J Korean Acad Nurs.  2015 Dec;45(6):823-833. 10.4040/jkan.2015.45.6.823.

Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty

• Yun JY
• Lee JK

• KMID: 2363106
• DOI: http://doi.org/10.4040/jkan.2015.45.6.823

Abstract

PURPOSE
The purpose of the study was to investigate the effects of the Thera-Band exercise program following total knee arthroplasty.
METHODS
The research design for this study was a nonequivalent control group non-synchronized design. Participants were 30 patients for the experimental group and 30 patients for the control group. The experimental group participated in the Thera- Band exercise program in addition to conventional CPM (continuous passive motion) exercise. The control group received conventional CPM exercise only. Outcome measures were pain, knee flexion range of motion, CRP, and psychological parameters (self-efficacy and fear of falling). Data were analyzed using chi2-test, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/PC version 21.0.
RESULTS
There were significant improvement in self-efficacy, and decreases in pain, and fear of falling in the experimental group compared to the control group. However, no significant differences were found between the two groups for CRP and knee flexion ROM.
CONCLUSION
The Thera-Band exercise program gave an additional benefit over the conventional CPM exercise for patients following total knee arthroplasty, and is recommended for use as an effective nursing intervention for patients after total knee arthroplasty.

Keyword

Exercise; Range of motion; Self-efficacy; Arthroplasty; Knee joint

MeSH Terms

Accidental Falls
Aged
Arthroplasty, Replacement, Knee
C-Reactive Protein/analysis
Exercise Therapy
Female
Humans
Knee/*physiopathology
Knee Injuries/*psychology/therapy
Male
Middle Aged
Pain/*pathology
Pain Management
Range of Motion, Articular
Self Efficacy
Surveys and Questionnaires
C-Reactive Protein

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