Inhibiting the Musculoskeletal Pathological Processes in Post-knee Replacement Surgery With Osteopathic Manipulative Treatment: A Systematic Review
YaQun Zhoua b c d e f, Justin China b c d e f✉, Abigail Evangelistaa b c d e f, Blake Podgera b c d e f, Peter J Wana b c d e f, Christine M Lomiguena b c d e f
- aDepartment of Surgery, CarePoint Health Hoboken University Medical Center, Hoboken, USA
- bDepartment of Anatomy, Touro College of Osteopathic Medicine, New York City, USA
- cDepartment of Family Medicine, LifeLong Medical Care, Richmond, USA
- dDepartment of Family Medicine, Millcreek Community Hospital, Erie, USA
- eDepartment of Internal Medicine, Northwell Health Lenox Hill Hospital, New York City, USA
- fDepartment of Medical Education, Lake Erie College of Osteopathic Medicine, Erie, USA
- ✉Corresponding author
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Abstract
Total knee arthroplasty (TKA) is a very common surgical treatment approach for severe osteoarthritis. Complications of TKA include loss of range of motion and prolonged analgesic requirement for pain control. Osteopathic manipulative techniques (OMT) have been utilized to address localized muscular stiffness to improve range of motion; however, limited studies directly correlate OMT and TKA recovery. This review highlights the therapeutic benefits OMT can have in the postoperative management of arthroplasty with respect to range of motion, edema, pain perception, and ability to perform activities of daily living. This review revealed the use of OMT would positively influence range of motion by manipulation of localized musculature and can result in decreased demand for analgesics. This can, in turn, shorten hospital stay and return the ability of patients to perform activities of daily living earlier than without OMT. Increased research is needed to strengthen these findings on the benefits of OMT in the postoperative management of arthroplasty.
TL;DRThis review revealed the use of OMT would positively influence range of motion by manipulation of localized musculature and can result in decreased demand for analgesics, which can shorten hospital stay and return the ability of patients to perform activities of daily living earlier than without OMT. (Semantic Scholar)