The efficiency and expediency of different rehabilitation approaches after knee replacement

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Abstract The paper reviews the literature on the efficiency of different rehabilitation methods after knee arthroplasty, such as continuous passive motion (CPM) therapy, exercises for balance and strengthening of hip muscles on the postoperative leg, and aquatic rehabilitation. It analyzes the optimal periods of rehabilitation initiation and continuance, studies of the Pilates system for patients after knee arthroplasty, kinesiotaping, fast-track rehabilitation, and Locomat robotic system. Various functional tests and questionnaire surveys are considered as performance measures. CPM therapy and the Pilates method are shown to require an additional investigation for inclusion in the standard rehabilitation program. Balance exercises have a positive impact on functional status and mobility in patients after surgery. Exercises for strengthening the hip muscles on the postoperative leg and aquatic training are recommended for use in routine practice. Kinesiotaping is successfully used to more effectively perform exercises, by reducing pain, edema and to improve a patient’s psychological status. The Locomat can be used for walking technology training, which will be able to enhance the structure of a step and amortization function. The time taken in the rehabilitation center can be reduced using the fast-track rehabilitation program.

Keywords:

rehabilitation

knee arthroplasty

performance measures

cpm therapy

hip muscle strengthening

aquatic rehabilitation

balance exercises

kinesiotaping

Authors:

Shimarova O.V.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Achkasov E.E.

Kafedra gospital'noĭ khirurgii #1 lechebnogo fakul'teta Pervogo moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova Minzdravsotsrazvitiia RF

Timashkova G.V.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

List of references:

