Active ROM Exercises Research Articles

Clinical value of regular passive ROM exercise by a physical therapist after total knee arthroplasty

Regular passive ROM exercise (PROME) by a physical therapist is often incorporated in rehabilitation protocols after total knee arthroplasty (TKA). This randomized, controlled trial examined whether or not the incorporation of PROME to a postoperative rehabilitation protocol would offer a better clinical outcome after TKA. Fifty consecutive patients who underwent bilateral TKAs staged 2 weeks apart received PROME for one knee and not for the other. The pain level (7D and 14D), patient's preference (before discharge, 6M), maximum flexion (7D, 14D, 3M, 6M) and American Knee Society and WOMAC scores (6M) were determined in the knees with and without PROME and compared. There were no significant differences in the maximum flexion, pain level, patient's preference, AKS scores and WOMAC scores. This study demonstrates that the incorporation of PROME does not offer additional clinical benefits to the patients after TKA. Our findings may suggest that encouraging patients to perform active ROM exercise would be a better option and that a physiotherapy session by a physical therapist can focus on more functional rehabilitation, such as preparing to return to daily activities.

Improvement of the Scaplohumeral Rhythm after Arthroscopic Rotator Cuff RepairEffect of the Early Active Shoulder ROM Exercise Using the Sling-and-strap Method

Improvement of the Scaplohumeral Rhythm after Arthroscopic Rotator Cuff Repair<BR>Effect of the Early Active Shoulder ROM Exercise Using the Sling-and-strap Method

FOOT INJURY - SOCCER

1165 HISTORY - An 18 year-old white female, Division I soccer player complained of chronic right second toe pain. The pain began approximately six months earlier. She only remembered an injury of another player stepping on her foot in the past. She initially was treated just for a contusion, but had continued pain. She continued to have problems to the point she was unable to play soccer. PHYSICAL EXAMINATION - She had normal knee alignment and mild asymptomatic hallux valgus and 4° hindfoot varus on the right. She had no Achilles tightness. She was tender directly over the second metatarsal head and neck. She had pain with plantar flexion of the MTP joint, as well as pain with passive dorsiflexion. She had no pain at the base of the second metatarsal, but some pain around the neck of the second metatarsal. She had an increased drawer sign at the second MTP joint with increased translation and mild pain at the 2-3 interdigital nerve area. She had normal sensation, normal pulses, and a negative straight leg raise. 2nd metatarsal neck fracture 2nd MTP instability 2-3 interdigital neuroma Plantar plate injury 2nd MTP joint Chondral injury 2nd metatarsal head Freiberg's infarction TEST AND RESULTS: initially read as negative with no obvious stress fracture, normal alignment question of mild increased density to the 2nd metatarsal head no definite Freiberg's infarction Bone scan - uptake at 2nd metatarsal head and neck area MRI - read as negative FINAL/WORKING DIAGNOSIS: 2nd MTP instability vs. chondral lesion of the 2nd metatarsal head Extended steel shank, 2nd toe taping for instability with persistent pain. Exploration of 2nd metatarsal head with noted synovitis and chondral avulsion injury to 2nd metatarsal head. Debridement of chondral lesion and subchondral bone drilling. Taping of toe, post-op shoe, early active and passive ROM exercises. Biking at 1 week post-op, Stairmaster at 4 weeks, running at 6 weeks, return to soccer 2 1/2 months post -op with minimal to no pain.

手指外傷性拘縮に対する中島式創外固定器の使用経験

We evaluated 45 cases of post-traumatic contractures, 42 PIP and 3 MP joints, treated by the dynamic skeletal traction apparatus (Nakashima external fixator). This apparatus offers the advantage of stretching shortened collateral ligaments and articular capsule by traction, and of mobilizing the stiff joint during active ROM exercise. All the cases showed improvement of ROM. The average total active ROM increased from 31.6° to 65.8°. Only 3 patients had motion pain after the treatment among 23 patients who complained of pre-operative motion pain. It is suggested that this apparatus is very useful for the treatment of the post-traumatic contracture as well as intra-articular fracture.

肩けん板修復術後のＣＰＭを併用した後療法

The effect of CPM after rorator cuff repair is unknown. The purpose of this study was to show our postoperative protocol with CPM following the repair of the rotator cuff and to investigate the outcome. 35 patients (12 females, 23 males; mean age 56.3, range 26 to 69) with 35 repaired rotator cuffs (2 massive, 28 small to large, 5 partial) were assigned to CPM postoperative therapy and were followed with a mean period of 36 months. Patients used a CPM for the first 6 weeks after the first postoperative day. After 6 weeks, active ROM exercises were performed. Using the JOA shoulder score, there were 88.6% excellent results, 5.7% good results, and 5.7% fair results. CPM postoperative therapy after the repair of the rotator cuff apparently produces favorable results.

成人上腕骨遠位端骨折の治療成績

Seventeen cases with fractures of the lower end of the humerus in adults were studied. Subjects consisted of 11 males, 6 females with a mean age of 35.5 years. We treated 1 case conservatively, 16 cases surgically. Patients who started active ROM exercise early after injury gained a wide ROM of the elbow and achieved satisfactory results in ADL. We recommend rigid fixation and early movement to achieve a satisfactory result.