Efficacité comparative de trois programmes de réadaptation avec ou sans CPM, quant à la mobilité du genou, la capacité fonctionnelle et la durée du séjour hospitalier des patients opérés pour une arthroplastie du genou

Authors: Denis, Madeleine
Advisor: Moffet, Hélène
Abstract: In this work, a randomized clinical trial was conducted to compare the efficacy of three in-hospital rehabilitation programs with and without continuous passive motion (CPM) on knee flexion, functional ability and length of stay after a primary total knee arthroplasty (TKA). Eighty-one patients who underwent a TKA for a diagnosis of osteoarthritis were randomly assigned to three groups immediately after TKA: 1) control group (CTL): conventional physical therapy (PT) intervention only; 2) experimental group 1 (EXP1): conventional PT intervention and CPM applications for 35 minutes daily; 3) experimental group 2 (EXP2): conventional PT intervention and CPM applications for 2 hours daily. The primary outcome was active knee flexion measured at discharge (7 to 8 days after TKA). Active knee extension, Timed Up and Go, results on the WOMAC questionnaire and length of stay were the secondary outcome measures. The characteristics and outcome measurements of patients in the three groups were similar at baseline, before TKA. No significant difference between the three groups was demonstrated in primary and secondary outcomes at discharge. The results of this study do not support the use of CPM in post-primary TKA rehabilitation programs, as applied in this clinical trial, since it did not further improve knee impairments or disability, nor did it reduce length of hospital stay.
Document Type: Mémoire de maîtrise
Issue Date: 2004
Open Access Date: 11 April 2018
Permalink: http://hdl.handle.net/20.500.11794/17968
Grantor: Université Laval
Collection:Thèses et mémoires

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