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| (Comprehensive rehabilitation following total knee arthroplasty: a randomized controlled trial) [Chinese - simplified characters] |
| Gao Z-Y, Wu J-X, Lin W-L, Tuo M, Zhu Q-X, Wei L, Wang L, Li T-S |
| Zhongguo Zuzhi Gongcheng yu Linchuang Kangfu [Journal of Clinical Rehabilitative Tissue Engineering Research] 2011 Sep 24;15(39):7275-7278 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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BACKGROUND: There are many studies about rehabilitation after total knee arthroplasty (TKA), but these studies are mostly limited to study only a rehabilitation method. OBJECTIVE: To investigate the influence of comprehensive rehabilitation after TKA. METHODS: Fifty patients who underwent unilateral TKA were randomly divided into two groups: the study group received rehabilitation guidance before operation, and rehabilitation exercise by therapists, CPM exercise, ice application after operation; the control group received CPM exercise only. RESULTS AND CONCLUSION: From the 2nd day to the 6th day after operation, the score of visual analog scale in the study group was lower than that of the control group (p < 0.05). The range of motion of the knee was higher in the study group at 2 days to 6 weeks after operation (p < 0.05). HSS scores were higher in the study group than the control group at 2 and 6 weeks after operation (p < 0.05). There was no difference in local complications between two groups. Application of comprehensive rehabilitation for TKA can speed up the rehabilitation process, relieve pain, improve the range of motion of the knee, and side effect is not rising.
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