PMID- 30831093
OWN - NLM
STAT- MEDLINE
DCOM- 20200224
LR  - 20200224
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 100
IP  - 9
DP  - 2019 Sep
TI  - Continuous Passive Motion After Total Knee Arthroplasty: A Systematic Review and 
      Meta-analysis of Associated Effects on Clinical Outcomes.
PG  - 1763-1778
LID - S0003-9993(19)30150-9 [pii]
LID - 10.1016/j.apmr.2019.02.001 [doi]
AB  - OBJECTIVE: To evaluate the efficacy of continuous passive motion (CPM) after 
      total knee arthroplasty (TKA) and whether the use of CPM is related to improved 
      clinical and functional outcomes. DATA SOURCES: A systematic MEDLINE search via 
      Web of Science, Cochrane Library, and PubMed databases was conducted. STUDY 
      SELECTION: English-language articles published between January 2000 and May 2018 
      reporting the related clinical outcomes of CPM after TKA were included. A total 
      of 3334 titles and abstracts were preliminarily reviewed, of which 16 studies 
      were included according to the eligibility criteria. DATA EXTRACTION: Two 
      different reviewers were selected to perform the study extraction, independent of 
      each other. If there were any disagreements regarding the final list of studies, 
      the third reviewer reviewed the list as an arbitrator for completeness. DATA 
      SYNTHESIS: A total of 16 trials with 1224 patients were included. The pooled 
      results revealed that use of CPM did not show a statistically significant 
      improvement of postoperative knee range of motion (ROM) except for middle-term 
      passive knee extension and long-term active knee flexion ROM. Also, CPM therapy 
      did not show a significant positive effect on the functional outcomes. No 
      significant reduction in length of stay (LOS) and incidence of adverse events 
      (AEs) was identified. CONCLUSION: Among patients undergoing TKA, neither the ROM 
      nor the functional outcomes could be improved by CPM therapy. Moreover, the risk 
      of AEs and LOS could not be reduced by application of CPM. The current available 
      evidence suggested that this intervention was insufficient to be used routinely 
      in clinical practice.
CI  - Copyright (c) 2019 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Yang, Xia
AU  - Yang X
AD  - Southeast University Medical School, Nanjing, China; Department of Nursing, 
      Zhongda Hospital of Southeast University Medical School, Nanjing, China. 
      Electronic address: 1850490532@qq.com.
FAU - Li, Guo-Hong
AU  - Li GH
AD  - Southeast University Medical School, Nanjing, China; Department of Nursing, 
      Zhongda Hospital of Southeast University Medical School, Nanjing, China.
FAU - Wang, Hui-Jie
AU  - Wang HJ
AD  - Nanjing University of Chinese Medicine, Nanjing, China.
FAU - Wang, Cao-Yuan
AU  - Wang CY
AD  - Southeast University Medical School, Nanjing, China.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20190302
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Arthroplasty, Replacement, Knee/adverse effects/*rehabilitation
MH  - Humans
MH  - Knee Joint/*physiopathology
MH  - Length of Stay
MH  - *Motion Therapy, Continuous Passive
MH  - Postoperative Complications/epidemiology/etiology
MH  - Range of Motion, Articular
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Arthroplasty, replacement, knee
OT  - Length of stay
OT  - Meta-analysis
OT  - Motion therapy, continuous passive
OT  - Range of motion
OT  - Rehabilitation
OT  - articular
EDAT- 2019/03/05 06:00
MHDA- 2020/02/25 06:00
CRDT- 2019/03/05 06:00
PHST- 2018/11/14 00:00 [received]
PHST- 2019/02/01 00:00 [accepted]
PHST- 2019/03/05 06:00 [pubmed]
PHST- 2020/02/25 06:00 [medline]
PHST- 2019/03/05 06:00 [entrez]
AID - S0003-9993(19)30150-9 [pii]
AID - 10.1016/j.apmr.2019.02.001 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2019 Sep;100(9):1763-1778. doi: 
      10.1016/j.apmr.2019.02.001. Epub 2019 Mar 2.