Nursing Literature Essay Example | Topics and Well Written Essays - 750 words

Nursing Literature - Essay ExampleAccording to Davis et.al. (2003) there is no difference in the subroutine of CPM post operatively or not. This study used randomized patients studied in trinity different group through a sise month period. They looked at length of check-out procedure, pain affirm and flexion of the knee. The results of the research should that there was no difference in range of motion, pain, or utilization of serve between patients that had just physical therapy and patients who also have CPM. This was supported by a study make by Denis et.al.(2006). This group performed a randomized control trial that was very similar and weighted the use of CPM in different intervals ranging from 35 minutes per day to continuous ROM. These were compared to patients who had active physical therapy. The results showed that there was no difference between the results of each of the combinations of therapy.Controversy comes when Wells et.al. (2008) did a meta-analysis of 14 st udies. This analysis showed that in 14 randomized control trials the results were that CPM and PT increased active knee flexion and minify hospital stay as well as pain and increased range of motion. Again, however, in the study done by Bruun-Olsen et.al (2009) in a randomized control trial done with active exercises versus CPM, results were very similar to early(a) studies noted for this paper. There were not statistical differences noted between the control group and the trial group. Lenssen et.al. (2008) essentially agrees in his comparison of CPM during the 1st rehab phase to active physical therapy without CPM. This study shows only slight betterment with the use of CPM and is supported by Grilla (2008) who finds no support for CPM as improving any outcomes.In conclusion, of the six studies that were reviewed, only one supported the use of CPM for increased motion, reduced length of stay or reduced pain. One, which was a meta-analysis did support it but is vague in its cont ent. From these six studies alone, there is no evidence base answer. There is reason to further research the use of CPM in post of knee replacement.ReferencesBruun-Olsen, V., Heiberg, K. & Mengshoel, A. (2009). Continuous hands-off motion as an adjunct to active exercises in early rehabilitation following total knee arthroplasty. Disability and Rehabilitiation. 31(4). 277-283. Retrieved from Academic