Effect of exercise therapy on lower extremity deep venous thrombosis after total knee arthoplasty

Objective: To explore the effect of exercise therapy in preventing the lower extremity deep venous thrombosis (DVT) after total knee arthoplasty (TKA). Methods: A total of 153 patients with osteoarthritis who were admitted in our hospital for TKA were included in the study and randomized into the...

Full description

Bibliographic Details
Main Author: Zhong-Wu Huang
Format: Article
Language:English
Published: Editorial Board of Journal of Hainan Medical University 2016-11-01
Series:Journal of Hainan Medical University
Subjects:
TKA
DVT
FIB
Online Access:http://www.hnykdxxb.com/PDF/201622/28.pdf
Description
Summary:Objective: To explore the effect of exercise therapy in preventing the lower extremity deep venous thrombosis (DVT) after total knee arthoplasty (TKA). Methods: A total of 153 patients with osteoarthritis who were admitted in our hospital for TKA were included in the study and randomized into the observation group and the control group. The patients in the observation group were given continuous passive motion (CPM) in combined with exercise therapy, while the patients in the control group were only given CPM. After 2-week treatment, the related coagulation indicators and femoral venous blood flow in the two groups were detected and compared. The occurrence rate of DVT in the two groups was calculated. Results: PT and APTT from 2 weeks to 2 months after operation in the two groups were shortened first and extended later when compared with before operation, while FIB and D-D contents were elevated first and reduced later, and the coagulation indicator levels 2 months after treatment in the two groups were significantly different from those before operation. The femoral venous blood flow peak and average velocity 1 week after operation in the two groups were significantly elevated when compared with before operation. The femoral venous blood flow peak and average velocity 1 week after operation in the observation group were significantly higher than those in the control group. The occurrence rate of DVT in the observation group was significantly lower than that in the control group. Conclusions: CPM in combined with exercise therapy for patients after TKA can effectively prevent the formation of DVT, with a significant effect.
ISSN:1007-1237
1007-1237