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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: