RT Journal Article
SR Electronic
T1 Efficacy of continuous passive motion following total knee arthroplasty: a metaanalysis.
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 2251
OP 2264
VO 31
IS 11
A1 Lucie Brosseau
A1 Sarah Milne
A1 George Wells
A1 Peter Tugwell
A1 Vivian Robinson
A1 Lynn Casimiro
A1 Lucie Pelland
A1 Marie-Josée Noel
A1 Jennifer Davis
A1 Hugo Drouin
YR 2004
UL http://www.jrheum.org/content/31/11/2251.abstract
AB OBJECTIVE: The objective of this metaanalysis is to examine the effectiveness of continuous passive motion (CPM) following total knee arthroplasty (TKA). METHODS: This metaanalysis used the methodology proposed by the Cochrane Collaboration. RESULTS: This review of 14 studies (952 patients) found significant improvements in active knee flexion and analgesic use 2 weeks postoperatively with the use of CPM and physiotherapy (PT) compared to PT alone. In addition, length of hospital stay and need for knee manipulations were significantly decreased in the CPM group. Not enough data were available to compare the degree of knee flexion applied or number of hours of application of CPM. However, significant results were not found for other comparisons such as short term CPM application versus longterm CPM application and wide treatment range versus small treatment range for the outcomes of active knee flexion, passive knee flexion and extension, presence of a fixed flexion deformity, use of analgesic, or total knee range of motion. CONCLUSION: CPM combined with PT may offer beneficial results for patients post-TKA. However, the potential benefits will need to be carefully weighed against the inconvenience and expense of CPM. More research is necessary to assess the differences in effectiveness with different characteristics of application such as total duration of treatment and intensity of CPM interventions.