To explore the impact of different motion angle settings of the Continuous Passive Motion (CPM) device on the early recovery of knee joint function after Total Knee Arthroplasty (TKA).
A total of 90 patients who underwent unilateral TKA at Xuzhou Rehabilitation Hospital from January 2022 to December 2023 were selected and randomly divided into three groups: the small-angle group (n=30), the medium-angle group (n=30), and the large-angle group (n=30). The Visual Analogue Scale (VAS), Range of Motion (ROM), Knee Society Score (KSS), lower limb function score, and occurrence of complications were compared among the three groups at 3 days, 1 week, 2 weeks, and 4 weeks postoperatively.
On the 3rd day postoperatively, the VAS score of the small-angle group was significantly lower than that of the medium-angle group and the large-angle group (P<0.05). The ROM of the large-angle group was significantly higher than that of the medium-angle group and the small-angle group (P<0.05). At 1 week postoperatively, there was no significant difference in VAS scores among the three groups (P>0.05). The ROM of the large-angle group and the medium-angle group was significantly higher than that of the small-angle group (P<0.05). At 2 weeks and 4 weeks postoperatively, there were no significant differences in VAS scores and ROM among the three groups (P>0.05). At 4 weeks postoperatively, the KSS score and lower limb function score of the large-angle group and the medium-angle group were significantly higher than those of the small-angle group (P<0.05). The incidence of aggravated knee pain and swelling in the large-angle group was significantly higher than that in the medium-angle group and the small-angle group (P<0.05).
When using CPM for early rehabilitation training after TKA, setting the motion angle at a medium level (0°~60°) can effectively alleviate pain, promote the recovery of knee joint function, and reduce the occurrence of complications, making it the preferred angle range for early CPM rehabilitation training after TKA.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |