The STAK tool : evaluation of a new device to treat arthrofibrosis and poor range of movement following total knee arthroplasty and major knee surgery

Copyright © 2020, The author(s)..

AIMS: This study aims to evaluate a new home medical stretching device called the Self Treatment Assisted Knee (STAK) tool to treat knee arthrofibrosis.

METHODS: 35 patients post-major knee surgery with arthrofibrosis and mean range of movement (ROM) of 68° were recruited. Both the STAK intervention and control group received standard physiotherapy for eight weeks, with the intervention group additionally using the STAK at home. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Oxford Knee Scores (OKS) were collected at all timepoints. An acceptability and home exercise questionnaire capturing adherence was recorded after each of the interventions.

RESULTS: Compared to the control group, the STAK intervention group made significant gains in mean ROM (30° versus 8°, p < 0.0005), WOMAC (19 points versus 3, p < 0.0005), and OKS (8 points versus 3, p < 0.0005). The improvements in the STAK group were maintained at long-term follow-up. No patients suffered any complications relating to the STAK, and 96% of patients found the STAK tool 'perfectly acceptable'.

CONCLUSION: The STAK tool is effective in increasing ROM and reducing pain and stiffness. Patients find it acceptable and adherence to treatment was high. This study indicates that the STAK tool would be of benefit in clinical practice and may offer a new, cost-effective treatment for arthrofibrosis.Cite this article: Bone Joint Open 2020;1-8:465-473.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:1

Enthalten in:

Bone & joint open - 1(2020), 8 vom: 17. Aug., Seite 465-473

Sprache:

Englisch

Beteiligte Personen:

Aspinall, Sara K [VerfasserIn]
Wheeler, Patrick C [VerfasserIn]
Godsiff, Steven P [VerfasserIn]
Hignett, Sue M [VerfasserIn]
Fong, Daniel T P [VerfasserIn]

Links:

Volltext

Themen:

Arthrofibrosis
Home treatment
Journal Article
Knee arthroplasty
Medical stretching device
Range of movement

Anmerkungen:

Date Revised 18.04.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1302/2633-1462.18.BJO-2020-0096

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317822268