Effectiveness of continuous passive motion protocol as an adjunct to standard physiotherapy protocol for post-operative rehabilitation in Total Knee Arthroplasty (TKA) cases

Zainab Rana; Sabahat Ali Sheikh; Farah Anwar; Kashaf Gul; Hira Shahid; Zunaira Shaukat; Muhammad Kamran

doi:10.53730/ijhs.v7nS1.14236

Authors

Zainab Rana Department of Physical Therapy, Rawalpindi Medical University, Rawalpindi Pakistan | Department of Rehabilitation and Health Sciences, Abasyn University, Islamabad, Pakistan.
Sabahat Ali Sheikh Department of Physical Therapy, University of Lahore, Sargodha Campus, Pakistan.
Farah Anwar Department of Physical Therapy, Shifa Tameer e Millat University, Islamabad, Pakistan | Shifa International Hospital, Islamabad, Pakistan.
Kashaf Gul Department of Physical Therapy, Shifa Tameer e Millat University, Islamabad, Pakistan & MS Healthcare Management, Riphah International University Islamabad, Pakistan
Hira Shahid Department of Physical Therapy, Sargodha Medical College, Sargodha, Pakistan.
Zunaira Shaukat Department of Physical Therapy, Riphah International University, Islamabad, Pakistan.
Muhammad Kamran
kamranahmdani@gmail.com
Department of Biosciences, COMSATS University Islamabad, Pakistan | Department of Medical Laboratory Technology, Islamabad Medical & Dental College, Islamabad, Pakistan.

Keywords:

CPM, Continuous Passive Motion, Standard Physiotherapy, Total Knee Arthroplasty, TKA

Abstract

Osteoarthritis (OA) of the knee is a relatively prevalent disorder, and prevalence rises with age. Total knee replacement surgery (TKA) is a frequent operation that has significantly improved the quality of life for millions of people with symptomatic knee OA. TKA postoperative care has been discussed regarding the utility of CPM; it has been shown to speed up the recovery of full range of motion, shorten hospital stays, lessen discomfort, speed up wound healing, and lower the risk of DVT. The current study was conducted to compare Effectiveness of CPM protocol as an adjunct to Standard Physiotherapy protocol in Post-operative Rehabilitation of TKA cases. From July to December 2021, three affiliated hospitals hosted the randomised controlled study, which included patients who had complete knee arthroplasty surgery. After surgery, patients were randomly allocated to one of two groups: From the first surgical day till discharge, Group A got twice daily PT and continuous passive motion (CPM), while Group B only received the usual physiotherapy programme from the first postoperative day. Evaluation of the results took place the day after discharge. The participants in the 2 groups' baseline outcome measurement characteristics were comparable.

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