Knee Osteoarthritis: Alternative Range of Motion Treatment

Rodney W Benner; K Donald Shelbourne; Scot N Bauman; Adam Norris; Tinker Gray

doi:10.1016/j.ocl.2019.05.001

Knee Osteoarthritis: Alternative Range of Motion Treatment

Orthop Clin North Am. 2019 Oct;50(4):425-432. doi: 10.1016/j.ocl.2019.05.001. Epub 2019 Aug 5.

Authors

Rodney W Benner¹, K Donald Shelbourne², Scot N Bauman², Adam Norris², Tinker Gray²

Affiliations

¹ Shelbourne Knee Center at Community East Hospital, 1500 North Ritter Avenue, Indianapolis, IN 46219, USA. Electronic address: RBenner@ecommunity.com.
² Shelbourne Knee Center at Community East Hospital, 1500 North Ritter Avenue, Indianapolis, IN 46219, USA.

PMID: 31466659
DOI: 10.1016/j.ocl.2019.05.001

Abstract

The number of total knee arthroplasty (TKA) surgeries is expected to soar, and an effective nonoperative rehabilitation program is needed. We began treating patients with knee osteoarthritis with a range-of-motion (ROM) -based rehabilitation program that was delivered systematically, starting with ROM exercises for knee extension, followed by exercises for flexion and swelling reduction, before starting a strengthening program. In a group of 396 patients, significant improvements were made in knee extension, flexion, and KOOS subjective scores for pain, symptoms, activities of daily living, sport, and quality of life. Furthermore, the program prevented 76% of patients from undergoing TKA surgery.

Keywords: Knee osteoarthritis; Range of motion; Rehabilitation; Total knee arthroplasty.

Publication types

Review

MeSH terms

Activities of Daily Living
Arthroplasty, Replacement, Knee / statistics & numerical data
Exercise Therapy / instrumentation
Exercise Therapy / methods*
Female
Humans
Male
Osteoarthritis, Knee / physiopathology*
Osteoarthritis, Knee / radiotherapy*
Quality of Life
Range of Motion, Articular
Recovery of Function
Treatment Outcome