The Effects of PNF Pattern Training on the Walking Ability of Total Knee Replacement Patients

Control Group ◽

Walking Ability ◽

Rehabilitation Hospital ◽

Strengthening Exercise ◽

Spatiotemporal Parameters ◽

The purpose of this study was to verify the effectiveness of proprioceptive neuromuscular facilitation pattern to improve walking ability of total knee replacement patients. In this study, 10 patients with total knee replacement were recruited from rehabilitation hospital. They were divided into two groups: a PNF group (n=5) and a control group (n=5). The PNF group received 30 minutes of continuous passive motion (CPM) and PNF training for 15 minutes five times a week for two weeks. The control group received 30 minutes of CPM and strengthening exercise for 15minutes five times a week for two weeks. Spatiotemporal parameters were measured by Biodex gait trainer 2. After the training periods, the PNF group showed a significant improvement in walking speed and step length on the non-operated side, time on each foot on the operated side (p<0.05). The results of this study showed that PNF pattern training was more effective at improving walking ability. Therefore, improve the walking ability of total knee replacement patients, PNF lower pattern should be considered.

Effectiveness of Continuous Passive Motion in an Inpatient Rehabilitation Hospital After Total Knee Replacement: A Matched Cohort Study

PM&R ◽

10.1016/j.pmrj.2012.07.004 ◽

2012 ◽

Vol 4 (10) ◽

pp. 719-725 ◽

Cited By ~ 5

Author(s):

Janet Anne Herbold ◽

Kristen Bonistall ◽

Marielle Blackburn

Keyword(s):

Cohort Study ◽

Total Knee Replacement ◽

Knee Replacement ◽

Inpatient Rehabilitation ◽

Matched Cohort ◽

Passive Motion ◽

Matched Cohort Study ◽

Rehabilitation Hospital ◽

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

Journal of Mechanics in Medicine and Biology ◽

10.1142/s0219519420400072 ◽

2020 ◽

Vol 20 (09) ◽

pp. 2040007

Author(s):

SAMWON YOON ◽

HOHEE SON

Keyword(s):

Virtual Reality ◽

Total Knee Replacement ◽

Knee Replacement ◽

Knee Function ◽

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.

Effectiveness of Music Listening in Patients With Total Knee Replacement During CPM Rehabilitation

Biological Research For Nursing ◽

10.1177/1099800415572147 ◽

2015 ◽

Vol 18 (1) ◽

pp. 68-75 ◽

Cited By ~ 11

Author(s):

Chih-Chung Hsu ◽

Wei-Ming Chen ◽

Su-Ru Chen ◽

Yen-Ting Tseng ◽

Pi-Chu Lin

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Control Group ◽

Routine Practice ◽

Music Listening ◽

Postoperative Rehabilitation ◽

Active Flexion ◽

Total Knee ◽

Experimental Group

Aim:This study investigated the effects of music listening on the anxiety, heart rate variability (HRV), and joint range of motion (ROM) of patients undergoing continuous passive motion (CPM) after total knee replacement surgery.Method:An experimental design was used. Participants in the experimental group ( n = 49) listened to music from 10 min before receiving CPM until the end of the session (25 min in total) on the first and second day following surgery, whereas participants in the control group ( n = 42) did not listen to music but rested quietly in bed starting 10 min before and throughout CPM.Results:Compared with the control group, the experimental group exhibited significantly lower anxiety levels ( p < .05) and increased CPM angles ( p < .05) during treatment and increased active flexion ROM ( p < .05) upon discharge. The low-frequency (LF)/high-frequency (HF) power ratio, normalized LF HRV, and normalized HF HRV of the two groups differed significantly, indicating that the patients in the experimental group had greater parasympathetic activity compared with those in the control group.Conclusion:Music listening can effectively reduce patient anxiety and enhance the ROM of their joints during postoperative rehabilitation. Health-care practitioners should consider including music listening as a routine practice for postoperative rehabilitation following orthopedic surgery.

AB0806 The effect of repetitive active range of motion versus continuous passive motion on early functional outcomes after primary total knee replacement

10.1136/annrheumdis-2017-eular.5851 ◽

2017 ◽

Author(s):

M Erduran ◽

M Eymir ◽

B Ünver

Keyword(s):

Total Knee Replacement ◽

Range Of Motion ◽

Knee Replacement ◽

Functional Outcomes ◽

Passive Motion ◽

Active Range Of Motion ◽

Total Knee ◽

Primary Total Knee ◽

Motion Versus

Effect of Counseling on Quality of Life and Self-Care Agency for Patients Who are Scheduled for Total Knee Replacement

Clinical Nursing Research ◽

10.1177/10547738211058985 ◽

2021 ◽

pp. 105477382110589

Author(s):

Çiğdem Kaya ◽

Özlem Bilik

Keyword(s):

