Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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3 Weeks Continuous Passive Motion Vs Joint Mobilization and their Combination in Knee Stiffnes - A Comperative Study


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1 KLE University Institute of Physiotherapy, India
     

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Study design: Randomized clinical trial.

Objectives : To determine the effect of continuous passive motion in treatment of knee joint stiffness. To determine the effect of joint mobilization in the treatment of knee joint stiffness. To determine the combined effectiveness of continuous passive motion and joint mobilization in the treatment of knee joint stiffness.

Methods : The present randomized clinical trial was conducted among 45 participants which included both male and female symptomatic individuals between the age of 18 to 50 years with knee joint stiffness. Pre-interventional and post-interventional outcome measurements were taken in the form of Range Of Motion, KOSADLS.

Results : In the present study, intra - group analysis showed that improved range of motion and functional outcome was statistically significant in all the three groups (p=0.0001) whereas considering the reliability and validity of Knee Outcome Survey Of Activity Daily Living Scale, the between group analysis revealed that Group C was significant as compared to Group A and Group B in knee range of motion and in functional outcome Group B was significant compared to Group A and C .

Conclusion : In conclusion, the present randomized clinical trial provided evidence to support the physical therapy regimen in the form of continuous passive motion with joint mobilization in improving range of motion, improving functional performance in subjects with post operative knee joint stiffness.


Keywords

Knee Joint Stiffness, Joint Mobilization, Continuous Passive Motion, Exercise
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  • Thieme Atlas of anatomy; Anatomy and musculoskeletal system, Thieme.2006, ISBN 1- 58890-419-429.

  • Cole PA, Ehrlich MG. Management of the Completely Stiff Pediatric Knee. J Ped Orthop; 1997; 17:67-73.

  • L J Donaldson , Acook. Incidence of fractures in a geographically defined population. Journal of Epidemiology and Community Health; 1990;44:241-245

  • Lastayo, PC; Continuous passive motion for the upper extremity. In Hunter, JM, Mackin, EJ. Callabon AD (eds) Rehabilitation of the Hand; Surgery and Therapy, 1995. ed 4.

  • O’ Driscoll, SW, Giori, NJ; Continuous Passive Motion Theory and Principles of Clinical Application. J Rehabil Res Dev 2000.37 (2);179.

  • Norkin , C, Levangie, P; Joint Structure And Function ;A comprehensive analysis, ed 2, FA, Davis, Philaephia.1992;56-70.

  • Akeson, WH, Billot JR. Effects of immobilization of joints. Clinical Orthop 1987:219:28.

  • Donatelli , R, Owens- Burkhart, H; effects of immobilization on extensibility of particular connective tissue; J Orthop Sports Physical Therapy.1981.3:67.

  • Enneking, WF, Horowitz,M; The intra-articular effects of immobilization on the human knee. J Bone Joint Surgery Am.1972. 54:978.

  • G. D. Maitland. Peripheral Manipulation, 3rd edition. 2003:250-255.

  • Peter J. Millet, MD. Early ACL reconstruction in combined ACL-MCL injuries, Journal Knee Surgerie. 2004. 17:94-98.

  • Macrae IF. The measurement of stiffness human joint, 2000, 24:43-47

  • Hutchinson M. Gender differences in active knee joint stiffness. Sports Med, 1995:19:288-302

  • Knight CA, Rutledge CR. Effect of superficial heat, deep heat and active exercise warm up on the extensibility of plantar flexors. Phys Therapy, 2001.81:1206-1214.

  • Beaupre CA et al. Exercise combined with continuous passive motion or slider board therapy compared with exercise only. Physical Therapy, 2001:81(4); 1029-1037.

  • Engstrom B, Sperber A, Wredmark T. Continuous passive motion in rehabilitation after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 1995;3(1):18-20.

  • Randall T, Portney L, Harris BA: Effects of joint mobilization on joint stiffness and active motion of the metacarpal phalangeal joint. J Orthop Sports Phys Ther 1992, 16:30-36.

  • Michel A. Hunt. Stephen R. Effect of anterior tibiofemoral glides on knee extension during gait in patients with decreased range of motion after anterior cruciate ligament reconstruction; 2010. Vol-6 Pages 235-241.

  • Cristina Maria, Nunes Cabral, Effect of a closed kinetic chain exercise protocol on patellofemoral syndrome rehabilitation, 2007 XXVISBS Symposium.

  • Mei-Hwa Jan MS PT, Effect of weight bearing versus non weight bearing exercise on function, walking speed and position sense in participants with knee osteoarthritis. Archives of physical medicine and rehabilitation; 2009. vol 90, issue 6: 897-904

  • Norkin, C, Levangie, P; Joint Structure and Function: A Comprehensive Analysis, ed 2. FA Davis, Philadelphia, 1992.


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  • 3 Weeks Continuous Passive Motion Vs Joint Mobilization and their Combination in Knee Stiffnes - A Comperative Study

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Authors

Anil Kumar
KLE University Institute of Physiotherapy, India
Santosh Metgud
KLE University Institute of Physiotherapy, India

Abstract


Study design: Randomized clinical trial.

Objectives : To determine the effect of continuous passive motion in treatment of knee joint stiffness. To determine the effect of joint mobilization in the treatment of knee joint stiffness. To determine the combined effectiveness of continuous passive motion and joint mobilization in the treatment of knee joint stiffness.

Methods : The present randomized clinical trial was conducted among 45 participants which included both male and female symptomatic individuals between the age of 18 to 50 years with knee joint stiffness. Pre-interventional and post-interventional outcome measurements were taken in the form of Range Of Motion, KOSADLS.

Results : In the present study, intra - group analysis showed that improved range of motion and functional outcome was statistically significant in all the three groups (p=0.0001) whereas considering the reliability and validity of Knee Outcome Survey Of Activity Daily Living Scale, the between group analysis revealed that Group C was significant as compared to Group A and Group B in knee range of motion and in functional outcome Group B was significant compared to Group A and C .

Conclusion : In conclusion, the present randomized clinical trial provided evidence to support the physical therapy regimen in the form of continuous passive motion with joint mobilization in improving range of motion, improving functional performance in subjects with post operative knee joint stiffness.


Keywords


Knee Joint Stiffness, Joint Mobilization, Continuous Passive Motion, Exercise

References