The STAK tool: evaluation of a new device to treat arthrofibrosis and poor range of movement following total knee arthroplasty and major knee surgery

Bone & Joint Open
Sara K AspinallDaniel T P Fong

Abstract

This study aims to evaluate a new home medical stretching device called the Self Treatment Assisted Knee (STAK) tool to treat knee arthrofibrosis. 35 patients post-major knee surgery with arthrofibrosis and mean range of movement (ROM) of 68° were recruited. Both the STAK intervention and control group received standard physiotherapy for eight weeks, with the intervention group additionally using the STAK at home. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Oxford Knee Scores (OKS) were collected at all timepoints. An acceptability and home exercise questionnaire capturing adherence was recorded after each of the interventions. Compared to the control group, the STAK intervention group made significant gains in mean ROM (30° versus 8°, p < 0.0005), WOMAC (19 points versus 3, p < 0.0005), and OKS (8 points versus 3, p < 0.0005). The improvements in the STAK group were maintained at long-term follow-up. No patients suffered any complications relating to the STAK, and 96% of patients found the STAK tool 'perfectly acceptable'. The STAK tool is effective in increasing ROM and reducing pain and stiffness. Patients find it acceptable and adherence to treatment was high. This study indicates that the...Continue Reading

References

Jan 1, 1992·Physical Therapy·P W McClure, K R Flowers
Jan 1, 1972·Physical Therapy·K N LaubenthalD B Kettelkamp
Jun 18, 2002·The Journal of Arthroplasty·Christian P ChristensenThomas Parker Vail
Feb 24, 2006·The Knee·Huseyin S YercanPhilippe Neyret
Sep 6, 2007·The Journal of Bone and Joint Surgery. British Volume·D W MurrayJ Dawson
Jun 10, 2008·The Knee·Peter M BonuttiMichael A Mont
Oct 15, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Peter M BonuttiMichael G Zywiel
Dec 5, 2009·Journal of Shoulder and Elbow Surgery·Slif D UlrichMichael A Mont
Mar 9, 2010·The Journal of Arthroplasty·Timothy L Uhl, Cale A Jacobs
Dec 17, 2010·Expert Review of Medical Devices·Mark J McElroyMichael A Mont
Apr 13, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·I IpachT Kluba
Apr 19, 2011·BMC Musculoskeletal Disorders·Justine M NaylorRajat Mittal
Aug 7, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·E WitvrouwJ Victor
Sep 28, 2012·Sports Health·Cale A Jacobs, Aaron D Sciascia
Sep 28, 2012·Sports Health·Timothy L Uhl, Cale A Jacobs
Mar 6, 2013·Arthritis and Rheumatism·Gillian A HawkerJoanna E M Sale
May 7, 2013·Clinical Orthopaedics and Related Research·William W SchairerKevin J Bozic
Aug 21, 2013·The Journal of Arthroplasty·William C SchroerRyan M Nunley
Nov 6, 2013·The Bone & Joint Journal·M J DunbarO Robertsson
Nov 21, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·N D ClementA H R W Simpson
Dec 3, 2014·Journal of Clinical Epidemiology·David J BeardAndrew J Price
Jan 13, 2015·Osteoarthritis and Cartilage·D CullifordUNKNOWN COASt Study Group
May 5, 2016·The Bone & Joint Journal·J R DonaldsonJ Gollish
Mar 14, 2017·The Journal of Arthroplasty·Victor A CheuyJennifer E Stevens-Lapsley
Aug 29, 2017·The Journal of Arthroplasty·Rajitha GunaratneBrett W Robertson
Dec 21, 2018·Arthroplasty Today·Kelli S BaumJohn Shields

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