Outcomes for Manual Lymphatic Drainage

Selcuk University

Status: Completed

Conditions: Total Knee Arthroplasty

Treatments: Other: exercise; Other: exercise and manual lymphatic drainage

Study type: Interventional

Funder types: Other

Identifiers

NCT04795011

SelcukUEC1

Details and patient eligibility

About

In this context, the purpose of our study is to investigate the effect of MLD(manual lymphatic drainage) technique applied in addition to the standard postoperative rehabilitation protocol on pain, kinesophobia and quality of life in early periods in patients undergoing primary TKA(total knee arthroplasty) surgery. Our hypothesis is that the addition of the MLD technique to the standard postoperative rehabilitation protocol will improve the early clinical outcomes of patients undergoing primary TKA. In the future perspective, we anticipate that the data obtained as a result of our study will make a significant contribution to the relevant literature on the early and mid-term ameliorative effects of MLD on postoperative pain, kinesiophobia and quality of life, which will be possibly applied in addition to standard postoperative rehabilitation protocols in patients undergoing primary TKA.

Enrollment: 21 patients

Sex: All

Ages: 40 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients between the ages of 40-85
• were diagnosed with stage IV gonarthrosis
• planned primary total knee arthroplasty (TKA)
• were evaluated before the operation
• whose informed consents

Exclusion criteria

• Patients with postoperative pulmonary thromboembolism or treatment-related complications in the past,
• patients with osteoarthritis secondary bone or joint infections,
• patients with morbid obesity,
• patients with presence of hematological disease and malignancy,
• major cardiac pathology,
• venous insufficiency,
• patients taking high-dose anticoagulants
• patients with communication problems

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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21 participants in 2 patient groups

control group

Active Comparator group

Description:

Standard rehabilitation protocol will be administered to the control group. In the standard rehabilitation protocol for the first three days after surgery, 3 sets of exercises will be applied as 10 repetitions. The treatment will be initiated for the patients with tolerable coughing and deep breathing exercises. Active dorsi-plantar flexion of the ankle, isometric contraction for the quadriceps, hamstrings and gluteus maximus, for the knee in the supine position on the bed; active heel shift exercises, straight leg raising and standing knee and hip flexion, active hamstring curling, and self-hamstring stretching will be performed. After the exercise, the morning treatment protocol will be completed with a walker at a tolerable distance. The patient will be given assignment in the form of walking and repetition of morning exercises at a tolerable level at least twice during the day.

Treatment:

Other: exercise

manual lymphatic drainage group

Experimental group

Description:

manual lymphatic drainage (MLD) will be applied to the second group (MLD group) in addition to the standard rehabilitation protocol

Treatment:

Other: exercise and manual lymphatic drainage