Impact of continuous passive motion for the treatment of total knee replacement patients
DOI:
https://doi.org/10.11606/issn.2317-0190.v10i1a102422Keywords:
Arthroplasty, Replacement, Knee, Rehabilitation, Motion therapy, Continuous Passive, Physical TherapyAbstract
The objective of this literature review was to evaluate evidence of the efficacy of continuous passive motion (CPM) to improve range of motion in patients who were submitted to total knee replacement (TKR). CPM has been used in post-surgical intervention of TKR with specific objectives, such as, to increase range of motion of the knee, control for pain and edema, decrease the incidence of deep venous thrombus, and reduce the need for joint manipulation. For this methodological review, only randomized clinical trials that were related to the use of CPM in patients submitted to TKR, were selected. The results of this review related to the use of CPM were inconclusive, due to the variability within the studies, which made analysis of the efficacy and scientific evidence difficult. However, the results were positives regarding short-term gains in knee flexion, when CPM was applied immediately after surgery. There was not found evidence related to gains in knee extension. Therefore, it is necessary to systematize these research methodologies of CPM to better investigate the scientific validity of this clinical approach.
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