Ji Yeong Yun; Jong Kyung Lee

doi:10.4040/jkan.2015.45.6.823

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Original Article
Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty: Ji Yeong Yun, Jong Kyung Lee; Journal of Korean Academy of Nursing 2015;45(6):823-833.
DOI: https://doi.org/10.4040/jkan.2015.45.6.823
Published online: December 31, 2015

¹Department of Nursing, Graduate School, Dankook University, Cheonan, Korea.

²Department of Nursing, Dankook University, Cheonan, Korea.

Address reprint requests to: Lee, Jong Kyung. Department of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Korea. Tel: +82-41-550-3883, Fax: +82-41-550-3888, kyunglee@dankook.ac.kr

• Received: April 30, 2015 • Revised: May 12, 2015 • Accepted: August 5, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of the study was to investigate the effects of the Thera-Band exercise program following total knee arthroplasty.
Methods
The research design for this study was a nonequivalent control group non-synchronized design. Participants were 30 patients for the experimental group and 30 patients for the control group. The experimental group participated in the Thera- Band exercise program in addition to conventional CPM (continuous passive motion) exercise. The control group received conventional CPM exercise only. Outcome measures were pain, knee flexion range of motion, CRP, and psychological parameters (self-efficacy and fear of falling). Data were analyzed using χ²-test, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/PC version 21.0.
Results
There were significant improvement in self-efficacy, and decreases in pain, and fear of falling in the experimental group compared to the control group. However, no significant differences were found between the two groups for CRP and knee flexion ROM.
Conclusion
The Thera-Band exercise program gave an additional benefit over the conventional CPM exercise for patients following total knee arthroplasty, and is recommended for use as an effective nursing intervention for patients after total knee arthroplasty.
Keywords: Exercise; Range of motion; Self-efficacy; Arthroplasty; Knee joint

^*This manuscript is an addition based on the first author's master's thesis from Dankook University.

The authors declared no conflict of interest.

REFERENCES

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Table 1

Thera-Band Exercise Program

Table 2

Homogeneity Test of General Characteristics between the Two Groups (N=60)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; PCA=Patient controlled analgesia; PRN=As needed.

Table 3

Homogeneity Test of Dependent Variables between the Two Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; CRP=C-reactive protein.

Table 4

Differences in Dependent Variables between Experimental and Control Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; CRP=C-reactive protein.

Table 5

Change in Knee Flexion ROM ( ° ) over Time between the Two Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; Preop=Preoperation day; POD=Postoperation day.

Figure & Data

REFERENCES

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Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty

J Korean Acad Nurs. 2015;45(6):823-833. Published online December 31, 2015

DOI: https://doi.org/10.4040/jkan.2015.45.6.823

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Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty

Table 1

Thera-Band Exercise Program

Table 2

Homogeneity Test of General Characteristics between the Two Groups (N=60)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; PCA=Patient controlled analgesia; PRN=As needed.

Table 3

Homogeneity Test of Dependent Variables between the Two Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; CRP=C-reactive protein.

Table 4

Differences in Dependent Variables between Experimental and Control Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; CRP=C-reactive protein.

Table 5

Change in Knee Flexion ROM ( ° ) over Time between the Two Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; Preop=Preoperation day; POD=Postoperation day.

Table 1 Thera-Band Exercise Program

Table 2 Homogeneity Test of General Characteristics between the Two Groups (N=60)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; PCA=Patient controlled analgesia; PRN=As needed.

Table 3 Homogeneity Test of Dependent Variables between the Two Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; CRP=C-reactive protein.

Table 4 Differences in Dependent Variables between Experimental and Control Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; CRP=C-reactive protein.

Table 5 Change in Knee Flexion ROM ( ° ) over Time between the Two Groups (N=60)

Exp.=Experimental group; Cont.=Control group; ROM=Range of motion; Preop=Preoperation day; POD=Postoperation day.