Academic literature on the topic 'Total knee replacement. Physical therapy'

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Journal articles on the topic "Total knee replacement. Physical therapy"

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Fairgrieve, Kath. "Total Knee Replacement." Physiotherapy 76, no. 6 (June 1990): 363. http://dx.doi.org/10.1016/s0031-9406(10)62289-4.

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Kersten, Roel F. M. R., Martin Stevens, Jos J. A. M. van Raay, Sjoerd K. Bulstra, and Inge van den Akker-Scheek. "Habitual Physical Activity After Total Knee Replacement." Physical Therapy 92, no. 9 (September 1, 2012): 1109–16. http://dx.doi.org/10.2522/ptj.20110273.

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Background Previous studies on physical activity after total knee arthroplasty (TKA) concentrated mainly on a return to sports activities. Objective The objectives of this study were to determine the habitual physical activity behavior of people who had undergone TKA (TKA group) 1 to 5 years after surgery and to examine to what extent they adhered to international guidelines for health-enhancing physical activity. Additional aims were to compare younger (<65 years old) and older (≥65 years old) people as well as men and women in the TKA group and to compare the results for the TKA group with those for a sex- and age-matched normative population (normative group). Design This investigation was a cohort study. Methods All people who had a primary TKA at 1 of 2 participating hospitals between 2002 and 2006 were sent the Short Questionnaire to Assess Health-Enhancing Physical Activity at least 1 year after surgery. Results The TKA group spent, on average, 1,347 minutes per week on physical activity, most of which was light-intensity activity (780 minutes per week). Participants younger than 65 years of age spent significantly more time on physical activity than participants 65 years of age or older. There was no significant difference between male and female participants. Compared with the sex- and age-matched normative group, the TKA group spent significantly less time on the total amount of physical activity per week and met the guidelines for health-enhancing physical activity less often (55% versus 64%). Limitations A self-administered questionnaire was used to assess habitual physical activity, and presurgery data on physical activity were not available. Conclusions Almost half of the TKA group did not meet the health-enhancing physical activity guidelines, and the TKA group was not as physically active as the normative group. People who have undergone TKA should be encouraged to be more physically active.
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E. Endang Sri Mariani. "Aquatic Therapy Following Total Knee Replacement." Indonesian Journal of Physical Medicine & Rehabilitation 9, no. 1 (December 30, 2020): 54–68. http://dx.doi.org/10.36803/ijpmr.v9i1.256.

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ABSTRACTTotal knee replacement (TKR) has revolutionized the care of pati ents with end-stage knee joint disease. Rehabilitation of TKR commonly consists of land-based exercises as a primary mode, but it may notalways be an optimal approach. Water provides a unique environment. The level of exertion is a function of water properties and the physical laws of motion. Aquatic therapy allows fine gradations of exercise, increase control over thepercentage of weight bearing, increase ROM and strength, decrease pain and swelling, and increase confidence in functional movements.Although there is inconsistency in research results, of all studies aquatic therapy is not said to be worst than land-based therapy. Moreover, it has a positive influence on social behavior and mood. This may bemore advantageous in the early postoperative phase when patient s are limited by pain. As a tool, aquatic therapy has desirable and undesirable effects. So, it is important to screen the patientsbefore undergoing aquatic therapy and to assess patient’s condition during and after it. However, so far there has been no agreement in post TKR aquatic protocols. The obstacle also may occur on the cost forfacility maintenance and hygiene, as well as the availability o f competent human resources.Keywords: aquatic therapy, total knee replacement
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Foster, Robert R., and Shehra Khalifa. "Total Knee Replacement Rehabilitation." Sports Medicine and Arthroscopy Review 4, no. 1 (1996): 83–91. http://dx.doi.org/10.1097/00132585-199600410-00011.

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Warne, Kevin J. "Case Report—Physical Therapy After Total Knee Replacement Surgery." Home Health Care Management & Practice 27, no. 2 (December 8, 2014): 54–63. http://dx.doi.org/10.1177/1084822314561324.

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Lo, Chi-Kin, Hok-Yin Li, Yiu-Chung Wong, and Yuk-Leung Wai. "Total Knee Replacement with iASSIST Navigation System." Journal of Orthopaedics, Trauma and Rehabilitation 24, no. 1 (June 2018): 29–33. http://dx.doi.org/10.1016/j.jotr.2016.11.003.

