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82 APPENDICES Physiotherapy KCE reports vol. 40 Clinical Trial. (90) Cryotherapy compared with Robert Jones bandage after total knee replacement: A prospective randomised trial (91) No need for outpatient physiotherapy following total knee arthroplasty. A randomized trial of 120 patients (81) Does Shortened Length of Hospital Stay Affect Total Knee arthroplasty Rehabilitation Outcomes ? (92) Electrical stimulation effect on extensor lag and length of hospital stay after total knee arthroplasty (84) RCT RCT motion (CPM) on range of motion (ROM), functional ability, and length of stay after primary total knee arthroplasty. Interventions: conventional physical therapy intervention only, conventional physical therapy and 35 minutes of CPM applications daily, conventional physical therapy and 2 hours of CPM applications daily. Outcome variables: active ROM in knee flexion at discharge, active ROM in knee extension, Timed "Up & Go" Test results, Western Ontario and McMaster Universities Osteoarthritis Index questionnaire scores, length of stay. RCT (60 patients) to compare a cold compression dressing (Cryo-cuff®) to a modified Robert Jones bandage after total knee replacement. Interventions: Cryo/cuff compared to modified Robert Jones bandage. Outcome variables: blood loss, range of movement, pain scores and need for analgesia. RCT (120 patients) on effectiveness on outpatient physiotherapy versus no physiotherapy after total knee replacement. Interventions: traditional physiotherapy versus no physiotherapy after total knee arthroplasty. Outcome variables: R.O.M. RCT RCT on the influence of length of hospital stay on the rehabilitation outcomes after primary total knee arthroplasty. Interventions: hospital joint arthroplasty program implemented to decrease length of stay versus no program. Outcome variables: range of motion and Knee Society scores at preoperative and 3-, 6-, and 12- RCT month postoperative intervals CT (40 patients) on the effects of electrostimulation to reduce extensor lag and decrease length of hospital stay. Interventions: electrostimulation and traditional physiotherapy versus physiotherapy only. Outcome variables: extensor lag and length of hospital stay Pedro 3/10 Pedro 7/10 Cochrane II form: Negative or no answer possible for 6 out of the 9 of the first questions of the Va form. Results of this study must be implemented with caution. Pedro 4/10
KCE reports vol. 40 APPENDICES Physiotherapy 83 Effect of adjunctive range-of-motion therapy after primary total knee arthroplasty on the use of health services after hospital discharge (93) A Randomised Controlled Trial of Osteopathic Manipulative Treatment Following Knee or Hip Arthroplasty (94) A Randomized, Controlled Trial Comparing Compression bandaging and Cold Therapy In Postoperative Total Knee Replacement Surgery (95) Cryo/Cuff Compared to Epidural Anesthesia After Knee Unicompartmental Arthroplasty (82) RCT RCT RCT RCT RCT (120 patients) on the influence of continuous passive motion (CPM) and slider-board (SB) therapy used as adjuncts to standardized exercises on duration of hospital stay and rehabilitation needs after total knee arthroplasty. Interventions: CPM and standardized exercises (SEs), SB therapy and SEs or SEs alone Outcome variables: tertiary Health service use, post-discharge rehabilitation, readmission and complication rates and their associated costs. RCT (60 patients) on the efficacy of osteopathic manipulative treatment on pain and ambulation performance after total knee arthroplasty. Interventions: either osteopathic manipulative treatment or sham treatment in addition to standard care. Outcome variables: Functional Independence Measure (FIM) scores and in daily analgesic use during the rehabilitation unit stay; length of stay; rehabilitation efficiency, defined as the FIM total score change per rehabilitation unit day; and changes in Medical Outcomes Study Short Form-36 scores from rehabilitation unit admission to 4 weeks after discharge. RCT (84 patients) on simple compression as a technique associating cold and compression. Outcome variables: length of hospital stay, blood loss and transfusion, joint swelling, R.O.M., pain and opiate use. Interventions: compression bandaging versus a cryopad technique. Outcome variables: length of hospital stay, blood loss, blood transfusion, swelling, flexion, pain, and opiate use. RCT (60 patients randomized in 3 intervention groups) on the efficacy of cold compressive dressings (Cryo/cuff) and epidural anaesthesia after total knee replacement. Interventions: Cryo/cuff and epidural PCA. Outcome variables: pain, morphine consumption, bleeding, swelling, range of motion, and function. Pedro 8/10 The major methodological problems in this study are its sample size and the presence of a comprehensive, multidisciplinary treatment program as a standard co-intervention. Cochrane II form: Answer possible and generally positive for 8 of the 9 first questions of the II form. Recommendations seem applicable to Belgian situation Cochrane II form: Negative or no answer possible for 5 out of the 9 first questions of the form. Results must be implemented with caution. Cochrane II form: Negative or no answer possible for 6 out of the 9 first questions of the form. Results must be implemented with caution. Transcutaneous electrical nerve RCT RCT on the efficacy of TENS on postoperative pain Cochrane II form:
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