IMPACT OF STATIC PROGRESSIVE STRETCH ON RANGE OF MOTION AFTER TOTAL KNEE REPLACEMENT IN PATIENTS WITH HAEMOPHILIA.

Journal of rehabilitation medicine. Clinical communications Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI:10.2340/jrmcc.v5.2285

Borut Pompe, Simona Filipidis, Petra Dovč

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Abstract

Background: Haemophilic arthropathy is often associated with a loss of range of motion. Total knee arthroplasty is an effective treatment option for patients with end-stage haemophilic arthropathy of the knee. However, even after arthroplasty, the range of motion sometimes remains insufficient.

Objective: To evaluate static progressive stretch as a treatment method for haemophilic patients with decreased range of motion after total knee arthroplasty.

Methods: Static progressive stretch was used to improve range of motion in patients with a postoperative extension lag of more than 10° and flexion of less than 80°. A total of 7 knees were treated for a mean of 21.7 weeks.

Results: Statistically significant increases in range of motion and in Knee Society Score were observed when comparing pre-treatment and post-treatment values.

Conclusions: Static progressive stretch using an orthotic device could be a successful adjuvant method for treating joint stiffness in patients with haemophilia after total knee arthroplasty.

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血友病患者全膝关节置换术后静态渐进式拉伸对活动范围的影响。

背景:血友病关节病常伴有活动范围的丧失。全膝关节置换术是终末期膝关节血友病患者的有效治疗选择。然而，即使在关节置换术后，活动范围有时仍然不足。目的:探讨静态渐进式拉伸对血友病患者全膝关节置换术后活动范围减小的治疗效果。方法:对术后伸展滞后大于10°，屈曲小于80°的患者，采用静态渐进式拉伸来改善其活动范围。7例膝关节平均治疗21.7周。结果:在比较治疗前和治疗后的数值时，观察到有统计学意义的活动范围和膝关节社会评分增加。结论:使用矫形装置进行静态渐进式拉伸是治疗血友病患者全膝关节置换术后关节僵硬的一种成功的辅助方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of rehabilitation medicine. Clinical communications

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