Fox J L, Poss R
J Bone Joint Surg Am. 1981 Mar;63(3):357-62.
During a twelve-month period, 23 per cent of a series of knees undergoing total replacement were manipulated two weeks postoperatively to increase flexion. While manipulation achieved an immediate increase in flexion from a mean of 71 degrees to a mean of 108 degree, by one week after manipulation the mean flexion was reduced to 88 degrees. By one year postoperatively, the manipulated knees were found to have a range of motion similar to that of their non-manipulated counterparts. Such factors as preoperative flexion and diagnosis appear to be the major determinants of ultimate flexion, and they seem to offset the temporarily increased flexion afforded by manipulation. The primary reason for manipulation is to facilitate the postoperative rehabilitation program for patients with painful, limited motion of the knee.
在为期十二个月的时间段内，接受全膝关节置换手术的一系列膝关节中，有23%在术后两周进行了手法治疗以增加膝关节的屈曲度。虽然手法治疗使膝关节的屈曲度立即从平均71度增加到了平均108度，但在手法治疗一周后，平均屈曲度又降至88度。到术后一年时，接受手法治疗的膝关节的活动范围与未接受手法治疗的膝关节相似。诸如术前屈曲度和诊断结果等因素似乎是最终屈曲度的主要决定因素，它们似乎抵消了手法治疗带来的暂时增加的屈曲度。手法治疗的主要目的是为膝关节疼痛、活动受限的患者促进术后康复计划。
