Effect of Foot Massage on Pain and Analgesic Consumption in Total Knee Prosthesis

Alev Keskin

Status: Enrolling

Conditions: Knee Osteoarthritis

Treatments: Other: Foot Massage and Cold Application; Other: Cold Application

Study type: Interventional

Funder types: Other

Identifiers

NCT07126340

Alev Keskin

Details and patient eligibility

About

This randomized controlled trial aims to examine the effects of foot massage combined with cold application on postoperative pain, patient satisfaction, and analgesic consumption in individuals undergoing Total Knee Arthroplasty (TKA). The study will be conducted in the Orthopedics and Traumatology Department of Çukurova University Balcalı Hospital, which includes an 18-bed orthopedic unit.

Eligible patients will be randomly assigned to either the intervention group or the control group.

• Intervention group: Patients will receive both cold application and foot massage. Cold therapy will be administered for 20 minutes every 2 hours for the first 48 hours postoperatively. Foot massage will be performed twice daily (morning and evening) for two days following drain removal, using standardized massage techniques.
• Control group: Patients will receive only cold application following the same schedule and procedure as the intervention group.

Data will be collected using the Patient Information Form, the Short Form of the Brief Pain Inventory, the Numeric Rating Scale, and the Newcastle Satisfaction with Nursing Care Scale. Statistical analyses will be conducted using SPSS, and findings will be interpreted at a 95% confidence level (p < 0.05).

Ethical approval has been granted by the Çukurova University Non-Interventional Clinical Research Ethics Committee. Institutional permission will be obtained prior to data collection. Participation will be voluntary, and all data will be treated confidentially.

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Being 18 years or older
• Ability to speak Turkish
• No visual or hearing impairment
• No cognitive disability
• Undergoing unilateral knee replacement surgery
• Volunteering to participate in the study

Exclusion Criteria

• Presence of any intellectual disability or psychiatric disorder
• History of diabetes
• Presence of neurological or cerebrovascular disease
• Diagnosis of deep vein thrombosis

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Effect of Foot Massage and Cold Application on Postoperative Pain

Active Comparator group

Description:

The cold application protocol will be initiated upon the patient's arrival at the clinic after surgery. Cold therapy will be applied for 20 minutes every two hours and will continue for 48 hours postoperatively. In addition to cold therapy, patients will receive foot massage performed according to a standard technique. The massage will include effleurage (stroking and gliding), petrissage (kneading), and friction maneuvers. Vaseline will be used during the massage to minimize skin friction and facilitate smooth hand movements.

Treatment:

Other: Foot Massage and Cold Application

Effect of Cold Application on Postoperative Pain

Active Comparator group

Description:

The cold application protocol will be started from the moment the patient comes to the clinic after surgery. Cold application will be done for 20 minutes and every 2 hours. This application will be continued for the patient for 48 hours from the postoperative period.

Treatment:

Other: Cold Application