Active heel-slide exercise therapy facilitates the functional and proprioceptive enhancement following total knee arthroplasty compared to continuous passive motion

Purpose The aim was to compare active heel-slide exercise (AHSE) + standard physiotherapy (PT) to continuous passive motion (CPM) + standard PT during inpatient rehabilitation of total knee arthroplasty (TKA) patients in terms of postoperative outcomes. Methods Patients were randomly assigned into A...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-10, Vol.29 (10), p.3352-3360
Main Authors: Eymir, Musa, Erduran, Mehmet, Ünver, Bayram
Format: Article
Language:English
Subjects:
Arthroplasty (knee)
Joint replacement surgery
Joint surgery
Knee
Medicine
Medicine & Public Health
Orthopaedic implants
Orthopedics
Pain
Patients
Physical therapy
Proprioception
Range of motion
Rehabilitation
Sports Medicine
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Summary:Purpose The aim was to compare active heel-slide exercise (AHSE) + standard physiotherapy (PT) to continuous passive motion (CPM) + standard PT during inpatient rehabilitation of total knee arthroplasty (TKA) patients in terms of postoperative outcomes. Methods Patients were randomly assigned into AHSE or CPM groups. Both groups received standard PT (range of motion and strengthening exercises, and ambulation) during hospital stay. Patients were evaluated regarding functional outcomes, knee proprioception, pain intensity, active range of motion, knee circumference, length of hospital stay, time for achieving straight leg raise actively, time for achieving 70° knee flexion. Results Groups were similar at baseline (n.s.). At discharge, AHSE group was better in terms of pain intensity ( p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-020-06181-4