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Background/Purpose The iASSIST system is a novel navigation system for total knee replacement. It is based on accelerometers built within electronic pods attached to the instruments within the operative field. The objective of this study was to compare the accuracy of iASSIST navigation with that of the conventional alignment technique. Methods A total of 91 patients (92 knees) retrospectively matched for age, gender, preoperative range of motion, and lower limb deformity underwent total knee replacement using iASSIST navigation (45 patients, 46 knees) or conventional instrumentation (46 patients, 46 knees). Operative time and radiological alignments were compared. Results The use of iASSIST navigation resulted in fewer outliners (as defined by >3° deviation from the neutral mechanical axis) in lower limb alignment. Operative time with iASSIST navigation was not longer than that using conventional instruments. Conclusion iASSIST navigation reduces the incidence of lower limb malalignment without adding extra time to the procedure.
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Raynauld, Jean-Pierre, Johanne Martel-Pelletier, Marc Dorais, Boulos Haraoui, Denis Choquette, François Abram, André Beaulieu, et al. "Total Knee Replacement as a Knee Osteoarthritis Outcome." CARTILAGE 4, no. 3 (April 10, 2013): 219–26. http://dx.doi.org/10.1177/1947603513483547.

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Pui-kan, Chan Calvin, Lee Quun-jid, Wong Yiu-chung, and Wai Yuk-leung. "Bilateral Sequential Total Knee Replacement versus Unilateral Total Knee Replacement in a High Volume Hospital." Journal of Orthopaedics, Trauma and Rehabilitation 24, no. 1 (June 2018): 9–11. http://dx.doi.org/10.1016/j.jotr.2016.12.001.

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Background/Purpose Bilateral simultaneous or sequential total knee replacement (TKR) is performed on a portion of patients but the benefits and risks remain controversial. Methods A total of 89 sequential bilateral TKR (BTKR) patients were compared with 89 unilateral TKR (UTKR) patients in our total joint replacement centre from October 2011 to October 2014. The baseline parameters were matched and postoperative results were compared. Results The BTKR group had a shorter length of stay per knee (4.8 days vs. 6.5 days) but with a higher total drain output, higher haemoglobin drop, higher transfusion rate, and more postoperative acute retention of urine. Both groups had similar major complication rates and no 90 days mortality. Conclusion BTKR is a safe surgery in selected patients performed in a high volume hospital with fast-track programme.
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Bradbury, Neil, David Borton, Geoff Spoo, and Mervyn J. Cross. "Participation in Sports After Total Knee Replacement." American Journal of Sports Medicine 26, no. 4 (July 1998): 530–35. http://dx.doi.org/10.1177/03635465980260041001.

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Return to regular sports activity was evaluated in a retrospective review of 160 patients who had undergone total knee replacement surgery by a single surgeon (208 knee replacements). Mean age of the patients was 68 years (range, 27 to 87) at surgery and 73 years (range, 33 to 91) at review at a mean follow-up of 5 years (range, 3 to 7). Seventy-nine patients regularly participated in sports, at least once per week, before surgery, and 51 patients regularly participated in sports after surgery. Only eight patients took up sports after surgery who were not regularly involved in sports in the year before surgery. Patients were more likely to return to low-impact activities such as bowls (29 of 32, or 91%) than to high-impact activities such as tennis (6 of 30, or 20% returned). Forty-three of 56 patients (77%) who had participated in regular exercise in the year before surgery returned to sports. Eighty patients did not participate in sports before surgery and 54 of these had coexisting disease that prevented sports. None of these patients returned to sports.
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Hodges, Alison, Alison R. Harmer, Sarah Dennis, Lillias Nairn, Lyn March, Ross Crawford, David Parker, and Marlene Fransen. "Prevalence and determinants of physical activity and sedentary behaviour before and up to 12 months after total knee replacement: a longitudinal cohort study." Clinical Rehabilitation 32, no. 9 (April 25, 2018): 1271–83. http://dx.doi.org/10.1177/0269215518769986.

