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

Détails

ID Serval
serval:BIB_7014189FF30F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Effect of Manual Lymphatic Drainage After Total Knee Arthroplasty: A Randomized Controlled Trial.
Périodique
Archives of Physical Medicine and Rehabilitation
Auteur(s)
Pichonnaz C., Bassin J.P., Lécureux E., Christe G., Currat D., Aminian K., Jolles B.M.
ISSN
1532-821X (Electronic)
ISSN-L
0003-9993
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
97
Numéro
5
Pages
674-682
Langue
anglais
Résumé
OBJECTIVE: To evaluate the effects of manual lymphatic drainage (MLD) on knee swelling and the assumed consequences of swelling after total knee arthroplasty (TKA).
DESIGN: Randomized controlled trial.
SETTING: Primary care hospital.
PARTICIPANTS: Two groups of 30 patients were randomized before TKA surgery (N=60; 65% women [39]; mean age, 70.7±8.8y; weight, 77.8±11.3kg; size, 1.64±0.08m; body mass index, 29.9±4.1kg/m(2)).
INTERVENTIONS: Participants received either 5 MLD treatments or a placebo, added to rehabilitation, in between the second day and the seventh day after surgery.
MAIN OUTCOME MEASURES: Swelling was measured by blinded evaluators before surgery and at second day, seventh day, and 3 months using bioimpedance spectroscopy and volume measurement. Secondary outcomes were active and passive range of motion, pain, knee function, and gait parameters.
RESULTS: At seventh day and 3 months, no outcome was significantly different between groups, except for the knee passive flexion contracture at 3 months, which was lower and less frequent in the MLD group (-2.6°; 95% confidence interval, -5.0° to -0.21°; P=.04; absolute risk reduction, 26.6%; 95% confidence interval, 0.9%-52.3%; number needed to treat, 4). The mean pain level decreased between 5.8 and 8.2mm on the visual analog scale immediately after MLD, which was significant after 4 of 5 MLD treatments.
CONCLUSIONS: MLD treatments applied immediately after TKA surgery did not reduce swelling. It reduced pain immediately after the treatment. Further studies should investigate whether the positive effect of MLD on knee extension is replicable.
Pubmed
Web of science
Création de la notice
02/02/2016 17:04
Dernière modification de la notice
20/08/2019 14:28
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