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knee rehabilitation

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5761. Independent home versus supervised rehabilitation following arthroscopic knee surgery--a prospective randomized trial. (Abstract)

Independent home versus supervised rehabilitation following arthroscopic knee surgery--a prospective randomized trial. This prospective study compared 30 patients randomly assigned to either a home exercise program or supervised outpatient physical therapy following arthroscopic partial medial meniscectomy. Their knee functions were assessed at 2, 4, and 8 weeks postoperatively using isokinetic analysis and subjective questionnaires. At each evaluation, the home exercise group performed as well (...) of their knee function and ability to resume work and recreational activities. We conclude that a well-planned, unsupervised home exercise knee rehabilitation program can produce equally good postoperative recovery as compared to a supervised outpatient physical therapy regimen in properly selected patients following arthroscopic partial meniscectomy of the knee.

1989 Arthroscopy Controlled trial quality: uncertain

5762. The effect of single-injection femoral nerve block on rehabilitation and length of hospital stay after total knee replacement. (Abstract)

The effect of single-injection femoral nerve block on rehabilitation and length of hospital stay after total knee replacement. Continuous-infusion femoral nerve block (FNB) improves analgesia and rehabilitation after total knee replacement. In this study, we investigated the efficacy of single-injection FNB to achieve similar results.A total of 30 patients were prospectively and randomly assigned to receive 40-mL injections of either 0.25% bupivacaine (group B) or saline (group S) after total (...) knee replacement. Blinded observers evaluated the patients for postoperative pain, morphine consumption, ambulating distances, and maximal knee flexion; pain was scored on the visual analog scale (VAS).Compared with group S patients, group B patients had significantly lower VAS pain scores (P <.01 in the postoperative anesthesia care unit, P <.05 on the day after surgery); group B patients also showed significantly lower total morphine use (P <.05) and a lower incidence of morphine-related side

2002 Regional Anesthesia and Pain Medicine Controlled trial quality: uncertain

5763. Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty. (Abstract)

Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty. One hundred sixty patients (mean age, 68 +/- 8 years) having primary total knee arthroplasty were assigned randomly to two rehabilitation programs: (1) clinic-based rehabilitation provided by outpatient physical therapists; or (2) home-based rehabilitation monitored by periodic telephone calls from a physical therapist. Both rehabilitation programs emphasized a common home exercise program. Before (...) Universities Osteoarthritis Index; (6) functional scale of the Western Ontario and McMaster Universities Osteoarthritis Index; (7) distance walked in 6 minutes; (8) number of stairs ascended and descended in 30 seconds; and (9) knee flexion range of motion, on either the per protocol or the intent-to-treat or the analyses. After primary total knee arthroplasty, patients who completed a home exercise program (home-based rehabilitation) performed similarly to patients who completed regular outpatient clinic

2003 Clinical orthopaedics and related research Controlled trial quality: uncertain

5764. Effectiveness of electric stimulation of the vastus medialis muscle in the rehabilitation of patients after total knee arthroplasty. (Abstract)

Effectiveness of electric stimulation of the vastus medialis muscle in the rehabilitation of patients after total knee arthroplasty. To investigate the possible effect of electric muscle stimulation (EMS) of the vastus medialis on the walking speed, Hospital for Special Surgery (HSS) knee score, and Physiological Cost Index (PCI) of patients during rehabilitation after total knee arthroplasty (TKA).Prospective, randomized controlled trial.Various departments at a district general hospital (...) in the United Kingdom.Thirty patients with unilateral osteoarthritis of the knee admitted for elective TKA were randomly assigned to 1 of 2 groups (15 per group): control and treatment. Both groups received standard physical therapy. The treatment group also received EMS of the vastus medialis.EMS (40Hz, 300micros) of the vastus medialis muscle for 4 hours a day, starting on postoperative day 2, over the first 6 postoperative weeks.Changes in walking speed, HSS knee score, and effort of walking as measured

2003 Archives of physical medicine and rehabilitation Controlled trial quality: uncertain

5765. Subjective Evaluation of Function Following Moderately Accelerated Rehabilitation of Anterior Cruciate Ligament Reconstructed Knees Full Text available with Trip Pro

Subjective Evaluation of Function Following Moderately Accelerated Rehabilitation of Anterior Cruciate Ligament Reconstructed Knees Rehabilitation protocols following anterior cruciate ligament reconstructions have become increasingly aggressive in the past several years, preparing the patient to return to sport activities within 4 to 6 months. In 1989, we initiated a moderately accelerated protocol and were interested in the long-term effects of early weight bearing, immediate full motion (...) , early incorporation of closed chain activities, and early return to sport. We received responses from 58 of 180 patients surveyed. All had undergone a bone-patellar tendon-bone autograft reconstruction procedure 12 to 21 months prior and had followed the rehabilitation protocol described. Results of the Lysholm Knee Scoring Scale and a questionnaire regarding preinjury and postinjury activity levels, pain and stability ratings, and current activity indicated that the majority of these patients had

