Aplikace kolenní motodlahy po totální endoprotéze
Ovlivňuje rychlost dlahy terapeutický efekt?


Authors: O. Prouza 1;  K. Jelen 1;  F. Lopot 1;  P. Kubovy 1;  L. Tomšovský 1;  D. Pánek 2;  D. Pavlů 2
Authors‘ workplace: Univerzita Karlova, Fakulta tělesné výchovy a sportu, Katedra anatomie a biomechaniky, Praha 1;  Univerzita Karlova, Fakulta tělesné výchovy a sportu, Katedra fyzioterapie, Praha 2
Published in: Rehabil. fyz. Lék., 23, 2016, No. 2, pp. 107-112.
Category: Original Papers

Overview

Background:
Continuous passive motion (CPM) therapy is the method of choice especially after implantation of total knee or hip joint replacement. It is the application of continuous passive motion on the affected limb.

Objective:
Verification of the CPM device velocity for therapeutic effect. Particular range of motion and subjective perception of pain (at rest).

Methods:
The therapy was performed with 50 randomly selected patients following arthroplasty of the knee joint in the form of prosthesis. Patients had 10 therapies, 5 times per week, 20 minutes according to the doctor's prescription. 26 patients completed therapy on BTL device, 24 on competitive device. To determine the range of motion we used SFTR method. We used the combination of the Visual Analog Scale (VAS) and the Verbal Numerical Rating Scale (VNRS) to determine the analgesic effect.

Results:
Increased range of motion and pain reduction was significant in both groups. A greater range of motion (on average 20%) and pain reduction (average 15%) patients reached with BTL device, 2 patients were excluded from the study.

Conclusion:
We have demonstrated the positive impact of CPM speed to increase range of motion in the knee joint and reduce pain.

Keywords:
CPM, passive motion, range of motion, knee joint


Sources

1. BEAUPRÉ, L. A., DAVIES, D. M., JONES, C. A., CINATS, J. G.: Exercise combined with continuous passive motion or slider board therapy compared with exercise only: A randomized controlled trial of patients following total knee arthroplasty. Physical Therapy, roč. 81, 2001, č. 4, s. 1029-1037.

2. BENNET, L. A., BREARLEY, S. C., HART, J. A., BAILEY, M. J.: A comparison of 2 continuous passive motion protocols after knee arthroplasty: a controlled and randomized study. Journal of Arthroplasty, roč. 20, 2005, č. 2, s. 225-233.

3. BROSSEAU, L., MILNE, S., WELLS, G., TIGWELL, P., ROBINSON, V., CASIMIROL., PELLAND, L., NOEL, M. J., DAVIS, J., DROUIN, H.: Efficacy of continuous passive motion following total knee arthroplasty: a metaanalysis. The Journal of Rheumatology, roč. 31, 2004, č. 11, s. 2251-2264.

4. BRUUN-OLSEN, V., HEIBERG, K. E., MENGSHOEL, A. M.: Continuous passive motion as an adjunct to active exercises in early rehabilitation following total knee arthroplasty - a randomized controlled trial. Disability and Rehabilitation, roč. 31, 2009, č. 4, s. 277-283.

5. CIHI. Hip and Knee Replacements in Canada: Canadian Joint Replacement Registry 2014 Annual Report.

6. FASO, D., R., STILLS, M.: Passive mobilization. An Orthotist’s Overview. Clinical Prosthetics & Orthotics, 1985, č. 9, s. 7-19.

7. GOSE, J. C.: Continuous Passive Motion. In The postoperative treatment of patients with total knee replacement. Journal of the American Physical Therapy Association, 1987, č. 67, s. 39-42.

8. HARMS, M., ENGSTROM, B.: Continuous passive motion as an adjunct to treatment. In The Physiotherapy Management of the Total Knee Arthroplasty Patient. Physiotherapy, 1991, č. 77, s. 301-307.

9. CHEN, B., ZIMMERMAN, J. R., SOULEN, L., DeLISA, J. A.: Continuous passive motion after total knee arthroplasty: A prospective study. American Journal of Physical Medicine & Rehabilitation, roč. 79, 2000, č. 4, s. 421-426.

10. JELEN, K., LOPOT, F., PAVLŮ, D., KUBOVÝ, P., TOMŠOVSKÝ, L. Průběžná zpráva z pre-testování rozsahu rychlosti pohybu ramene motodlahy na její fyzioterapeutický důsledek. Praha, 2015.

