【論文摘要】Effectiveness of Physiotherapy Intervention Following Total Knee Replacement: A Systematic Review

【論文摘要】全膝關節置換術後物理治療介入效益：系統性文獻回顧

姜進玉(Chin-Yu Chiang) ； 謝昀庭(Yun-Ting Hsieh) ； 吳佩青(Pei-Ching Wu) ； 樊彩儀(Choi-I Fan) ； 林昆瑩(Kun-Ying Lin) ； 康富傑(Fu-Jie Kang)

《物理治療》 46卷4期 (2021/12) Pp. 325-325

https://doi.org/10.6215/FJPT.202112.P41

摘要

Background and Purpose: Knee osteoarthritis (KOA) is a common disorder in the elderly population. KOA would cause the inflammation that induces knee pain and also lead to functional limitation in daily activity. Several studies indicated that total knee replacement (TKR) combined with physical therapy has been effective for improving pain and functional ability. Thus, the aim of the review was to review the efficacy of intervention of TKR combined with physical therapy in patients with KOA. Methods: The following data base was searched including the PubMed form 2020 to 2021 by using relevant keywords ＂total knee replacement, randomized controlled trial, and physical therapy＂. Studies that didn't focus on TKR and didn't get any physical therapy intervention were excluded. Results: Based on the database search, 33 articles were selected. Following the selection criteria, 11 out of the 33 articles met the criteria. Based on the 1,565 sampling subjects (age range = 45-85 years old) from 11 studies, 4 to 6 weeks post TKR physical therapy interventions exhibit a greater change in pain, knee range of motion, strength, balance ability, and walking ability as compared to the post TKR routine care. Conclusion: Following this review, physical therapy intervention following TKR exerted benefits on pain, knee range of motion, strength, balance ability, and walking ability in patients with KOA. Clinical Relevance: A regular 4 to 6 weeks post TKR physical therapy intervention in KOA patients is necessary.