The pain and knee range of motion in post-total knee arthroplasty patients following pulsed ultrasound with low-intensity

• Main Authors: Munajar @ Munajat, Munayati, Mohd Nordin, Nor Azlin, Zulkifly, Ahmad Hafiz, Mohamad Yahya, Nor Hamdan
• Format: Article
• Language: English
• Published: Malaysian Physiotherapy Association 2024
• Subjects: RM695 Physical medicine. Physical therapy
• Online Access: http://irep.iium.edu.my/113390/1/113390_The%20pain%20and%20knee%20range%20of%20motion.pdf; http://irep.iium.edu.my/113390/; https://mpa.net.my/ojs/index.php/mpj

Background and Objectives: Pulsed ultrasound, combined with other physiotherapy treatment, helps reduce inflammation and improve joint function in total knee arthroplasty (TKA) patients. Nevertheless, the effects of low-intensity pulsed ultrasound on post-TKA patients remains inadequately explored with limited documented evidence. This study aimed to assess the recovery of pain and knee flexion range of post-TKA patients following low-intensity pulsed ultrasound. Methods: An assessor-blinded quasi-experimental study was conducted among TKA patients at a university medical centre. Participants were alternately allocated to either the experimental group (low-intensity pulsed ultrasound-added conventional physiotherapy;n=16), or the control group (conventional physiotherapy alone;n=16). The intervention was conducted for 3 weeks (4 times in the first week post-TKA and once a week for the following 2 weeks). Pain and knee flexion range were measured at baseline and 1-week follow-up after intervention. Data analysis employed paired t-test and independent t-test. Results: The experimental group experienced a significant decrease in pain and improved knee flexion range after the intervention (p<0.01). The experimental group exhibited significantly less pain [mean(SD)=1.64(1.40) vs 3.40(1.50), p<0.01] and greater knee flexion range [mean(SD)=105.57(8.99) vs 87.67(11.08), p<0.01] than control group at the 1-week follow-up after the intervention. Conclusion: Low-intensity pulsed ultrasound, in combination with conventional physiotherapy, enhances the recovery of pain and knee flexion range for post-TKA patients. The findings suggest that low-intensity pulsed ultrasound may serve as a potential adjunct treatment for acute TKA patients due to knee osteoarthritis, as no adverse effects were reported.