Literature DB >> 34588742

Total knee arthroplasty patients using the in-home X10 machine fully recovered. No additional therapy required.

Daisy Ference1, Robert J Ference2, Erin Rempher3, D Carl Freeman4.   

Abstract

Following total knee arthroplasties patients using the X10 increased their quadriceps strength 120% at 30 days post-surgery compared to their pre-surgical baseline. This contrasts sharply with contrast studies outpatient physical therapy that show patients suffer a 50-60% quadriceps strength deficit at 30 days post-surgery. For X10 patients, the average range of motion at 30 days was 124° and at discharge it was 128° (mean 43 days). The trial involved a single surgeon and two groups. Group one (21 patients) used only the X10 for pre-habilitation and rehabilitation, while group two (20 patients) used X10 alone for pre-habilitation and then utilized the X10 plus home care plus outpatient physical therapy for rehabilitation. Adding home care and outpatient physical therapy did not improve outcomes compared to patients who utilized X10 alone. Our results show no significant difference between the two groups. Indicating that the X10 by itself is adequate to completely rehabilitation patients from total knee arthroplasties. Finally, we compared our results to those of Calatayud et al.1 who monitored two groups of patients, one group had only physical therapy for rehabilitation while the other group used physical therapy for both prehabilitation and rehabilitation. Our results were superior to Calatayud et al.1 for extension, flexion, and quadriceps strength; for each of these measures the X10 treatment groups improved over time, while the Calatayud et al.1 groups showed losses.
© 2021 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.

Entities:  

Keywords:  Extension; Flexion; Quadriceps strength; Rehabilitation; Total knee arthroplasty; X10

Year:  2021        PMID: 34588742      PMCID: PMC8453186          DOI: 10.1016/j.jor.2021.09.002

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  13 in total

Review 1.  Physical exercise after knee arthroplasty: a systematic review of controlled trials.

Authors:  F Pozzi; L Snyder-Mackler; J Zeni
Journal:  Eur J Phys Rehabil Med       Date:  2013-10-30       Impact factor: 2.874

Review 2.  The evolving role of obesity in knee osteoarthritis.

Authors:  MaryFran R Sowers; Carrie A Karvonen-Gutierrez
Journal:  Curr Opin Rheumatol       Date:  2010-09       Impact factor: 5.006

3.  Importance of attenuating quadriceps activation deficits after total knee arthroplasty.

Authors:  Abbey C Thomas; Jennifer E Stevens-Lapsley
Journal:  Exerc Sport Sci Rev       Date:  2012-04       Impact factor: 6.230

4.  Letter to the Editor on "Arthrofibrosis Associated With Total Knee Arthroplasty".

Authors:  Andrew B Wickline
Journal:  J Arthroplasty       Date:  2017-11-21       Impact factor: 4.757

5.  Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation.

Authors:  Ryan L Mizner; Stephanie C Petterson; Jennifer E Stevens; Krista Vandenborne; Lynn Snyder-Mackler
Journal:  J Bone Joint Surg Am       Date:  2005-05       Impact factor: 5.284

6.  Improved function from progressive strengthening interventions after total knee arthroplasty: a randomized clinical trial with an imbedded prospective cohort.

Authors:  Stephanie C Petterson; Ryan L Mizner; Jennifer E Stevens; Leo Raisis; Alex Bodenstab; William Newcomb; Lynn Snyder-Mackler
Journal:  Arthritis Rheum       Date:  2009-02-15

Review 7.  Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches.

Authors:  Whitney Meier; Ryan L Mizner; Robin L Marcus; Leland E Dibble; Christopher Peters; Paul C Lastayo
Journal:  J Orthop Sports Phys Ther       Date:  2007-12-14       Impact factor: 4.751

Review 8.  Quadriceps activation following knee injuries: a systematic review.

Authors:  Joseph M Hart; Brian Pietrosimone; Jay Hertel; Christopher D Ingersoll
Journal:  J Athl Train       Date:  2010 Jan-Feb       Impact factor: 2.860

9.  Training with biofeedback devices improves clinical outcome compared to usual care in patients with unilateral TKA: a systematic review.

Authors:  Daniel Pfeufer; Jeremy Gililland; Wolfgang Böcker; Christian Kammerlander; Mike Anderson; Nicola Krähenbühl; Christopher Pelt
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2018-10-17       Impact factor: 4.342

10.  RESTORING KNEE EXTENSOR STRENGTH AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: A CLINICAL COMMENTARY.

Authors:  Matthew Buckthorpe; Giovanni La Rosa; Francesco Della Villa
Journal:  Int J Sports Phys Ther       Date:  2019-02
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