At a glance
ClinicalIndex Comparison Record- ✓Underwent total knee arthroplasty (TKA) surgery for primary or secondary gonarthrosis
- ✓Age between 40 and 90 years
- ✓Both sexes
- ✕TKA indication for fractures or bone tumors
- ✕Revision knee surgery
- ✕Postoperative infection
- ✕Neurological disorders
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Acute Effects of Transcutaneous Electric Nerve Stimulation in Patients Rehabilitation After Total Knee Arthroplasty.
In Brief
A clinical study evaluating Transcutaneous electrical nerve stimulation, Continuous passive movement device, and 1 other intervention for Transcutaneous Electric Nerve Stimulation and Pain. Completed, enrolled 26 participants.
Detailed Summary
Total knee arthroplasty (TKA) consists of a surgical replacement of this joint by a prosthesis, and it is mainly carried out in cases of knee osteoarthrosis. In the postoperative period of TKA, the pain is intense and limits the mobility of patients, so the analgesia is one of the goals of the physical therapy. One of the alternatives available for pain management is the transcutaneous electrical nerve stimulation (TENS), characterized by the application of an electric pulsed current through electrodes positioned on the skin. Therefore, the present study aims to evaluate the acute effects of TENS associated with conventional physical therapy compared with conventional physical therapy on the pain level, knee range of motion and administration of morphine in the rehabilitation of patients after TKA.
Study Details
Timeline
Interventions
TENS was applied in the conventional mode, through two self-adhesive electrodes of size 5x9cm positioned parallel to the lumbar spine, on the nerve roots of L3, L4 and L5, with frequency of 100 Hz and pulse duration of 100 μs, for 30 minutes. The intensity was adjusted according to the maximum tolerance of the patient and was gradually increased, with his permission, during the application time.
CPM device was used for 30 minutes and realized continuous passive flexion and extension of the operated knee.
Active exercises of plantar flexion and dorsal flexion of the ankles, adduction and abduction of the hips and flexion and extension of the operated knees. All exercises were performed in 10 repetitions, with the patient positioned in the supine position in the bed.