Total Knee Replacement Clinical Trial
Official title:
Influence of Manual Lymph Drainage During Hospitalization on Swelling, Function and Pain in Patients After Total Knee Replacement - Randomized Control Trial.
To investigate the effects of lymphatic drainage massage performed immediately after total knee replacement in relation to reduction of limb circumference, pain reduction and functional improvement.
In the past few decades there has been a rise in the number of knee replacements performed
due to degenerative arthritis. In general over the years the number of operations has risen
while the age of the patients has gone down. The aim of these operations is to improve
quality of life, alleviate pain and improve function.
Post operative complications can delay recovery and rehabilitation, lengthen hospitalization
duration and in extreme cases lead to failure of the operation. These complications include
infection, deep vein thrombosis, swelling and edema, pain, impairment of range of motion,
muscle weakness and functional disability.
Reduction of post operative edema may help to speed up recovery after total knee
replacement.
Recently an effective treatment has been found for lymphatic edema that appears after
oncological operations that include removal of lymph nodes or due to blood vessel disorders.
This treatment is administered by a physiotherapist and includes lymphatic drainage massage,
compression bandaging and exercises.
This trial will examine the effect of lymphatic massage treatment on orthopedic patients to
ascertain if the use of this technique can shorten the duration and improve the quality of
the post operative rehabilitation and prevent other post operative complications. At the
present time not enough research has been done in this field and it is necessary to continue
to investigate the efficiency of the lymphatic treatment in acute orthopedic patients.
Aims To investigate the effects of lymphatic drainage massage performed immediately after
total knee replacement in relation to reduction of limb circumference, pain reduction and
functional improvement.
Methods This blind randomized trial will take place in the Sharon hospital in Petach Tikvah
with the cooperation of the orthopedic surgeons. The patients will be randomized into two
groups- each containing 15 patients. The research group will receive lymphatic massage and
individual physiotherapy while the control group will receive individual physiotherapy only.
Methods In order to assess the effects of the treatment the primary measurement will be
circumferential measurement of limb volume. The secondary measurements will be pain
assessment according to the VAS scale, a functional assessment according to BI"TI and range
of motion measured with an inclinometer .
The measurements will be taken once prior to hospitalization. During hospitalization the
measurements will be taken daily including the day of the release home and one last
measurement will be taken 6 weeks after the operation. All measurements are valid and
reliable.
The trial is scheduled to last 3-4 months
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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