Effect of Manual Lymphatic Drainage After Total Knee Arthroplasty: A Randomized Controlled Trial

Pichonnaz, Claude; Bassin, Jean-Philippe; Lécureux, Estelle; Christe, Guillaume; Currat, Damien; Aminian, Kamiar; Jolles, Brigitte M.

doi:10.1016/j.apmr.2016.01.006

Cited by 33 publications

(39 citation statements)

References 40 publications

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“…Additionally, the secondary endpoints did not show significant differences between the groups. This is consistent with previous research 14,15 ) . Swelling ( inflammatory edema) is affected by obesity.…”

Section: Discussionsupporting

confidence: 94%

“…In the report of Pichonnaz et al 15) , pain intensity associated with walking on the seventh day after TKA was 33.3 mm. In contrast, in this study, the maximum loading pain at the knee 10 days after TKA was 13.0 mm.…”

Section: Discussionmentioning

confidence: 90%

“…The primary endpoint was swelling on 7 days and 3 months after TKA. No reduction in postoperative swelling was observed after 7 days or 3 months, and there was no significant difference in reported pain between groups 15) . To date, no reports suggest that pain may be the most influential factor affecting a patient's ability after undergoing TKA; instead, the operation itself is typically the primary endpoint.…”

mentioning

confidence: 74%

“…Another reason was that the data varied widely. A previous study of MLD for TKA patients reported results spanning up to 7 days postoperatively which related primarily to swelling and ROM 14,15 ) . The postoperative inflammatory phase peaks from 7 to 10 days after a surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Periods of hospitalization after TKA in Western countries and the United States are shorter than they are in Japan 16) and intervention studies do not typically evaluate patients until approximately 10 days after surgery, by which time inflammation has reached a peak. Two reports of potential relevance describe Western patients who underwent TKA ; however, the mean body mass index (BMI) of those patients was 27.9 kg/m 2 and 29.9 kg/m 2 in the respective studies 14,15) . According to other previous studies, BMIs are vastly different for Japanese patients (24.4 kg/m 2 ) who have undergone TKA 17) .…”

mentioning

confidence: 99%

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Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

2020

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To assess the effect of manual lymph drainage (MLD) on pain in Japanese patients up to 10 days after a total knee arthroplasty (TKA). Methods: This study was a randomized controlled trial performed at a University Medical Center. Patients who underwent unilateral TKA and received once daily MLD for 20 minutes prior to standard physical therapy up to 10 days after TKA were investigated. Pain at rest, knee extension muscle contraction, and maximum load were assessed using the visual analog scale (mm) before surgery, after drain removal, and after the fifth MLD. As secondary outcomes, the circumference, range of motion, muscle strength, walking speed, and walking rate were evaluated. Result: Forty-one patients aged 45-85 participated in this study, 21 of whom were assigned to the intervention (MLD group) and 20 who were not (control group). Ten days after TKA, no significant difference was evident between the MLD and control groups for resting pain [4.5 mm (1.6-10.8) vs 7.0 mm (1.8-25.5), respectively, p=0.17], pain during knee extension muscle contraction [12.3 mm (4.5-24.8) vs 20.8 mm (6.4-31.8), p=0.41], and pain at maximum load [13.0 mm (8.3-39.8) vs 16.0 mm (4.6-32.5), p=0.73]. There were no significant differences between groups in terms of secondary outcomes. Conclusion: This study shows that MLD up to 10 days after TKA does not affect pain.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 90%

mentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

2020

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Effectiveness and methods of cryotherapy in reducing swelling after total knee arthroplasty: A systematic review on randomized controlled trials

et al. 2023

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AimThis study aims to investigate the effect and methods of cryotherapy in reducing swelling after total knee arthroplasty.DesignSystematic review.MethodsWe searched PubMed, Embase, CINAHL, Cochrane Library, KoreaMed, KERIS and National Science Digital Library for randomized controlled trials on 19 August 2021. This systematic review was conducted according to the PRISMA 2009 checklist.ResultsA total of eight randomized controlled trials were systematically reviewed to determine the effect and methods of cryotherapy on reducing postoperative swelling. The effects were not significantly different in six studies. Application time per cryotherapy session was 10–20 min when using an ice pack and up to 48 h when using an automated device. The duration ranged from 2 days to 1 week or until discharge, and the frequency varied from 2 to 72 times per day.

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Rehabilitation After Total Knee Arthroplasty

Prill

Schulz

Seeber

et al. 2022

Basics in Primary Knee Arthroplasty

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Effect of Manual Lymphatic Drainage After Total Knee Arthroplasty: A Randomized Controlled Trial

Cited by 33 publications

References 40 publications

Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial

Effectiveness and methods of cryotherapy in reducing swelling after total knee arthroplasty: A systematic review on randomized controlled trials

Rehabilitation After Total Knee Arthroplasty

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