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Objective: This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement. Design, setting and subjects: Secondary analysis was performed on data from a cohort of 422 adults (45–74 years), drawn from 12 public or private hospitals, undergoing primary unilateral or bilateral total knee replacement surgery. Main measures: Questionnaires were used to determine the presence of inadequate physical activity and excessive sedentary behaviour before and 6 and 12 months after total knee replacement surgery. Knee pain, activity limitations, comorbidities, muscle strength, psychological well-being, fatigue, sleep and body mass index were measured/assessed as possible determinants of physical activity or sedentary behaviour. Results: Before surgery, 77% ( n = 326) of the cohort participated in inadequate physical activity according to World Health Organization guidelines, and 60% ( n = 253) engaged in excessive sedentary behaviour. Twelve months after surgery, 53% ( n = 185) of the cohort engaged in inadequate physical activity and 45% ( n = 157) in excessive sedentary behaviour. Inadequate physical activity before surgery ( P = 0.02), obesity ( P = 0.07) and comorbidity score >6 ( P = 0.04) predicted inadequate physical activity 12 months after surgery. Excessive sedentary behaviour and activity limitations before surgery predicted excessive sedentary behaviour 12 months after surgery. Conclusion: Although there were improvements after total knee replacement, 12 months after surgery about half the cohort did not meet World Health Organization recommendations for activity. Pre-surgery assessment of physical activity, activity limitations, sedentary behaviour and body mass index is essential to identify patients at risk for long-term inactivity.
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Dissertations / Theses on the topic "Total knee replacement. Physical therapy"

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Schrader, Kate. "Knee Surgery: Total Knee Replacement or Partial Knee Replacement." University of Toledo Honors Theses / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=uthonors1305216135.

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Johnson, A. Wayne. "Whole-body vibration compared to traditional physical therapy in individuals with total knee arthroplasty /." Diss., CLICK HERE for online access, 2007. http://contentdm.lib.byu.edu/ETD/image/etd1790.pdf.

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Wilson, Julie Kay. "A comparative study of rehabilitation on total knee replacement." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/1014843.

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The purpose of this study was to determine the effectiveness of the Augmented Soft Tissue Mobilization (A.S.T.M.) Rehabilitation Technique on total knee replacement patients. The specific measurements assessed were stride length (SL), stride frequency (SF), walking velocity, support time (ST), total time (TT), static and walking range of motion (ROM) of the hip, knee, and ankle, ground reaction forces (GRF), and torques. Fourteen subjects (Female = 7, Male = 7) completed the study. Subjects were randomly assigned to two experimental groups, the Traditional Therapy treatment or the A.S.T.M. treatment. There were five testing sessions: pre operation, 8 weeks, 12 weeks, 16 weeks, and 24 weeks post operation. On the 12 week test, the subject had completed their assigned of treatment protocol. Static ROM was derived from gonimetric measurements before each testing session. Stride length, stride frequency, velocity, time, and walking ROM were derived from accelerometer data. Statistical analysis using ANOVA revealed a significant change in all static ROM, SL, and ST. The data indicated that both groups of the Total Knee Replacement patients did improve their functional status from their status prior to surgery. In addition, the data indicated that the Augmented Soft Tissue Mobilization program and the Traditional Therapy program are equally acceptable rehabilitation techniques.
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Harnirattisai, Teeranut. "Exercise, physical activity, and physical performance in Thai elders after knee replacement surgery : a behavioral change intervention study /." free to MU campus, to others for purchase, 2003. http://wwwlib.umi.com/cr/mo/fullcit?p3115553.

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Silva, Adriana Lucia Pastore e. "Estudo comparativo entre dois métodos de reabilitação fisioterapêutica na artroplastia total do joelho: protocolo padrão do IOT x protocolo avançado." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/5/5140/tde-06022007-090101/.