Borisov DB, Kirov MYu. Endoprothesis replacement of hip and knee joints: epidemiological aspects and effect on quality of life. Ekologiia Cheloveka. 2013;8:52:52-57. (In Russ)
Rodger Mike. Skiing and mountaineering after hip arthroplasty (review lecture). Sportivnaya Meditsina: Nauka i Praktika. 2014;1:110-118. (In Russ.)
Den Hertog A, Gliesche K, Timm J, Mühlbauer B, Zebrowski S. Pathway-controlled fast-track rehabilitation after total knee arthroplasty: a randomized prospective clinical study evaluating the recovery pattern, drug consumption, and length of stay. Arch Orthop Trauma Surg. 2012;132(8):1153-1163. https://doi.org/10.1007/s00402-012-1528-1
Maempel J, Walmsley P. Enhanced recovery programmes can reduce length of stay after total knee replacement without sacrificing functional outcome at one year. Ann R Coll Surg Engl. 2015;97(8):563-567. https://doi.org/10.1308/rcsann.2015.0016
Husted H, Jørgensen C, Gromov K, Troelsen A; Collaborative Group of the Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement. Low manipulation prevalence following fast-track total knee arthroplasty. Acta Orthop. 2014;86(1):86-91. https://doi.org/10.3109/17453674.2014.964615
Chow T, Ng G. Active, passive and proprioceptive neuromuscular facilitation stretching are comparable in improving the knee flexion range in people with total knee replacement: a randomized controlled trial. Clin Rehabil. 2010;24(10):911-918. https://doi.org/10.1177/0269215510367992
Schwartz I, Kandel L, Sajina A, Litinezki D, Herman A, Mattan Y. Balance is an important predictive factor for quality of life and function after primary total knee replacement. J Bone Joint Surg Br. 2012;94(6);782-786. https://doi.org/10.1302/0301-620x.94b6.27874
Piva SR, Gil AB, Almeida GJ, DiGioia AM 3rd, Levison TJ, Fitzgerald GK. A Balance Exercise Program Appears to Improve Function for Patients With Total Knee Arthroplasty: A Randomized Clinical Trial. Phys Ther. 2010;90(6):880-894. https://doi.org/10.2522/ptj.20090150
Valtonen A, Pöyhönen T, Sipilä S, Heinonen A. Effects of aquatic resistance training on mobility limitation and lower-limb impairments after knee replacement. Arch Phys Med Rehabil. 2010;91(6)833-839. https://doi.org/10.1016/j.apmr.2010.03.002
Levine B, Kaplanek B, Scafura D, Jaffe WL. Rehabilitation after total hip and knee arthroplasty: a new regimen using Pilates training. Bull NYU Hosp Jt Dis. 2007;65(2):120-125.
Donec V, Kriščiūnas A. The effectiveness of Kinesio Taping after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial. Eur J Phys Rehabil Med. 2014;50(4):363-371.
Schache M, McClelland J, Webster K. Does the addition of hip strengthening exercises improve outcomes following total knee arthroplasty? A study protocol for a randomized trial. BMC Musculoskelet Disord. 2016;17(1):259. https://doi.org/10.1186/s12891-016-1104-x
Koneva ES, Lyadov KV, Shapovalenko TV, Serebryakov AB. The restoration of walking stereotype with robotic device in patients after knee replacement. Traumatology and Orthopedics of Russia. 2013;(2):31-38. (In Russ.) https://doi.org/10.21823/2311-2905-2013-0-2-72-82
Harvey L, Brosseau L, Herbert RD. Continuous passive motion following total knee arthroplasty in people with arthritis. Cochrane Database Syst Rev. 2014;2:CD004260. https://doi.org/10.1002/14651858.cd004260.pub3
Milne S, Brosseau L, Robinson V, Noel MJ, Davis J, Drouin H, Wells G, Tugwell P. Continuous passive motion following total knee arthroplasty. Cochrane Database Syst Rev. 2003;2:CD004260.
Liao CD, Liou TH, Huang YY, Huang YC. Effects of balance training on functional outcome after total knee replacement in patients with knee osteoarthritis: a randomized controlled trial. Clin Rehabil. 2013;27(8):697-709. https://doi.org/10.1177/0269215513476722
Gibson AJ, Shields N. Effects of Aquatic Therapy and Land-Based Therapy versus Land-Based Therapy Alone on Range of Motion, Edema, and Function after Hip or Knee Replacement: A Systematic Review and Meta-analysis. Physiother Can. 2015;67(2):133-141. https://doi.org/10.3138/ptc.2014-01
Oktas B, Vergili O. The effect of intensive exercise program and kinesiotaping total knee arthroplasty on functional recovery of patients. J Orthop Surg Res. 2018;13(1):233.
Aprile I, Rizzo RS, Romanini E, De Santis F, Marsan S, Rinaldi G, Padua L. Group rehabilitation versus individual rehabilitation following knee and hip replacement: a pilot study with randomized, single-blind, cross-over design. Eur J Phys Rehabil Med. 2011;47(4):551-559.
Davis AM, Perruccio AV, Canizares M, Hawker GA, Roos EM, Maillefert JF, Lohmander LS. Comparative, validity and responsiveness of the HOOS-PS and KOOS-PS to the WOMAC physical function subscale in total joint replacement for Osteoarthritis. Osteoarthritis Cartilage. 2009;17(7):843-847. https://doi.org/10.1016/j.joca.2009.01.005
Liao CD, Lin LF, Huang YC, Huang SW, Chou LC, Liou TH. Functional outcomes of outpatient balance training following total knee replacement in patients with knee osteoarthritis: a randomized controlled trial. Clin Rehabil. 2014;29(9):855-867. https://doi.org/10.1177/0269215514564086
Harmer AR, Naylor JM, Crosbie J, Russell T. Land-based versus water-based rehabilitation following total knee replacement: A randomized, single-blind trial. Arthritis Rheum. 2009;61(2):184-191. https://doi.org/10.1002/art.24420
Zietek P, Zietek J, Szczypior K, Safranow K. Effect of adding one 15-minute-walk on the day of surgery to fast-track rehabilitation after totalknee arthroplasty: a randomized, single-blind study. Eur J Phys Rehabil Med. 2015;51(3):245-252.
Willson JD, Dougherty CP, Ireland ML, Davis IM. Core Stability and Its Relationship to Lower Extremity Function and Injury. J Am Acad Orthop Surg. 2005;13(5):316-325. https://doi.org/10.5435/00124635-200509000-00005
Levine B, Kaplanek B, Jaffe W. Pilates Training for Use in Rehabilitation after Total Hip and Knee Arthroplasty: A Preliminary Report. Clin Orthop Relat Res. 2009;467(6):1468-1475. https://doi.org/10.1007/s11999-009-0779-9.

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