1Physiotherapist; MPT (Musculoskeletal Sciences)
2Senior Lecturer; MPT(Ortho), PGDSPT; Sarvajanik College of Physiotherapy, Rampura, Surat, Gujarat, India
3Lecturer; BPT, MSc(Psy), PGDRM, Sarvajanik College of Physiotherapy, Rampura, Surat, Gujarat, India
*Correspondent author: Bid Dibyendunarayan D Senior Lecturer; MPT(Ortho), PGDSPT; Sarvajanik College of Physiotherapy, Rampura, Surat-395003, Gujarat, India, dnbid71@gmail.com; Mobile: 09427139711
Online published on 12 January, 2018.
To compare the effectiveness of: (a) conventional physiotherapy program along with CPM application; that with (b) Conventional physiotherapy program only; on knee flexion ROM and functional status after TKA.
Prospective RCT
34 subjects with TKA were randomly assigned into two groups for the study. The Subjects in group-1(experimental group) received conventional physiotherapy program along with CPM for 4 hours daily for 5 days during stay at hospital and the subjects in group-2 (Control group) received conventional therapy Only. Treatment was given for 5 days per week for 8 weeks. KOOS, 6-MWT, NPRS, knee extensors MMT, knee girth, knee ROM, TUG and GROC were taken as outcome measures. Measurements were taken at Baseline, 4th week and 8th week.
Result of this study showed significant difference in knee flexion range, TUG, 6-MWT and GROC in the experimental group as compared to control Group. No significant difference were observed for MMT, KOOS, NPRS, Knee extension ROM and Knee girth between control and experimental group at 4th and 8th week follow up.
It can be stated that CPM enhances early knee motion and improves functionality. However, this does not affect postoperative pain, post-operative knee swelling and knee extensor muscle strength.
Total knee arthroplasty, Continuous passive motion machine, Conventional therapy
