Knee osteoarthritis
Conditions
Interventions
CMP Group:After returning to the ward postoperatively, patients underwent training using a continuous passive motion (CPM) device (Hangzhou Meditech Instruments Co., Ltd., Product Standard: YZB/Zhe 20
2. Place the affected limb on the CPM machine in an abduction position of 10°–20°
3. Set the initial flexion angle at 30°, increasing by 10° daily
4. Each flexion-extension cycle lasts 45 seconds, with each session lasting 30 minutes, performed twice daily
5. Continue training until hospital discharge.
AET Group:Immediately upon returning to the ward after surgery, instruct the patient to perform the following exercises:
1. Isometric quadriceps contraction combined with ankle pumps: dorsiflex or p
complete 10 repetitions within 10 minutes, and perform 2–3 sets per hour.
2. On postoperative day 1: Straight leg raise—lie supine with the affected leg extended, lift it off the bed, starting with
perform 5–10 repetitions per hour.
4. On postoperative day 3: Standing knee flexion—stand and flex the knee, holding each position for 10 seconds
repeat 5–10 times, completing 2 sets.
5. On postoperative day 4: Walking training—begin with assistance from a walker, gradually transitioning to independent ambulation.
6. On postoperative
Sponsors
The First People's Hospital of Zunyi
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Patients clinically and radiologically diagnosed with end-stage knee osteoarthritis (KOA) requiring total knee arthroplasty (TKA) treatment, undergoing initial unilateral TKA surgery, who can comprehend the research procedures and are willing to sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients with a clear history of trauma, infection, or knee surgery; 2. Patients with severe comorbidities or deep vein thrombosis; 3. Patients receiving only conservative treatment; 4. Patients with rheumatoid arthritis; 5. HIV-positive patients; 6. Patients with comorbidities such as diabetic peripheral neuropathy or chronic low back and leg pain that may affect assessment; 7. Patients with severe systemic diseases involving the immune or hematologic systems; 8. Patients with cognitive impairment or psychiatric disorders that prevent participation in the study; 9. Patients who withdraw from the study for any reason during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical Wound Appearance Score (SWAS);HSS Score;Active Range of Motion (AROM);Visual Analog Scale (VAS);Static balance ability;Timed Up and Go Test (TUG Test); | — |
Countries
China
Contacts
Public ContactWang Zhi
The First People's Hospital of Zunyi
Outcome results
None listed