Jay R Ebert1, Brendan Joss, Berit Jardine, David J Wood. 1. School of Sport Science, Exercise and Health, University of Western Australia, Crawley, Perth, WA, Australia; Hollywood Functional Rehabilitation Clinic, Nedlands, Perth, WA, Australia. Electronic address: jay.ebert@uwa.edu.au.
Abstract
OBJECTIVE: To investigate the efficacy of manual lymphatic drainage (MLD) in the early postoperative period after total knee arthroplasty (TKA) to reduce edema and pain and improve knee range of motion. DESIGN: Prospective randomized controlled trial. SETTING:Private hospital and functional rehabilitation clinic. PARTICIPANTS: Consecutive sample of patients (N=43; 53 knees) scheduled for TKA. INTERVENTION: MLD (vs no MLD) on days 2, 3, and 4 postoperatively. Both groups underwent conventional, concomitant physical therapy. MAIN OUTCOME MEASURES: Clinical assessment was undertaken pre- and postoperatively prior to and after the designated postoperative MLD sessions (days 2, 3, and 4) and at 6 weeks postsurgery. This included active knee flexion and extension range of motion, lower limb girths (ankle, midpatella, thigh, and calf), and knee pain using a numeric rating scale and the Knee Injury and Osteoarthritis Outcome Score. RESULTS: A significant group effect was observed for active knee flexion, with post hoc tests demonstrating a significantly greater active knee flexion in the MLD group when compared with the control (no MLD) group at the final measure prior to hospital discharge (day 4 postsurgery) and at 6 weeks postsurgery. There were no further group effects observed for the remaining patient-reported and functional outcomes. CONCLUSIONS:MLD in the early postoperative stages after TKA appears to improve active knee flexion up to 6 weeks postsurgery, in addition to conventional care.
RCT Entities:
OBJECTIVE: To investigate the efficacy of manual lymphatic drainage (MLD) in the early postoperative period after total knee arthroplasty (TKA) to reduce edema and pain and improve knee range of motion. DESIGN: Prospective randomized controlled trial. SETTING: Private hospital and functional rehabilitation clinic. PARTICIPANTS: Consecutive sample of patients (N=43; 53 knees) scheduled for TKA. INTERVENTION: MLD (vs no MLD) on days 2, 3, and 4 postoperatively. Both groups underwent conventional, concomitant physical therapy. MAIN OUTCOME MEASURES: Clinical assessment was undertaken pre- and postoperatively prior to and after the designated postoperative MLD sessions (days 2, 3, and 4) and at 6 weeks postsurgery. This included active knee flexion and extension range of motion, lower limb girths (ankle, midpatella, thigh, and calf), and knee pain using a numeric rating scale and the Knee Injury and Osteoarthritis Outcome Score. RESULTS: A significant group effect was observed for active knee flexion, with post hoc tests demonstrating a significantly greater active knee flexion in the MLD group when compared with the control (no MLD) group at the final measure prior to hospital discharge (day 4 postsurgery) and at 6 weeks postsurgery. There were no further group effects observed for the remaining patient-reported and functional outcomes. CONCLUSIONS:MLD in the early postoperative stages after TKA appears to improve active knee flexion up to 6 weeks postsurgery, in addition to conventional care.
Authors: Marjan Wouthuyzen-Bakker; Jaime Lora-Tamayo; Eric Senneville; Matthew Scarbourough; Tristan Ferry; Ilker Uçkay; Mauro J Salles; Karina O'Connell; Josean A Iribarren; Dace Vigante; Rihard Trebse; Cedric Arvieux; Alex Soriano; Javier Ariza Journal: J Bone Jt Infect Date: 2018-10-04
Authors: Dirk Zajonz; Johannes K M Fakler; Anna-Judith Dahse; Fujiaoshou Junping Zhao; Melanie Edel; Christoph Josten; Andreas Roth Journal: Patient Saf Surg Date: 2017-08-30