Compressive Cryotherapy Versus Conventional Cryotherapy After Total Knee Arthroplasty

Institut de Formation en Masso-Kinésithérapie Saint Michel

Status: Completed

Conditions: Cryotherapy Effect; Knee Arthropathy

Treatments: Other: cryotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06037824

IFMK01

Details and patient eligibility

About

In the postoperative period of a total knee arthroplasty, subjects present limitations of articular amplitudes, swelling, pain and functional limitations. Functional rehabilitation is unanimously recommended, including the use of cryotherapy. However, there is no consensus regarding the methods of application of cryotherapy. Thus the objective of the study is to compare 2 cryotherapy techniques associated with a classic rehabilitation on the improvement of mobility, swelling, pain and functional parameters. The 2 cryotherapies were a compressive cryotherapy and a so-called classic cryotherapy by cold pack.

Enrollment: 40 patients

Sex: All

Ages: 50 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteers
• First-line Total Knee Arthroplasty on an indication of knee osteoarthritis diagnosed by radio-clinical examination
• Between D3 and D10 postoperatively
• Age < 90 years.

Exclusion criteria

• Intolerance to cryotherapy or compression,
• Occurrence of complications secondary to surgery,
• Withdrawal of consent,
• Non-compliance with the rehabilitation protocol (content and dosage of sessions).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Experimental Group

Experimental group

Description:

This group received classic rehabilitation\* + compressive cryotherapy \* classic rehabilitation include passive and active of mobilization of knee and patella, treat arthrogenic muscular inhibition, learn to lock the quadriceps, progressive muscular strengthening of the periarticular muscles of the knee, stretching of the quadriceps and the posterior muscular chain, proprioceptive exercises with bi- and unipodal balance, transfer of support and resumption of the walking pattern.

Treatment:

Other: cryotherapy

Control Group

Active Comparator group

Description:

This group received classic rehabilitation\* + classic cryotherapy \*classic rehabilitation include passive and active of mobilization of knee and patella, treat arthrogenic muscular inhibition, learn to lock the quadriceps, progressive muscular strengthening of the periarticular muscles of the knee, stretching of the quadriceps and the posterior muscular chain, proprioceptive exercises with bi- and unipodal balance, transfer of support and resumption of the walking pattern.

Treatment:

Other: cryotherapy