Master of Science in Exercise Physiology
Kinesiology and Nutrition Sciences
First Committee Member
John Young, Chair
Second Committee Member
Third Committee Member
Graduate Faculty Representative
Number of Pages
The success of the Total Knee Arthroplasty (TKA) depends upon its functional outcomes of increase in reduction in pain, and gait ambulation and performing functional activities of daily living. Compromised range of motion, pain and weakness can reduce their ability to perform activities of daily living. Aquatic Physical Therapy may offer an alternative intervention to traditional Physical Therapy Rehabilitation and many studies have shown improvements in range of motion, swelling, pain reduction, stiffness and quality of life after TKA. AquaStretch, a relatively new form of aquatic therapy, claims to restore the functional mobility which is lost restrictions caused due to inflammatory processes. The studies done in the past compared the effects of aquatic therapy to those of land based therapy and found the two techniques to be equally effective. Currently, there is not any literature available which looks into the benefits of combining the two therapies. The purpose of this study was to investigate the effectiveness of an integrated treatment approach (Aqua Stretch and conventional therapy) compared to land therapy alone in improving range of motion after TKA.
Range of motion (ROM) data from the study group (physiotherapy and Aqua Stretch) and control group (physiotherapy only) were collected and studied retrospectively. The ROM was compared using a 2 (groups) × 2 (pre, post) mixed model ANOVA method of statistical analysis (α=0.05).
Following the respective rehabilitation protocols, there was a significant improvement in ROM in both the groups (p>0.05). However, the improvement in ROM in study group was not different than that of control group (p>0.05).
In summary, the integrated techniques of aquatic and land based therapy was not more effective than the land based therapy in increasing the ROM at knee joint in knee replacement patients. However, other functional outcomes of knee replacement like pain, edema, strength and overall knee function are the avenues for future exploration of this technique.
INDEX WORDS: Total Knee Arthroplasty, range of motion, Aquatic therapy
Arthroplasty; Joints — Range of motion; Knee – Surgery – Patients – Rehabilitation; Physical therapy; Total knee replacement
Alternative and Complementary Medicine | Kinesiology | Motor Control | Physical Therapy | Rehabilitation and Therapy
University of Nevada, Las Vegas
Kochar, Raja Devinder, "Effect of AquaStretch on Range of Motion at Knee Joint in Total Knee Arthroplasty Patients" (2011). UNLV Theses, Dissertations, Professional Papers, and Capstones. 1241.
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