balance and muscle strength in subjects with a bilateral knee replacement. Sixty four patients were selected based on inclusion/exclusion criteria. The patients were allocated into two groups by random allocation. The experimental group A (n=32) received the Hold Relax PNF technique with conventional treatment whereas, the control group B (n=32) received only conventional treatment as a part of the Home Exercise Program (HEP). Outcome measures used for evaluation included the Visual Analogue Scale (VAS), Manual Muscle Testing (MMT), and Berg Balance Scale (BBS) Score for measuring pain, muscle strength, and balance respectively. Students t-test showed significant differences between variables mean scores from two groups after three weeks of intervention. There was a statistical significant (t(32) = 2.38, p = 0.02) change in the mean scores of VAS in the experimental group (mean difference pre-post=3.19) as compared to control group ( mean difference pre -post=3.19) with Cohen’s d = 2.744588. Similarly for MMT(t(32) = 0.415, p = 0.005) and BBS scores (t(32) = 2.628, p = 0.035). The result of the study suggests that the Hold Relax PNF technique is more effective than conventional treatment alone in decreasing pain as well as increasing balance and muscle strength in bilateral knee replacement patients.

scholarly journals Arthroscopic Treatment of Patients with Arthrofibrosis Following Total Knee Replacement

2018 ◽  
Vol 69 (11) ◽  
pp. 3292-3294
Author(s):  
Daniel Oltean Dan ◽  
Gabri Jozsef Zsolt ◽  
Dragos Apostu ◽  
Mihai Gheorghe Paiusan ◽  
Cristian Paul Dan ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Knee Society Score ◽  
Arthroscopic Treatment ◽  
Arthroscopic Arthrolysis ◽  
Total Knee

The main objective of the current study was to evaluate the success of arthroscopic arthrolysis treatment of patients with knee stiffness after total knee arthroplasty. Six patients who underwent arthroscopic arthrolysis were evaluated retrospectively, all of them being treated conservatively before going for surgery. Results showed significant improvement of range of motion and Knee Society Score at the latest follow up compared to the preoperative values. This study concludes that arthroscopic arthrolysis is an effective and reproductible technique for the treatment of knees stiffness after total knee arthroplasty.

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

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