Manual Therapy Combined with Rehabilitation Training Accelerates Recovery After Knee Replacement

Meihua CHEN; Shaodong XIE; Deming ZENG; Yaodong CHEN; Shiyun LUO; Shaoyun WANG; Shaoyi HUANG

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Meihua CHEN, Shaodong XIE, Deming ZENG, Yaodong CHEN, Shiyun LUO, Shaoyun WANG, Shaoyi HUANG. Manual Therapy Combined with Rehabilitation Training Accelerates Recovery After Knee Replacement[J]. Journal of Kunming Medical University.

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Manual Therapy Combined with Rehabilitation Training Accelerates Recovery After Knee Replacement

1.
Rehabilitation Medicine Department
2.
Department of Orthopedics
3.
Medical Affairs Department
4.
Department of Orthopedics，Foshan Hospital of Traditional Chinese Medicine，Foshan Guangdong 528000，China

Received Date: 2024-08-26

Abstract

Abstract

Objective To observe the accelerated rehabilitation effects of myofascial trigger point （MTrPs） manual massage combined with periodic phased rehabilitation training following total knee arthroplasty （TKA）. Methods A total of 116 patients who underwent TKA at Foshan Hospital of Traditional Chinese Medicine from January 2020 to January 2025 were selected and randomly divided into a control group （periodic phased rehabilitation training） and an experimental group （periodic phased rehabilitation training combined with MTrPs manual massage）, with 58 cases in each group. The intention-to-treat （ITT） principle and per-protocol （PP） analysis were applied for the primary and secondary analyses, respectively. The rehabilitation process, pain status, range of motion, motor function, knee joint function, and adverse reactions were compared between the two groups. Results The results of the ITT and PP analyses were consistent: the time to achieve 90° of flexion, independent walking time, and independent stair-climbing time in the experimental group were all shorter than those in the control group （P < 0.05）. At 2, 6, and 12 weeks after the intervention, the Visual Analogue Scale （VAS） scores in the experimental group were lower than those in the control group （P < 0.05）, and the VAS scores in both groups decreased over time （P < 0.05）. At 2, 6, and 12 weeks after the intervention, the maximum active range of motion （AROM） of the knee joint in the experimental group was greater than that in the control group （P < 0.05）, the six-minute walk test （6MWT） distance was longer than that in the control group （P < 0.05）, and the Western Ontario and McMaster Universities Osteoarthritis Index （WOMAC） scores were lower than those in the control group （P < 0.05）. Over time, the AROM in both groups showed an increasing trend （P < 0.05）, the 6MWT distance showed a lengthening trend （P < 0.05）, and the WOMAC scores showed a decreasing trend （P < 0.05）. Conclusion MTrPs manual massage combined with periodic phased rehabilitation training can effectively shorten the postoperative rehabilitation process, alleviate pain, and improve knee joint function and motor function in patients following TKA.
- Osteoarthritis,
- Myofascial Pain Syndrome,
- Massage,
- Rehabilitation,
- Pain

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References(28)

References

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