1993 Journal of athletic training

5766. Clinically assessed knee joint laxity as a predictor for reconstruction after an anterior cruciate ligament injury: a prospective study of 100 patients treated with activity modification and rehabilitation. (Abstract)

Clinically assessed knee joint laxity as a predictor for reconstruction after an anterior cruciate ligament injury: a prospective study of 100 patients treated with activity modification and rehabilitation. The association of early knee joint laxity with the need for later reconstruction of the anterior cruciate ligament has not been extensively studied.The grade of knee laxity can be used as an early predictor of the need for later reconstruction.Cohort study (prognosis); Level of evidence, 2 (...) .One hundred consecutive patients with an acute arthroscopically verified total anterior cruciate ligament rupture were followed prospectively for 15 years. Lachman and pivot-shift tests were performed with the patient under general anesthesia before arthroscopy. After 3 months, the tests were repeated in an ordinary clinical setting. All patients underwent rehabilitation as the first choice of treatment. Anterior cruciate ligament reconstruction was performed only in cases of significant

2008 American Journal of Sports Medicine

5767. Rehabilitation of the osteoarthritic patient: focus on the knee. (Abstract)

Rehabilitation of the osteoarthritic patient: focus on the knee. This article reviews the factors involved in the rehabilitation process of the knee. Use of patient education, pain management, restoration of range of motion, and strengthening within the foundation of an aerobic fitness program are discussed.

2005 Clinics in Sports Medicine

5768. Rehabilitation after total knee arthroplasty: a comparison of 2 rehabilitation techniques. (Abstract)

Rehabilitation after total knee arthroplasty: a comparison of 2 rehabilitation techniques. This study was conducted to compare postoperative total knee arthroplasty rehabilitation protocols. The hypothesis of this study was that patients undergoing total knee arthroplasty could achieve range of motion and hospital discharge in the same period using a postoperative rehabilitation protocol that did not use a continuous passive motion machine. This randomized prospective study compared 46 total (...) knee arthroplasties in which a continuous passive motion machine was used with 37 total knees that were rehabilitated with early passive flexion of the knee (named drop and dangle protocol). Postoperative physical therapy regimens were otherwise the same for both groups. Surgical technique was the same for both groups except for closure which was performed in the drop and dangle group with the knee at 90 degrees to 95 degrees flexion. Only patients with osteoarthritis were included in the study

1996 Clinical orthopaedics and related research Controlled trial quality: uncertain

5769. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. (Abstract)

Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. In this study, we assessed the influence of three analgesic techniques on postoperative knee rehabilitation after total knee arthroplasty (TKA). Forty-five patients scheduled for elective TKA under general anesthesia were randomly divided into three groups. Postoperative (...) analgesia was comparable in the three groups. Compared with Groups A and C, a significantly lower incidence of side effects was noted in Group B. Significantly better knee flexion (until 6 wk after surgery), faster ambulation, and shorter hospital stay were noted in Groups B and C. However, these benefits did not affect outcome at 3 mo. We conclude that, after TKA, continuous 3-in-1 block and epidural analgesia provide better pain relief and faster knee rehabilitation than i.v. PCA with morphine

1998 Anesthesia and analgesia Controlled trial quality: uncertain

5770. Joint position sense and rehabilitation in the anterior cruciate ligament deficient knee. Full Text available with Trip Pro

Joint position sense and rehabilitation in the anterior cruciate ligament deficient knee. Impaired joint position sense (JPS) has been shown in anterior cruciate ligament (ACL) deficient and osteoarthritic knees. The relation between JPS and function is uncertain. The aim of this study was to determine further if ACL deficient knees show abnormal JPS and the effect of exercise therapy on JPS, and also to assess the relation between JPS, functional stability, and strength.Fifty patients (46 men (...) and four women, mean age 26.3 years) with unilateral ACL deficient knees were assessed on admission and after rehabilitation (5 hours a day for four weeks). JPS was assessed by reproduction of passive positioning using a visual analogue incorporating a goniometer. Knee stability was analysed by self report questionnaire (score 0-280) and functional activity test (single leg hop and figure of eight run). Isokinetic dynamometry was performed to evaluate quadriceps and hamstring peak torque strength

1997 British Journal of Sports Medicine

5771. Anterior knee pain: a clinical comparison of rehabilitation methods. (Abstract)

Anterior knee pain: a clinical comparison of rehabilitation methods. To compare different types of rehabilitation for anterior knee pain.Prospective, randomized, blinded, and controlled study of 64 participants with anterior knee pain.Outpatient rehabilitation clinic and testing laboratory.Participants were assigned in randomized fashion to three rehabilitation groups: traditional home rehabilitation (n = 20); physical therapy (n = 21); and home rehabilitation with a modified vastus medialis (...) no significant differences between traditional home therapy and physical therapy.Findings suggest that the Muncie method results in improved clinical outcome at a lower cost than traditional home and physical therapy and possibly improved VMO/quadriceps muscle balance. Patients with anterior knee pain may benefit from applying the Muncie method in a home therapy program.

2000 Clinical Journal of Sport Medicine Controlled trial quality: uncertain

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