Extract
Question: Is continuous passive motion (CPM) effective after total
knee arthroplasty (TKA)?Data sources: Studies were identified by searching (to December
2003) MEDLINE, EMBASE/Excerpta Medica, HealthSTAR, Sports Discus, CINAHL, the
Cochrane Controlled Trials Register, PEDro, and the specialized register of
the Cochrane Collaboration Musculoskeletal Review Group; scanning the
reference lists of included trials; and contacting experts in the field.Study selection and assessment: Studies in English or French were
selected if they were randomized controlled trials (RCTs), controlled clinical
trials, case-control studies, or cohort studies comparing CPM with placebo, no
treatment, or active interventions in patients who were =18 years of age
and who underwent total knee arthroplasty for degenerative joint disease. The
quality of each study was assessed with use of the 5-point Jadad scale (higher
scores = better quality).