Cochrane · systematic review · CD004260
Continuous passive motion following total knee arthroplasty in people with arthritis
Harvey, LA, Brosseau, L, Herbert, RD · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 2 · 28.6%Moderate 3 · 42.9%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyPrimary comparison for continuous passive motion (CPM) versus no CPM
Population: hospitalised patients who have undergone knee replacement surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Active knee flexion ROM Goniometer. Scale: 0 to 130 Primary comparison for continuous passive motion (CPM) vs no CPM | no estimate extracted | 10 studies · 470 participants | Moderate Downgraded: risk of bias |
Pain Visual analogue scale. Scale: 0 to 10 (lower score better) Primary comparison for continuous passive motion (CPM) vs no CPM | no estimate extracted | 8 studies · 414 participants | Low Downgraded: risk of bias, inconsistency |
Function Various. Scale: 0 to 100 (higher score better) Primary comparison for continuous passive motion (CPM) vs no CPM | no estimate extracted | 6 studies · 405 participants | Moderate Downgraded: risk of bias |
Quality of life SF‐12. Scale from: 0 to 100 (higher score better). Primary comparison for continuous passive motion (CPM) vs no CPM | no estimate extracted | 2 studies · 156 participants | Moderate Downgraded: risk of bias |
Participants' global assessment of treatment effectiveness Questionnaire. Scale: 0 to 7 Primary comparison for continuous passive motion (CPM) vs no CPM | no estimate extracted | 3 studies · 211 participants | Very low Downgraded: risk of bias |
Manipulation under anaesthesia Counts of manipulation under anaesthesia Primary comparison for continuous passive motion (CPM) vs no CPM | RR 0.34 [0.13, 0.89] | 8 studies · 581 participants | Very low Downgraded: risk of bias, inconsistency |
Adverse events Counts of adverse events Primary comparison for continuous passive motion (CPM) vs no CPM | RR 0.92 [0.63, 1.33] | 16 studies · 1040 participants | Low Downgraded: risk of bias |
Primary comparison ‐ short‐term effect (less than 6 wks) ‐ all studies
Population: patients with patients with arthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Active knee flexion ROM degrees | no estimate extracted | 9 studies · 379 participants | High |
Passive knee flexion ROM degrees | no estimate extracted | 13 studies · 634 participants | High |
Active knee extension ROM degrees | no estimate extracted | 12 studies · 743 participants | High |
Passive knee extension ROM degrees | no estimate extracted | 13 studies · 749 participants | High |
Length of hospital stay days | no estimate extracted | 12 studies · 748 participants | Low Downgraded: risk of bias, publication bias |
Function [standardised mean] | no estimate extracted | 0 studies · 4 participants | Low Downgraded: imprecision, inconsistency, publication bias |
Manipulation under anaesthesia | RR 0.15 [0.03, 0.7] | 3 studies · 234 participants | Low Downgraded: risk of bias, imprecision, publication bias |