Physiotherapy العلاج الطبيعي

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Browsing Physiotherapy العلاج الطبيعي by Author "Qais Ibrahim Mohammad Saleh"

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    The Efficacy of Continuous Passive Motion Device After Traumatic Knee Joint Fracture Versus Physiotherapy : A Randomized Comparative Trial Study for ImprovingKnee Joint Outcome
    (Al-Quds University, 2023-12-20) Qais Ibrahim Mohammad Saleh; قيس ابراهيم محمد صالح
    Background: In physiotherapy, continuous passive motion (CPM) devices are often used to improve joint range of motion (ROM) following severe knee fractures. However, the effectiveness of CPM is still debatable, especially with other knee joint outcomes. Many other physiotherapy techniques could be used during the early recovery time to improve knee joint outcomes such as pain, ROM and ADL. Objective: The main objective of this study was to evaluate the effectiveness of (CPM) on early post-traumatic knee fracture as defined by pain and (ROM) as compared with non-CPM device users and that of regular physiotherapy (PT) treatment. Methods: A randomized comparative design single-blinded with two groups was used. The study was conducted at Rafedia Hospital's Physiotherapy Department in Nablus, Palestine. A total of 70 post-traumatic knee fracture patients were assigned randomly to either the CPM (n=35) or traditional physiotherapy (n=35) groups. Results: Both groups have shown an improvement. However, the CPM group had enhanced significantly compared to the control group in many knee outcomes such as in Oxford knee score (OKS), questionnaire, as there remained a significant difference in functional activity of daily living scores mean between pre- and post-test of the experimental group (P< 0.05). Also, the mean of the experimental group at the post-test (M = 23.0±SD 6.4) was lower than the pre-test (M = 40.6±SD 7.7). Furthermore, there were significant improvements in pain, ROM, in the CPM group compare to the control group. Conclusion: CPM appears to be an effective method for decreasing pain, and restoring function, and knee (ROM) in individuals with knee fracture, according to the findings of this study. CPM has been shown to be more effective than traditional physiotherapy in terms of pain relief plus functional abilities. More study is required to validate these findings and identify the best length and intensity of CPM treatment.