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Este estudo compara dois protocolos de reabilitação fisioterapêutica - um com três meses de duração (protocolo padrão IOT) e outro com dois meses (protocolo avançado) - para evidenciar a real necessidade de um tempo prolongado de reabilitação em 31 pacientes submetidas a artroplastia total do joelho. O estudo é prospectivo e randomizado e a faixa etária avaliada está entre 60 e 76 anos. As pacientes são avaliadas no pré-operatório e após o tratamento com avaliação clínica (escala de dor, Knee Society Score, SF-36 e goniometria) e avaliação de força (avaliação isocinética) para comparação dos protocolos. A análise estatística dos valores da escala de dor, do Knee Society Score, da amplitude de movimento, do pico de torque muscular e da avaliação da qualidade de vida (SF-36) demonstra que todas as pacientes obtêm melhora quando comparamos o pré e pós-operatório, independente do grupo. Conclui-se que o protocolo de reabilitação fisioterapêutica com dois meses de duração para o pós-operatório de artroplastia total do joelho mostra ser eficaz, alcançando os mesmos objetivos e resultados que o protocolo com três meses de duração
The present study compares two physiotherapeutic rehabilitation protocols - one lasting three months (standard IOT protocol), the other lasting two months (advanced protocol) - to assert the actual need of a prolonged rehabilitation period in 31 cases of patients who went through total knee arthroplasty. The study is prospective and randomized; the age group of evaluated patients is between 60 and 76 years-old. In order to compare the two protocols, patients are evaluated before surgery and after treatment, by means of clinical evaluation (pain scale, Knee Society Score, SF-36 and goniometry) and isokinetic strength test. Statistical analyses of results from pain scale, Knee Society Score, movement amplitude, muscular torque peak and quality of life show improvement for all patients between pre- and post-operation, regardless of group. The study concludes the two months physiotherapeutic rehabilitation protocol for total knee arthroplasty is as effective as the three months protocol, as both reached the same goals and results
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Petkutė, Toma. "Skirtingų kineziterapijos programų poveikis moterų, kurioms pakeistas kelio sąnarys, judėjimo funkcijai." Bachelor's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130910_091755-34650.

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Tyrimo tikslas – įvertinti kineziterapijos pratimų ir keturgalvio šlaunies raumens elektrinės stimuliacijos poveikį moterų, kurioms endoprotezuotas kelio sąnarys, judėjimo funkcijai. Uždaviniai: 1. Nustatyti kineziterapijos pratimų poveikį moterų, kurioms endoprotezuotas kelio sąnarys, judesių amplitudei, raumenų jėgai, skausmo intensyvumui, kelio tinimui ir funkcinei būklei. 2. Nustatyti kineziterapijos pratimų, derinamų su raumenų elektrine stimuliacija, poveikį moterų, kurioms endoprotezuotas kelio sąnarys, judesių amplitudei, raumenų jėgai, skausmo intensyvumui, kelio tinimui ir funkcinei būklei. 3. Palyginti skirtingų kineziterapijos programų efektyvumą. Išvados: 1. Taikant kineziterapijos pratimus statistiškai reikšmingai padidėjo moterų, kurioms endoprotezuotas kelio sąnarys, operuotos kojos kelio judesių amplitudės, raumenų jėga, sumažėjo skausmo intensyvumas, kelio tinimas bei pagerėjo funkcinė būklė. 2. Taikant kineziterapijos pratimus ir keturgalvio šlaunies raumens elektrinę stimuliaciją statistiškai reikšmingai padidėjo moterų, kurioms endoprotezuotas kelio sąnarys, operuotos kojos kelio judesių amplitudės, raumenų jėga, sumažėjo skausmo intensyvumas, kelio tinimas bei pagerėjo funkcinė būklė. 3. Kineziterapijos pratimai, derinami su keturgalvio šlaunies raumens elektrine stimuliacija, labiau padidino blauzdą tiesiančių raumenų jėgą ir pagerino „Stotis ir eiti“ testo rezultatus nei vien kineziterapijos pratimai. Judesių amplitudei, skausmo intensyvumui, kelio... [toliau žr. visą tekstą]
The aim of the study: to evaluate the effect of physical therapy exercises and electrical stimulation of the quadriceps muscle on motor function in women after total knee replacement. Goals of the study: 1. To assess the effect of physical therapy exercises for range of motion, muscles strength, pain intensity, knee swelling and functional performance in women after total knee replacement. 2. To determine the effect of physical therapy exercises combined with neuromuscular electrical stimulation for range of motion, muscle strength, pain intensity, knee swelling and functional performance in women after total knee replacement. 3. To compare the effectiveness of different physical therapy programs. Coclusions: 1. Physical therapy exercises have significantly increased the knee range of motion, muscle strength, decreased pain intensity, the swelling of the knee and improved functional performance for women after total knee replacement surgery. 2. Physical therapy exercises with quadriceps muscle neuromuscular electrical stimulation have significantly increased the knee range of motion, muscle strength, decreased pain intensity, the swelling of the knee and improved functional performance for women after total knee replacement surgery. 3. Physical therapy exercises combined with quadriceps muscle neuromuscular electrical stimulation whilst compared to physical therapy exercises alone increased the strength of quadriceps muscle and results of “Timed up and go” test more. Both... [to full text]
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Börjesson, Margareta. "Gait in patients with knee osteoarthritis : effects of preoperative physical therapy and two surgical interventions /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-884-X/.

