THIS HOME THERAPY PROGRAM HAS BEEN CREATED BY PHYSICAL THERAPISTS
This home therapy program uses an easy-to-follow, evidence-based exercise protocol that incorporates neurological principles of recovery, combined with a simple, portable device that is controlled by the patient themselves to speed up the recovery after knee replacement surgery.
This home therapy program is a revolutionary device and method that provides the quickest and most cost-effective recovery following a total knee replacement.
HOW DOES THIS HOME THERAPY PROGRAM WORK?
The patient uses the device and the customized protocol daily as part of their Home Exercise Program. The Protocol takes less than 20 minutes, and the patient is encouraged to perform at least 3 times each day.
The protocol incorporates neurological principles of recovery combined with the latest evidence-based exercise approaches, including joint mobilizations, sustained stretching at end available ranges and utilization of muscle energy techniques.
This is all done while the patient is in full control of every movement, thus allowing the nervous system to feel safe and therefore granting more motion than would occur if the Therapists’ hand were on the painful, swollen joint. This translates into quicker AROM gains, quicker quadriceps control, less pain and faster return to function.
This home therapy program gives the patient control on how far their knee bends. When patients tense or resist or cannot relax, then the joint cannot move effectively. The patient being in full control always allows the nervous system to feel safe, which in turn grants more motion.
The pads on the device provide a unique movement at the knee joint that mimics the hands of a therapist; in essence causing a joint mobilization. Research has shown that joint mobilization is key for ROM gains and results in a more comfortable stretch.
We know how critical it is to gain full extension so that our patients can walk without a limp as well as to decrease dysfunction caused to the other knee, hips, or lower back. Using this home therapy program gives the patient full control how far their knee straightens or extends while the pads hold their leg in an optimal position to provide an aggressive stretch.
The pads on the device are adjustable, therefore allowing the top pad to be positioned above the superior aspect of the patella for optimal extension ROM gains. We offer compensations for those patients who cannot tolerate pressure on the top of their incision line, as well as alternate positions to increase or decrease the amount of stretch the patient can tolerate.
This home therapy program’s strengthening protocol is unique and uses evidence-based neurological principles that elicit optimal motor learning, resulting in better, long-term retention of physical gains made. This results in a quicker and more effective recovery and is also the reason we progress off ambulatory aids within a few weeks without compromising gait quality. That is, improving the connection between the mind and the body allows for better knee control while walking.
Our customized protocol focuses on progressive loading at end available range. These exercise principles are being used by elite athletes for optimal return to their sport or competition, so why would not we use them for our knee replacement patients.
Our protocol is a key component in what sets this home therapy program apart from all other range of motion devices currently on the market.
HOW IS THIS HOME THERAPY PROGRAM DIFFERENT THAN OTHER PRODUCT ON THE MARKET?
This home therapy program allows for BOTH Flexion and Extension, while most products currently available only permit a single plane on motion. This home therapy program encourages both PROM and AROM versus the competitors focusing primarily on PROM.
This home therapy program comes with a customized, evidence-based exercise protocol that incorporates strengthening exercises that use neurological principles of recovery. Most of the products on the market do not permit effective strengthening exercises that patient can safely perform on their own.
This home therapy program’s device is lightweight and intended to be used in the patient’s home as part of their daily home exercise program.
WHAT IS THE HEALTHCARE PROFESSIONAL’S ROLE WHEN USING THIS HOME THERAPY PROGRAM?
With Therapists no longer having to spend the first few weeks of therapy trying to manage pain, reduce swelling and regain ROM, they can focus on functional training, gait training and balance/proprioceptive exercises.
Some patients have co-pays they cannot afford to pay, do not have a loved one that can drive them to appointments, or have significant fear limiting their therapy sessions. This is where this home therapy program can be a significant part of the solution.
Given the chances occurring in the Healthcare Industry. It is imperative for Therapists and Health Professionals to “Work Smarter Not Harder”. This home therapy program can provide the following benefit:
- Significant cost savings for Bundled patients and other insurances
- Decrease the number of total Physical Therapy visits
- Improve patient satisfaction thru quicker recovery
- Help with the clinical staffing shortages (decrease Physical Therapist waiting lists)
- Improve patient clinical outcomes (decrease pain, improve function)
- Allow patients with limited insurance coverage to optimize recovery
- Provide a niche for your clinic in this vast, growing, and competitive knee replacement market
IS THERE ANY RESEARCH SHOWING THE EFFICACY OF THIS HOME THERAPY PROGRAM?
After 2 years of gathering data and conducting an independent study. Belmont University in Nashville, TN presented their research in November 2019. Their results suggested statistically significant improvements were made with individuals in functional and objectively outcome measures after using this home therapy program following a knee replacement surgery.
There is ample evidence research supporting:
- Benefits of joint mobilizations in gaining ROM
- Benefits of AROM exercises over PROM exercises in terms of functional recovery and retention
- Use of Neurological Principles to expedite Orthopedic recovery
- Benefits of Muscle Energy Techniques in ROM and strength gains
All of these techniques and principles are applied and used in this home therapy program, which is why our results are so compelling.
HOW LONG IS THE TYPICAL USE OF THIS HOME THERAPY PROGRAM?
This home therapy prgram is designed to be used until the patient has gained full available range of motion at the knee joint in both bending and strengthening, as well as regained good control and stability of the knee muscles.
Typically, if the patient follows the customized protocol, the patient should only need this home therapy program for approximately 4 weeks. Some patients have used it for up to 8 weeks, but it depends on the patients situation, the pain tolerance, the overall health, fitness and their motivation.
Many patients of this home therapy program have obtained the results they wanted in 2 weeks, but even those patients are encouraged to continue with the program for an additional few weeks, due to increased risk of knee stiffening without consistent, formal exercise.
CAN THIS HOME THERAPY PROGRAM BE USED FOR ANY OTHER KNEE SURGERY?
The creators of this home therapy program (who are practicing Physical Therapist) have had good results using this home therapy program with patients who have undergone ACL repairs (for extension purposes only), quadriceps tendon ruptures, knee contractures, partial knee replacements and knee revision surgeries. However, current research on this home therapy program and its effectiveness has been limited to individuals who have undergone total knee replacement surgery.
The creators of this home therapy program continue to partner with academic institutions to further develop research on other patient populations, but currently are advocating this home therapy program for patients after knee replacement surgery only.
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