THE GOKNEETM METHOD – CREATED BY PHYSICAL THERAPISTS
The GoKneeTM Method 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.
The GoKneeTM Method is a revolutionary device that provides the quickest and most cost-effective recovery following a total knee replacement.
HOW DOES THE GOKNEETM METHOD WORK?
The patient 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.
The GoKneeTM Method 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 the GoKneeTM Method, the patient will fully 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 GoKneeTM 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.
The GoKneeTM Method 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 the GoKneeTM Method apart from all other range of motion devices currently on the market.
HOW IS THE GOKNEETM DEVICE DIFFERENT THAN OTHER PRODUCT ON THE MARKET?
The GoKneeTM device allows for BOTH Flexion and Extension, while most products currently available only permit a single plane on motion. The GoKneeTM Method encourages both PROM and AROM versus the competitors focusing primarily on PROM.
The GoKneeTM device 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.
The GoKneeTM 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 THE GOKNEETM METHOD?
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 the GoKneeTM Method 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”. GoKneeTM Method 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 THE GOKNEETM METHOD?
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 the GoKneeTM Method following a knee replacement surgery.
View the Belmont Research (This will be a link to the Research Document)
Belmont University plans include subsequent research on the GoKneeTM Method given the preliminary research was so compelling.
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 the GoKneeTM Method, which is why our results are so compelling.
HOW LONG IS THE TYPICAL USE OF THE GOKNEETM DEVICE
The GoKneeTM Method 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 the GoKneetmdevice 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 the GoKneeTM Method 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 THE GOKNEETM DEVICE BE USED FOR ANY OTHER KNEE SURGERY?
The creators of the GoKneeTM device (who are practicing Physical Therapist) have had good results using the GoKneeTM device 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 the GoKneeTM Method and its effectiveness has been limited to individuals who have undergone total knee replacement surgery.
The creators of the GoKneeTM Method continue to partner with academic institutions to further develop research on other patient populations, but currently are advocating the GoKneeTM Method for patients after knee replacement surgery only.
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We look forward to hearing from you!