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Causey-Upton, Renee. "READINESS FOR DISCHARGE AFTER TOTAL KNEE REPLACEMENT: EXPLORING PATIENTS’ PERCEPTIONS OF DISCHARGE PREPARATION AND PROVIDERS’ DESCRIPTIONS OF PRE-OPERATIVE EDUCATION." UKnowledge, 2018. https://uknowledge.uky.edu/rehabsci_etds/47.

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Discharge readiness following total knee replacement (TKR) has often been defined using quantitative factors, such as knee range of motion or walking a specified distance. These measurements fail to include other features that could impact readiness for discharge, such as social support or patient perceptions. Most patients have positive results following TKR surgery, however others experience negative outcomes such as falls, reduced functional performance, and hospital readmission. Readiness for returning home after TKR begins with pre-operative education to prepare patients for surgery and the post-operative phase. Health care providers must have a clear understanding of patients’ perceptions of readiness to return home after surgery. It is also essential to describe the current structure of pre-operative education nationally as a mechanism for better preparing patients to return home following knee replacement. This dissertation includes three studies that explore aspects of discharge readiness following TKR including patients’ perceptions of readiness for discharge as well as the structure of pre-operative education for TKR across the United States. The first study examined patients’ experiences preparing for discharge home from the acute care setting following TKR surgery. Results indicated that patients felt prepared overall for discharge and received appropriate supports for returning home after surgery, but some felt unprepared for certain aspects of recovery such as the amount of pain experienced in the post-operative phase. The second study surveyed health care providers who participated in pre-operative education before TKR to identify the current structure of education programs in the United States. This pilot study revealed that pre-operative education teams were commonly interprofessional with education being typically provided in a group format in a single session lasting between 1 and 1.5 hours. Verbal and written instruction were common delivery methods to provide education. The final dissertation study used mixed-methods to explore the current structure of pre-operative education for TKR in the United States with a large, national sample. Orthopedic nurses completed an online survey to describe their pre-operative education program. The majority of participants provided pre-operative education as part of interprofessional teams in either a group format or a format that included both group and individual education. Verbal instruction was the most common educational delivery method followed by written instruction. Most pre-operative education classes lasted between 1 and 1.5 hours, were delivered in a single session, and included a variety of topics. Ten orthopedic nurses were then interviewed and interview transcripts were analyzed qualitatively for common themes among participants. Participants expressed that pre-operative education was a significant component impacting patient outcomes following surgery. Interprofessional pre-operative education was valued by participants, but pragmatic factors were identified as barriers to the inclusion of other disciplines within these programs. Education programs were constantly evolving based on current evidence-based practice and changes to orthopedic protocols. Descriptions of pre-operative programs nationally combined with providers’ perceptions provides a strong basis for determining best practice to support better post-operative patient outcomes. This dissertation research culminated in recommendations for best practice as well as the creation of a model, the ICF-I-EDUCATE, which combines the International Classification of Health, Functioning and Disability (ICF), interprofessional practice, and the EDUCATE model for providing patient and family education. Research is needed to examine the ICF-I-EDUCATE model in clinical practice for patients with planned TKR.
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Johnson, Aaron W. "Whole-Body Vibration Compared to Traditional Physical Therapy in Individuals with Total Knee Arthroplasty." BYU ScholarsArchive, 2007. https://scholarsarchive.byu.edu/etd/837.

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The purpose of the present study was to compare total knee arthroplasty (TKA) rehabilitation with and without whole-body vibration (WBV) to 1) understand if WBV is a useful treatment during TKA rehabilitation to increase quadriceps strength and function, and 2) to investigate the effect of WBV on quadriceps voluntary muscle activation. Subject and Methods. Individuals post TKA (WBV n=8, control n=8) received physical therapy with and without WBV for four weeks. Quadriceps strength and muscle activation, function, perceived pain, and knee range of motion were measured. Results. No adverse side effects were reported in either group. There was a significant increase in strength and function for both groups (P<0.01). There was no difference pre to posttest between groups for strength, muscle activation, or pain (Hotelling’s T2=0.42, P=.80) or for function (F=0.54, P=0.66). Discussion and Conclusion. In individuals with TKA, WBV showed equal strength and function improvement to physical therapy directed progressive resistive exercise. Influence of WBV on muscle activation remains unclear, as initial muscle activation was near established normal quadriceps levels and remained so post treatment.
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Armshaw, Brennan P. "Contingency Management of Physical Rehabilitation: The Role of Feedback." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1404528/.