11. JOHNSON, D. P., EASTWOOD, D.: Beneficial effects of continuous passive motion after total condylar knee arthroplasty. Annals of the Royal College of Surgeons of England, 1992, č. 74, s. 412-416.

12. LENSSEN, A. F., DE BIE, R. A., BULSTRA, S., VAN STEYN, M. J.: A continuous passive motion (CPM). In Rehabilitation following total knee arthroplasty. A Randomised Controlled Trial. Physical Therapy Reviews, roč. 8, 2003, č. 3, s. 123-129.

13. MCCARTHY, M. R., YATES C., K., ANDERSON, M. A., YATES. C K, MCCARTHY, J. L:. The effects of immediate continuouspassive motion on pain during the inflammatory phase of soft tissue healing following anterior cruciate ligament reconstruction. Journal of Orthopaedic & Sports Physical Therapy, 1993, č. 17, s. 96-101.

14. MCCARTHY, M. R.,  BUXTON, B. P.,  YATES, C. K.: Effects of continuous passive motion on anterior laxity following ACl reconstruction with autogenous patellar tendon grafts. Journal of Sport Rehabilitation, 1993, č. 2, s. 171-178.

15. Mcdonald, S. J., BOURNE, R. B., RORABECK, C. H., McCALDEN, R. W., KRAMER, J., VAZ, M.: Prospective randomized clinical trial of continuous passive motion after total knee arthroplasty. Clinical Orthopaedics and Related Research, 2000, č. 380, s. 30-50.

16. MCINNES, J., LARSO, M. G., DALTROY, L. H., BROWN, T., FOSSEL, A. H., EATON, H. M., SHULMAN-KIRWAN, B., STEINDORF, S., POSS, R., LIANG. M. H.: A controlled evaluation of continuous passsive motion in patients undergoing total knee arthroplasty. The Journal of the American Medical Association, roč. 268, 1992, č. 11, s. 1423-1428.

17. MONTGOMERY, F., ELIASSON, M.: Continuous passive motion compared to active physical therapy after knee arthroplasty. Acta Orthop. Scand., roč. 1996, č. 1, s. 7-9.

18. NUGENT-DERFUS, G. E. et al.: Continuous passive motion applied to whole joints stimulates chondrocyte biosynthesis of prg4. Osteoarthritis Cartilage, roč. 15, 2007, č. 5, s. 566-574.

19. O´DRISCOLL, S. W., GIORI N., J.: Continuous passive motion (CPM) : Theory and principles of clinical application. Journal of Rehabilitation Research and Development, roč. 37, 2000, č. 2, s. 179-188.

20. OECD. Hip and knee replacement. Health at a Glance: Europe 2012, s. 86-87.

21. SALTER, R. B.: The biologic concept of continuous passive motion of synovial joints. The first 18 years of basic research and its clinical application. Clinical Orthopaedics and Related Research, 1989, č. 242, s. 12-25.

22. SALTER, R. B., SIMMONDS, D. F., MALCOLM, B. W., RUMBLE, E. J., MACMICHAEL, D., CLEMENTS, N. D.: The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage. Journal of Bone and Joint Surgery, 1980, č. 62, s. 1232-1251.

23. SALTER, R. B., HAMILTON, H. W., WEDGE, J. H., TILE, M., TORODE, I.. P., O‘DRISCOLL, S. W., MURNAGHAN, J. J., SARINGER, J. H.: Clinical application of basic research on continuous passive motion for disorders and injuries of synovial joints: a preliminary report of a feasibility study. Journal of Orthopaedic Research, roč. 1, 1984, č. 3, s. 325-342.

24. VERVERELI, P. A., SUTTON, D. C., HEARN, S. L., BOOTH, R. E J. R., HOZACK, W. J., ROTHMAN, R. R.: Continuous passive motion after total knee arthroplasty. Analysis of cost and benefits. Clinical Orthopaedics and Related Research, 1995, č. 321, s. 208-215.

25. WASILEVSKI, S. A., WOODS L. C., TORGERSON, W. R., HEALY, W. L.: Value of continuous passive morión. In Total knee arthroplasty. Orthopedics, roč. 13, 1990, č. 3, s. 291-295.

26. WENGLER, A., NIMPTSCH, U., MANSKY, T.: Hip and knee replacement in Germany and the USA. Analysis of individual inpatient data from German and US hospitals for the year 2005 to 2011. Deutsches Arzteblatt International, roč. 111, č. 23-24, s. 407-416.

Labels
Physiotherapist, university degree Rehabilitation Sports medicine
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account