Picot Statement and Literature Research

Picot Statement and Literature Research

Schache,McClelland and Webster have researched on the effectiveness of research on improving outcomes of patients who have suffered total knee arthroplasty.Total knee arthroplasty is an effective way of reducing pain as well as improving function for end stage knee osteoarthritis.The article analyzes the impact of total knee arthroplasty as an intervention which leads to imptovement in pain.It also analyzes the impact of thhe use of hip strengthening  exercises on the patient.As revealed,the psychotherapist is able to conduct rehabilitation programmes with the patient and this gives an indepth analysis of how psychotherapy has an important role in improving the outcomes of the patient.The article therefore analyzes the effectiveness of rehabilitation as well as the appropriate outcome measures.It alosn analyzes the impact of exercise programs as well as how hip strengthening exercises contribute to the imoprovement of the patient considition especially after surgery.It therefore gives a clear indication concerning the effectiveness of hip strengthening exercises especially as a mode of therapy.

Lobet et al manage to analyze the impact of psychotherapy in patients suffering from haemophilia especially after total knee arthroplasty has been performed.It has managed to assess the impact of arthroplasty as a treatment of choice for patients who suffer from haemophilia.It has also been mentioned that rehabilitation will be of benefit to such patients and the use of psychotherapy has been seen as an effective intervention to imoprove the condition of the patient is such a scenario.It is believed that the use of psychotherapy has improved the short as well as long term outcomes in such patients and therefore has been seen as a beneficial means of treatment for such patients.Through this article one realizes the importance of psychotherapy iespecially after total knee arthroplasty has been performed on the patient.

Mau-Moeller et al analyze the effect of continuous passive motion as well as sling exercise training on the outcomes of patients who have had total knee arthroplasty.One factor that was determined is the fact that continuous passive motion increases ROM and also improves the post operative recovery aspects.Higher ddemands  on muscle strength and muscle coordination using sling exercise training is advantageous and will speed up recovery of the individual.As revealed the major objective of rehabilitation after the occurene of total knee arthroplasty are early regainin of the range of motion as well as the total mobilizayion of the patient.It aims at increasing the knee joint mobility as well as improving the postoperative recovery of the patient.It is revealed that the passive mobilization of the knee joint with CPM will not encourage the patient to actively participate in rehabilitation.The sling based in hospital ROM exercise program has been proposed as an effective method of therapy in this particular instance.

Denis et al has also managed to give a detailes analysis of the effectiveness of continuous passive motion as wrll as conventional therapy after a total knee arthroplasty.It analyzes the effectiveness of rehabilitation programs which include continuous passive motion in knee flexion as well as knee extention and functional ability.The article also manages to give an account of the orgins of the use of CPM therapy.However,it indicates that the use of CPM in conventional physical therapy doess not have any furher effect on knee extension.The article reglects that the use of this therapy may be innefective in some circumstances while in others it may actually be effective.It includes an analysis of the effect of this therapy on different patients and the results reveal different outcomes as concerned wth the different patients.Different patients are able to recover quickly while the therapy seems to have no effect on other patients.Through this revealtions one realizes that there are some doubts concerning the effectiveness of this procedure on some patients.

References

Denis, M., Moffet, H., Caron, F., Ouellet, D., Paquet, J., & Nolet, L. (2006). Effectiveness of Continuous Passive Motion and Conventional Physical Therapy After Total Knee Arthroplasty: A Randomized Clinical Trial. Physical Therapy, 86(2), 174-185.

Lobet, S., Pendeville, E., Dalzell, R., Defalque, A., Lambert, C., Pothen, D., & Hermans, C. (2008). The role of physiotherapy after total knee arthroplasty in patients with haemophilia. Haemophilia, 14(5), 989-998. doi:10.1111/j.1365-2516.2008.01748.x

Mau-Moeller, A., Behrens, M., Finze, S., Bruhn, S., Bader, R., & Mittelmeier, W. (2014). The effect of continuous passive motion and sling exercise training on clinical and functional outcomes following total knee arthroplasty: a randomized active-controlled clinical study. Health & Quality Of Life Outcomes, 12(1), 1-21. doi:10.1186/1477-7525-12-68

Schache, M. B., McClelland, J. A., & Webster, K. E. (2016). Does the addition of hip strengthening exercises improve outcomes following total knee arthroplasty? A study protocol for a randomized trial. BMC Musculoskeletal Disorders, 171-12. doi:10.1186/s12891-016-1104-x