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Modern advances in technology have allowed for an increase in the precision with which we are able to measure, record, and affect behavior. These developments suggest that the domains in which behavior analysis might contribute are considerably broader than previously appreciated, for instance the area of behavioral medicine. One way the field of behavior analysis can begin to address problems in behavioral medicine is with biosensor technology, like surface electromyography (sEMG). For sEMG technology to be useful in behavioral medicine, specifically recovery from total knee arthroplasty, a reference value (the maximum voluntary individual contraction-MVIC) must be established. The MVIC value allows for the comparison of data across days and may allow the programming of contingencies. However, current MVIC methods fall short. Study 1 compares MVIC values produced by a participant given the typical instruction only method with two alternative methods: instruction + feedback, and instruction + feedback in a game context. Across 10 participants both feedback conditions lead to higher MVIC values then the instruction only condition. Study 2 applies the MVIC techniques developed during Study 1 to an exercise procedure. Using an MVIC value as the criteria for feedback Study 2 compares the same three conditions, however this time assessing for the conditions under which exercise performance is optimal. Across all 9 participants the instruction + feedback in a game context lead to the participant ‘working harder' and 8 out of 9 participants exceeded the MVIC value more often during this condition then in the other two conditions.
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Books on the topic "Total knee replacement. Physical therapy"

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Roblero, Erin Erb. Exercise for knee and hip replacement. Tucson, Ariz: DSW Fitness, 2007.

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Aebi-Muller, Janine. Functional rehabilitation of patients with total hip arthroplasty. Bern: Huber, 1997.

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Knahr, Karl. Total Hip Arthroplasty: Tribological Considerations and Clinical Consequences. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013.

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A, Lotke Paul, and Lonner Jess H, eds. Knee arthroplasty. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2003.

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Lotke, Paul A., and Jess H. Lonner. Master Techniques in Orthopaedic Surgery: Knee Arthroplasty. 2nd ed. Lippincott Williams & Wilkins, 2002.

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Knahr, Karl. Total Hip Arthroplasty. Springer, 2013.

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Calisoff, Randy L., and David R. Walega. Chronic Knee Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0010.

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Chronic knee pain affects 27 million people in the United States and is a leading cause of disability. Seventy percent of the population 65 years or older will have knee pain with radiographic evidence of osteoarthritis, and 12% will have clinical symptoms of osteoarthritis. Chronic knee pain after total knee replacement ranges from 10% to 20%. Patellofemoral pain syndrome (PFPS) refers to anterior knee pain exacerbated with knee joint loading activities (squatting, kneeling, prolonged sitting, ascending/descending stairs). PFPS is a clinical diagnosis, and treatment is directed toward pain alleviation and restoration of proper biomechanics. Pes anserine syndrome is common in runners, athletes, and individuals with osteoarthritis of the knee. Other risk factors include: female sex and a history of diabetes mellitus, obesity, or arthritis. Knowledge of the common knee pain etiologies, as well as key clinical manifestations, physical exam findings, differential diagnosis, and treatment options for each is important for pain specialists.
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Knahr, Karl. Total Hip Arthroplasty: Wear Behaviour of Different Articulations. Springer, 2012.

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Knahr, Karl. Total Hip Arthroplasty: Tribological Considerations and Clinical Consequences. Springer, 2013.

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Knahr, Karl. Total Hip Arthroplasty: Wear Behaviour of Different Articulations. Springer, 2012.

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Book chapters on the topic "Total knee replacement. Physical therapy"

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Gokeler, Alli, Roland Becker, Michael T. Hirschmann, and Markus P. Arnold. "39 Physical Therapy for Persistent Pain After Total Knee Replacement." In The Unhappy Total Knee Replacement, 477–87. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08099-4_46.

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Lustig, Sebastien, Robert A. Magnussen, Victoria B. Duthon, Elvire Servien, Roland Becker, Michael T. Hirschmann, Guillaume Demey, and Philippe Neyret. "25 Medical History and Physical Examination." In The Unhappy Total Knee Replacement, 315–26. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08099-4_31.

