TY - JOUR
T1 - The effects of immediate programmed cryotherapy and continuous passive motion in patients after computer-assisted total knee arthroplasty
T2 - A prospective, randomized controlled trial
AU - Chen, Mei Chu
AU - Lin, Chiu Chu
AU - Ko, Jih Yang
AU - Kuo, Feng Chih
N1 - Publisher Copyright:
© 2020 The Author(s).
PY - 2020/9/3
Y1 - 2020/9/3
N2 - Background: The postoperative nursing intervention with immediate cryotherapy and continuous passive motion (CPM) remains elusive regarding the postoperative pain and range of motion (ROM) for patients undergoing computer-assisted total knee arthroplasty (CAS-TKA). Methods: A prospective, randomized controlled trial with a purposive sampling method was utilized. Sixty patients scheduled for a unilateral CAS-TKA at a medical center were randomly assigned to the intervention group (n = 30) and control group (n = 30). The intervention group applied programed cryotherapy and CPM within 1 h while returning to the ward on the day of surgery, while the control group did not. Data were analyzed using mixed models to compare the numeric rating scale (NRS) for pain, ROM, and swelling at postoperative day (POD) 4. Results: There was no significant difference in the NRS score between the groups (p = 0.168). The intervention group had significantly higher ROM than the control group (98° vs. 91°, p = 0.004) at POD 4. Although no significant difference in joint swelling was found between groups (p = 0.157), the intervention group had lower mean joint swelling (32.2 cm) than the control group (33.9 cm). Conclusions: Immediate programmed cryotherapy and continuous passive motion could help to improve ROM quickly after CAS-TKA. It should be incorporated into the daily nursing plan for patients undergoing CAS-TKA. Trial registration: ClinicalTrials.gov, NCT04136431. Registered 23 October 2019 - retrospectively registered.
AB - Background: The postoperative nursing intervention with immediate cryotherapy and continuous passive motion (CPM) remains elusive regarding the postoperative pain and range of motion (ROM) for patients undergoing computer-assisted total knee arthroplasty (CAS-TKA). Methods: A prospective, randomized controlled trial with a purposive sampling method was utilized. Sixty patients scheduled for a unilateral CAS-TKA at a medical center were randomly assigned to the intervention group (n = 30) and control group (n = 30). The intervention group applied programed cryotherapy and CPM within 1 h while returning to the ward on the day of surgery, while the control group did not. Data were analyzed using mixed models to compare the numeric rating scale (NRS) for pain, ROM, and swelling at postoperative day (POD) 4. Results: There was no significant difference in the NRS score between the groups (p = 0.168). The intervention group had significantly higher ROM than the control group (98° vs. 91°, p = 0.004) at POD 4. Although no significant difference in joint swelling was found between groups (p = 0.157), the intervention group had lower mean joint swelling (32.2 cm) than the control group (33.9 cm). Conclusions: Immediate programmed cryotherapy and continuous passive motion could help to improve ROM quickly after CAS-TKA. It should be incorporated into the daily nursing plan for patients undergoing CAS-TKA. Trial registration: ClinicalTrials.gov, NCT04136431. Registered 23 October 2019 - retrospectively registered.
KW - Computer-assisted
KW - Continuous passive motion
KW - Cryotherapy
KW - Postoperative nursing intervention
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85090320346&partnerID=8YFLogxK
U2 - 10.1186/s13018-020-01924-y
DO - 10.1186/s13018-020-01924-y
M3 - 文章
C2 - 32883309
AN - SCOPUS:85090320346
SN - 1749-799X
VL - 15
JO - Journal of Orthopaedic Surgery and Research
JF - Journal of Orthopaedic Surgery and Research
IS - 1
M1 - 379
ER -