title: Static progressive stretch improves range of motion in arthrofibrosis following total knee arthroplasty.
abstract: Arthrofibrosis is a relatively common complication after total knee arthroplasty that negatively affects function and quality of life. Static progressive stretching is a technique that has shown promising results in the treatment of contractures of the elbow, ankle, wrist and knee. This study evaluated a static progressive stretching device as a treatment method for patients who had refractory knee stiffness after total knee arthroplasty. Twenty-five patients who had knee stiffness and no improvement with conventional physical therapy modalities were treated with the device. After a median of 7 weeks (range, 3-16 weeks), the median increase in range of motion was 25 degrees (range, 8-82 degrees). The median gain in knee active flexion was 19 degrees (range, 5-80 degrees). Ninety-two percent of patients were satisfied with the results. The authors believe static progressive stretching devices may be an effective method for increasing the ranges of motion and satisfaction levels of patients who develop arthrofibrosis after total knee arthroplasty.
authors.affiliation: Bonutti Clinic, 1303 W Evergreen Ave, Effingham, IL 62401, USA.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Bonutti
authors.forename: German A
authors.initials: GA
authors.lastname: Marulanda
authors.forename: Mike S
authors.initials: MS
authors.lastname: McGrath
authors.forename: Michael A
authors.initials: MA
authors.lastname: Mont
authors.forename: Michael G
authors.initials: MG
authors.lastname: Zywiel
mesh_terms: D000328:Adult; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000534:rehabilitation*; D003286:Contracture / Q000209:etiology / Q000534:rehabilitation*; D005260:Female; D005355:Fibrosis / Q000209:etiology / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D052580:Muscle Stretching Exercises / Q000295:instrumentation*; D009989:Orthotic Devices; D017060:Patient Satisfaction; D016059:Range of Motion, Articular; D020127:Recovery of Function