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Effects of different continuous passive motion angles on early knee function recovery after total knee arthroplasty
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Kaiyu Shi, Lei Du, Shugang Li*, Guilong Jing, Yingyinga Wang
Modern Instruments & Medical Treatment | 2025, 31(2) : 75 - 79
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Modern Instruments & Medical Treatment | 2025, 31(2): 75-79
Effects of different continuous passive motion angles on early knee function recovery after total knee arthroplasty
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Kaiyu Shi, Lei Du, Shugang Li*, Guilong Jing, Yingyinga Wang
Affiliations
  • Department of Osteoarticular Rehabilitation, Xuzhou Rehabilitation Hospital, Xuzhou 221009, Jiangsu Province, China
Published: 2025-04-10 doi: 10.11876/mimt202502016
Outline
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Objective

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).

Methods

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.

Results

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).

Conclusion

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.

Total knee arthroplasty  /  Continuous passive motion  /  Rehabilitation training  /  Range of motion  /  Knee function
史开宇, 独磊, 李书钢, 井贵龙, 王颖颖. CPM不同角度对TKA术后膝关节功能恢复的影响. 现代仪器与医疗, 2025 , 31 (2) : 75 -79 . DOI: 10.11876/mimt202502016
Kaiyu Shi, Lei Du, Shugang Li, Guilong Jing, Yingyinga Wang. Effects of different continuous passive motion angles on early knee function recovery after total knee arthroplasty[J]. Modern Instruments & Medical Treatment, 2025 , 31 (2) : 75 -79 . DOI: 10.11876/mimt202502016
Year 2025 volume 31 Issue 2
66
12
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doi: 10.11876/mimt202502016
  • Online Date:2026-10-23
  • Published:2025-04-10
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    Department of Osteoarticular Rehabilitation, Xuzhou Rehabilitation Hospital, Xuzhou 221009, Jiangsu Province, China
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表12种不同金属材料的力学参数
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
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