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Borens, Olivier, and Erlangga Yusuf. "60 Treatment of Infected Total Knee Replacement: Concept, Surgical Options and Antibiotic Therapy." In The Unhappy Total Knee Replacement, 715–27. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08099-4_71.

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Kaplan, Robert J. "Total Knee Replacement." In Essentials of Physical Medicine and Rehabilitation, 399–406. Elsevier, 2008. http://dx.doi.org/10.1016/b978-1-4160-4007-1.50073-0.

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CACKO, M. "Total Knee Arthroplasty." In Orthopaedic Physical Therapy Secrets, 576–81. Elsevier, 2006. http://dx.doi.org/10.1016/b978-156053708-3.50074-x.

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Cacko, M. A., and J. D. Keener. "Total Knee Arthroplasty." In Orthopaedic Physical Therapy Secrets, 560–65. Elsevier, 2017. http://dx.doi.org/10.1016/b978-0-323-28683-1.00072-2.

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Minori, Joshua, and Kristen Vogl. "Physical and Occupational Therapy After Total Knee Arthroplasty." In Rothman Institute Manual of Total Joint Arthroplasty: Protocol-Based Care, 473. Jaypee Brothers Medical Publishers (P) Ltd., 2017. http://dx.doi.org/10.5005/jp/books/13027_78.

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Vagner, Jan, Ingrid Palaščáková Špringrová, Pavel Přikryl, Šárka Tomková, and Rafi Moheb. "Physical Therapy Based on Closed Kinematic Chain Patterns for Patients after Total Hip Replacement." In Total Hip Replacement - An Overview. InTech, 2018. http://dx.doi.org/10.5772/intechopen.76756.

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Kothari, Perin, and Sree Kolli. "Rheumatoid Arthritis Patient Presenting for a Total Knee Replacement." In Anesthesiology: A Problem-Based Learning Approach, edited by Tracey Straker and Shobana Rajan, 237–39. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190850692.003.0027.

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Rheumatoid arthritis (RA) is a progressive connective tissue disorder. Patients with RA have several concerns relevant to the anesthesiologist. RA can affect multiple organ systems beyond simply the joints. A thorough history and physical is needed to evaluate for cardiac, respiratory, and neurologic abnormalities. Furthermore, cervical spine involvement is very common for patients with RA. Special consideration is needed for airway management of these patients. In addition, radiographic imaging may be helpful in evaluating the extent of the disease. Regional and neuraxial anesthesia may be alternatives to general anesthesia in patients with RA when possible. This chapter discusses preoperative assessment and intraoperative management of patients with RA.
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Becker, Richard C., and Frederick A. Spencer. "Venous Thromboembolism Prophylaxis." In Fibrinolytic and Antithrombotic Therapy. Oxford University Press, 2006. http://dx.doi.org/10.1093/oso/9780195155648.003.0030.

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Venous thromboembolism represents a true worldwide medical problem that is encountered within all realms of practice. Venous thromboembolism (VTE) occurs in approximately 100 patients per 100,000 population yearly in the United States and increases exponentially with each decade of life (White, 2003). Approximately one-third of patients with symptomatic deep vein thrombosis (DVT) experience a pulmonary embolism (PE). Death occurs within 1 month in 6% of patients with DVT and 12% of those with PE. Early mortality is associated strongly with presentation as PE, advanced age, malignancy, and underlying cardiovascular disease. An experience dating back several decades has provided a better understanding of disease states and conditions associated with VTE (Anderson and Spencer, 2003). Given the potential morbidity and mortality associated with VTE, it is apparent that prophylaxis represents an important goal in clinical practice. A variety of anticoagulants including unfractionated heparin, low-molecular-weight heparin (LMWH), and warfarin have been studied. More recently, two new agents have been developed that warrant discussion. Fondaparinux underwent a worldwide development program in orthopedic surgery for the prophylaxis of VTE. The program consisted mainly of four large, randomized, double-blind phase II studies comparing fondaparinux (SC), at a dose of 2.5 mg starting 6 hours postoperatively, with the two enoxaparin regimens approved for VTE prophylaxis—40 mg qd or 30 mg twice daily beginning 12 hours postoperatively. The results support a greater protective effect with fondaparinux, yielding a 55.2% relative risk reduction of VTE (Bauer et al., 2001; Eriksson et al., 2001; Lassen et al., 2002; Turpie et al., 2001, 2002; ). A European program of three large-scale clinical trials (MElagatran for THRombin inhibition in Orthopedic surgery [METHRO] I, II, and III, and EXpanded PRophylaxis Evaluation Surgery Study [EXPRESS]) (Eriksson et al., 2002a, b, 2003a, b) evaluated the safety and efficacy of subcutaneous melagatran followed by oral ximelagatran compared with LMWH for thromboprophylaxis following total hip replacement (THR) and total knee replacement (TKR) surgery.
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Conference papers on the topic "Total knee replacement. Physical therapy"

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Herath, B., and CB Bernat. "ESRA19-0322 Femoral nerve pulsed-radiofrequency (PRF) therapy in the treatment of complex regional pain syndrome (CRPS) following total knee replacement." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.265.

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Atchabahian, A., G. Cuff, and R. Cuevas. "ESRA19-0264 Delayed attainment of physical therapy milestones with the addition of an adductor canal block to local infiltration analgesia following total knee arthroplasty." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.417.

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Caprini, J. A., J. C. Kudrna, and A. S. Mitchell. "THROMBOSIS PROPHYLAXIS IN TOTAL HIP ARTHROPLASTY PATIENTS USING A COMBINATION OF PHYSICAL METHODS." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644209.

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Lowering the incidence of thromboembolic events in patients undergoing total hip arthroplasty remains a high priority and various drug and physical method protocols have been devised to achieve this goal. We report here our experience using full-length antiembolism stockings (TED), full-length sequential compression devices (SCD) and the continuous passive motion device (CPM) to prevent thrombosis in patients undergoing total hip procedures. 106 consecutive patients were enrolled in this protocol, including 80 primary and 26 revision hip arthroplasties. Cement was used in 40 primary and 12 revision procedures. Our population was composed of 46 males and 60 females ranging in age from 30 to 92 years. The prophylactic protocol included TED hose preoperatively and during surgery, with application of SCD and CPM in the Recovery Room. These patients had immediate leg elevation and were ambulated within 24-48 hours postoperatively. SCD/CPM devices but not the TED hose were removed for ambulation and discontinued when the patients were fully ambulatory. All patients had preoperative coagulation studies and were monitored postoperatively using doppler ultrasound, strain gauge plethysmography and daily radioiodinated fibrinogen scanning. Contrast venography was done if any clinical signs or symptoms appeared and to confirm or rule out thrombi in all those with equivocal or abnormal flow studies or scans. Patients receiving antiplatelet drugs and anticoagulants were excluded from the study. Deep vein thrombosis developed in 4 of 106 patients (3*8%) postoperatively, including 3/4 above-knee clots. 2/4 also had minor pulmonary emboli. All were successfully treated with anticoagulants and no fatalities occurred. Patient acceptance of these devices was very high and no one refused to use either the SCD or CPM appliances. Minor skin irritation occurred in about 3% and was the only side effect. Our results indicate that this combination of physical methods is highly effective in lowering the incidence of thromboembolism following total hip replacement without any serious side effects.
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Baer, Thomas, Ryan Frisbie, Michael Willey, and Jessica Goetz. "Development of a Simplified Ankle Distractor." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3438.

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The physical impairment caused by OA of a single lower extremity joint is comparable to that reported for major life-altering disorders such as end-stage kidney disease and heart failure. (Buckwalter, et al) [1] Ankle distraction arthroplasty has been shown to greatly decrease pain due to end-stage ankle arthritis. Unlike arthrodesis (fusion of the joint), distraction arthroplasty maintains the joint’s natural movement, and it is far less complicated than total joint replacement surgery. There is a considerable body of research supporting the idea that distraction of an end-stage arthritic joint (most of the work thus far has been done on ankles, although there has also been some investigation of the efficacy of the treatment for knee arthritis) for a period of weeks allows the growth of new tissue in the joint. Although this tissue is not true articular cartilage, distraction arthroplasty has been shown to significantly decrease pain and, in the majority of cases, to be a long lasting remedy for a condition that would otherwise commonly be treated with arthrodesis. [2] Devices currently available for this procedure are generally quite complicated because they are designed for a wide range of functions related to bone fixation. This versatility also tends to make those systems larger and more expensive, and their aggressively mechanical appearance makes potential joint distraction patients hesitant to select the procedure. While fracture patients may not have a choice about being treated with such devices, elective patients are instinctively resistant to their use, even when assured that the end result will most likely significantly improve in the quality of their lives.
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