Quality Of Life ◽

Total Knee Replacement ◽

Knee Replacement ◽

Intervention Group ◽

Self Care ◽

Control Group ◽

Face To Face ◽

Total Knee ◽

Care Agency

This study aims to determine the effect of counseling on quality of life and self-care agency for patients who are scheduled for total knee replacement (TKR). The study has a quantitative and quasi-experimental design with a control group. The patients in the control group ( n = 40) received routine care. Face-to-face and telephone counseling was offered to individuals in the intervention group ( n = 39). The data was collected at face-to-face interviews by using a patient characteristics form, Quality of Life Scale, and Self-Care Agency Scale. The scores for quality of life and self-care agency in the 6th to 8th and 14th to 16th weeks after surgery were very significantly higher in the intervention group than in the control group ( p < .001). This study shows that counseling given by the nurse increases the quality of life and self-care agency of patients undergoing TKR.

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-020-01995-x ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Rongguo Yu ◽

Youguang Zhuo ◽

Eryou Feng ◽

Wulian Wang ◽

Wentao Lin ◽

...

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Total Knee Replacement ◽

Knee Replacement ◽

Cochrane Library ◽

Short Term ◽

Significant Difference ◽

Pain Outcomes ◽

Abstract Background A growing number of patients continue to receive total knee replacement (TKR) surgery. Nevertheless, such surgeries result in moderate to severe postoperative pain and difficulty in managing it. Musical interventions are regarded as a type of multimodal analgesia, achieving beneficial results in other clinical treatments. This study aims to evaluate the effect of musical interventions in improving short-term pain outcomes following TKR in order to determine a more reasonable and standard way of delivering musical intervention. Methods A systematic search was conducted to identify available and relevant randomized controlled trials (RCTs) regarding musical interventions compared against non-musical interventions in patients treated with TKR in Embase, MEDLINE, Cochrane Library, Web of Science, CNKI, and Wanfang Med Online up to 8 January 2020. The authors independently assessed study eligibility and risk of bias and collected the outcomes of interest to analyze. The statistical analysis was conducted using the Review Manager (RevMan) version 5.30 software. Results Eight RCTs comprised of 555 patients satisfied the inclusion criteria and were enrolled in the present study. The results showed no significant difference between the music and control groups in pain of the visual analog scale (VAS), during postoperative recovery room, back to the ward after surgery; anxiety degree of VAS; heart rate; respiratory rate; oxygen saturation; blood pressure, systolic blood pressure, and diastolic blood pressure. Nevertheless, significant differences were observed between the two groups in average increase in continuous passive motion (CPM) angles and LF/HF ratio (one kind index of heart rate variability). Conclusions Musical interventions fail to demonstrate an obvious effect in improving short-term pain outcomes following TKR. A reasonable standardization of musical interventions, including musical type, outcome measures used, outcomes measured, duration, timing and headphones or players, may improve pain outcomes with certain advantages and should be further explored after TKR.

Weight Loss Intervention Before Total Knee Replacement: A 12-Month Randomized Controlled Trial

Scandinavian Journal of Surgery ◽

10.1177/1457496919883812 ◽

2019 ◽

pp. 145749691988381 ◽

Cited By ~ 1

Author(s):

A. Liljensøe ◽

J. O. Laursen ◽

H. Bliddal ◽

K. Søballe ◽

I. Mechlenburg

Keyword(s):

Quality Of Life ◽

Weight Loss ◽

Body Composition ◽

Total Knee Replacement ◽

Knee Replacement ◽

Diet Group ◽

Control Group ◽

Weight Loss Intervention ◽

Background and Aims: Obesity is an increasing problem in patients after total knee replacement. The aim of this study was to investigate whether a weight loss intervention before primary total knee replacement would improve quality of life, knee function, mobility, and body composition 1 year after surgery. Material and Methods: Patients scheduled for total knee replacement due to osteoarthritis of the knee and obesity were randomized to a control group receiving standard care or to an intervention group receiving 8-week low-energy diet before total knee replacement. Patient-reported quality of life, 6-Min Walk Test, and body composition by dual-energy X-ray absorptiometry were assessed before intervention for the diet group, and within 1 week preoperatively for both groups, and the changes in outcome from baseline to 1 year after total knee replacement were compared between groups. The number of participants was lower than planned, which might introduce a type-2 error and underestimate the trend for a better outcome after weight loss. Results: The analyses are based on a total of 76 patients, 38 in each group. This study showed major improvement in both study groups in quality of life and knee function, though no statistically significant differences between the groups were observed 1 year after total knee replacement. The average weight loss after 8-week preoperative intervention was 10.7 kg and consisted of a 6.7 kg reduction in fat mass. One year after total knee replacement, the participants in the diet group managed to maintain the weight reduction, whereas there was no change in the control group. Conclusion: The results suggest that it is feasible and safe to implement an intensive weight loss program shortly before total knee replacement. The preoperative intervention resulted in a 10% body weight loss, improved body composition, lower cardiovascular risk factors, and sustained s-leptin.