Group items tagged

This article agreed with most other articles similar to it that I have read in relation of CPM to TKR. No significant improvements were noted for patients using CPM in an IRF for a total knee replacement.

The findings in this article show that the use of continuous passive motion had no significant advantage in terms of improving clinical measurements, however can affect pain level, joint stiffness and functional ability.

Assessment based outcome scores were used to determine effectiveness of continuous passive motion after a total knee replacement.

This article is in regards to continuous passive motion after a TKR. This article includes follow up information longer term than most articles that I have found. The overall consensus appears to be the same throughout these articles.

In my rotation, we have treated a few stroke patients after BTX-A injections using splinting and a few other treatment methods. This article discovers the comparison of adhesive taping vs. daily manual muscle stretching and splinting after injections. A single-blind randomized control trail with 70 patients was conducted with patients experiencing wrist and finger flexor muscle spasticity post-stroke. After receiving the injections, patients were randomly divided into two groups. Group A consisted of adhesive taping. Adhesive taping is first placed on forearm and fingers and left for 10 days with daily checks. The tape provides traction on hypertonic muscles. Group B consisted of patient's receiving manual muscle stretching of injected muscles for 30 min and passive articular mobilization of wrist and fingers to maintain muscle length. Custom palmar splints with made for each patient and positioned for maximum stretching. Outcome measures used to to measure spasticity consisted of the Modified Ashworth scale, related disability with Disability Assessment Scale and finger positions at rest. At the end of the trial, it was discovered that patient in Group A, adhesive taping, had a significantly decrease in spasticity scores. Some limitations included lack of placebo group and longer follow-up data.

This article looks at the efficacy of a technique called tapping facilitation for CVA patients with hemiplegic UEs. I got to learn about this technique with an inpatient who had a massive CVA when she went in for open heart surgery. Her right arm and hand were completely flaccid. We used this to work on regaining elbow flexion & extension, as well as wrist flexion and extension. This technique involves putting the targeted muscle group on a stretch (i.e. elbow/wrist flexors or extensors) and firmly tapping the muscle bellies until there was a palpable to visually noticeable "twitch" in those muscles. After this twitch was felt or observed we would passively take the elbow or wrist through the ROM we were working on so that the brain could reform the connections.

I used this systematic review for my inservice at my current fieldwork pertaining to CPM after a TKR. The findings were comparable to all other articles found stating that however CPM shows favorable results, the findings are too insignificant to state any conclusions with evidence support. I found this interesting especially in this day when EBP is so important to see that there is inconclusive data and these expensive machines are being used. The article looked at 6 specific outcomes measures pertaining to TKR post surgical.