Impact of a new cryotherapy device on early rehabilitation after primary total knee arthroplasty (TKA): a prospective randomised controlled trial

Sadoghi, Patrick; Hasenhütl, Sandro; Gruber, Gerald; Leitner, Lukas; Leithner, Andreas; Rumpold-Seitlinger, Gudrun; Kastner, Norbert; Poolman, Rudolf W.; Glehr, Mathias

doi:10.1007/s00264-018-3766-5

Cited by 27 publications

(30 citation statements)

References 24 publications

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“…In recent practice, the technique and duration of cryotherapy have not been standardized in different clinical centers. 29,30 As demonstrated in our study, a duration of at least 30 minutes is the minimum requirement of cryotherapy. It would be advantageous to promote the study procedures as a standard protocol for the practical use of cryotherapy in future research.…”

Section: Implications For Clinical Practicementioning

confidence: 66%

Cryotherapy Relieves Pain and Edema After Inguinal Hernioplasty in Males With End-Stage Renal Disease: A Prospective Randomized Study

Zhang

Zheng

Yan

et al. 2018

Journal of Pain and Symptom Management

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Section: Implications For Clinical Practicementioning

confidence: 66%

Cryotherapy Relieves Pain and Edema After Inguinal Hernioplasty in Males With End-Stage Renal Disease: A Prospective Randomized Study

Zhang

Zheng

Yan

et al. 2018

Journal of Pain and Symptom Management

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“…In conformity with a previous study, pain score increased to the highest level within 24 h after TKA [8] . This is probably due to the variable intra-operative soft tissue trauma with consecutive secretion, bleeding, and swelling as well as to individual post-operative reaction [4] .Blooding and damaged tissue caused by surgery will release in ammatory mediator like TNF-α, IL-1β, IL-6, IL-8, increasing vascular permeability, causing in ammatory exudation and thus leading to swelling and pain which is acute phase response (APR). APR is a systemic reaction to tissue injury and does not vary signi cantly difference in surgical techniques [9] .…”

Section: Discussionmentioning

confidence: 99%

Mirabilite with ice pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Zhang

Zheng

et al. 2020

Preprint

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Background Total knee arthroplasty (TKA) is a well-established procedure for end-state arthritis of knee with complications such as swelling and pain. The aim of this study is to evaluate the effect of mirabilite with ice pack versus ice pack alone on relieving pain, reducing swelling, range of motion (ROM), and serum CRP level in patients after TKA. Methods Eighty patients undergoing primary unilateral TKA were randomly assigned to two groups (MIP group and WIP group). We used VAS to measure knee pain at 24 h, 48 h, and 72 h after the surgery respectively. Knee swelling degree was evaluated by measuring the girth of leg at the center of patella and 10 cm above and below it at the same frequency. The active ROM of the knee was measured by using a universal goniometer of plastic material at 72 h postoperatively. The serum CRP level was also measured at 72 h postoperatively. Results The MIP group showed statistically significant lower knee girth at 48 h (p༜0.05), 72 h (p < 0.05) postoperatively and VAS score at 72 h (P = 0.018) at postoperatively after TKA than WIP group. The ROM of MIP group were significantly wider than WIP group (P = 0.024). The CRP level (P = 0.036) and length of stay (LOS) (P = 0.037) of MIP group were significantly lower than WIP group. Conclusions Mirabilite with ice pack after TKA showed superiority in relieving pain, reducing swelling, and improving ROM than ice pack alone. Trial registration: Chinese Clinical Trial Registry (ChiCTR), ChiCTR-OCN-15006356. Registered 6 MAY 2015, http://www.chictr.org.cn/showproj.aspx?proj=10927

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“…2. In 3 Studien wurden die Untersucher verblindet, jedoch nicht die Patienten und Therapeuten [6,21,22]. Nur 1 Studie führte eine Intention-to-treat-Analyse durch [6].…”

Section: Autor Anzahl Probanden Interventionunclassified

“…Insgesamt schlossen die Studien dieses Literaturreviews 832 Probanden ein. Die Schwellung wurde zu verschiedenen Zeitpunkten erhoben (präoperativ, bis 6 Wochen postoperativ; [6,18,[20][21][22]).…”

Section: Autor Anzahl Probanden Interventionunclassified

“…Sie verglichen zwar das betroffene mit dem nicht betroffenen Bein, aber nicht zwischen einer Interventions-und Kontrollgruppe. Sadoghi et al [21] untersuchten den Umfang in Höhe der Patellamitte sowie je 7 cm proximal und distal der Apex patellae. Sie nannten keine Mittelwerte, sondern lediglich das Signifikanzniveau (p = 0,482).…”

Section: Autor Anzahl Probanden Interventionunclassified

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Wirkung von kontinuierlicher Kühlung auf Schwellung, Beweglichkeit, Schmerz und Blutverlust

2019

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Zusammenfassung Hintergrund Bei der Anwendung von Kryotherapie gehört die Continuous Flow Cold Therapy (CFCT) zu den moderneren Anwendungsformen. Ziel Diese Literaturübersichtsarbeit untersuchte die Wirkungen von Kältetherapie bei Personen nach einer Kniegelenkprothesenoperation. Methode Die Literatursuche fand in den Datenbanken Cochrane, Embase und PubMed im Zeitraum Januar 2018 bis Juli 2018 statt. Eingeschlossen wurden randomisierte kontrollierte klinische Studien in deutscher oder englischer Sprache. Die Zielparameter umfassten Schwellung, maximale Beweglichkeit, Schmerz und Blutverlust. Die Bewertung der Studien erfolgte mithilfe der PEDro-Skala. Ergebnisse Es wurden 8 prospektive Studien mit 832 Probanden eingeschlossen. Der PEDro-Score lag im Median bei 4,5 von 10 Punkten. Die Messungen waren sehr heterogen. Nur wenige Studien fanden signifikante Unterschiede zwischen der Interventions- und der Kontrollgruppe für die Zielparameter Schwellung, Schmerzen oder Beweglichkeit. Statistisch signifikante Unterschiede waren kaum klinisch relevant. Beim Blutverlust ergaben sich signifikante und klinisch relevante Unterschiede. Schlussfolgerungen Die Ergebnisse zeigten keinen Nutzen der kontinuierlichen Kühlung gegenüber Kühl- oder Eispackungen. CFCT-Geräte riefen keine schädigenden Effekte hervor und können daher weiterhin genutzt werden.

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Impact of a new cryotherapy device on early rehabilitation after primary total knee arthroplasty (TKA): a prospective randomised controlled trial

Cited by 27 publications

References 24 publications

Cryotherapy Relieves Pain and Edema After Inguinal Hernioplasty in Males With End-Stage Renal Disease: A Prospective Randomized Study

Cryotherapy Relieves Pain and Edema After Inguinal Hernioplasty in Males With End-Stage Renal Disease: A Prospective Randomized Study

Mirabilite with ice pack after Total Knee Arthroplasty: A Randomized Controlled Trial Study

Wirkung von kontinuierlicher Kühlung auf Schwellung, Beweglichkeit, Schmerz und Blutverlust

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