Effect of Kinesiotaping on Edema Management, Pain and Function on Patients With Bilateral Total Knee Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 65
- 试验地点
- 2
- 主要终点
- Change from baseline and during 1-2-day time intervals of circumferences of both knees and lower extremities
研究概览
简要总结
The purpose of this study is to determine if kinesiotaping for edema management will decrease post-operative edema in patients with bilateral total knee arthroplasty. The leg receiving kinesiotaping during inpatient rehabilitation may have decreased edema and pain and improved movement and function when compared to the leg not receiving kinesiotape.
详细描述
After being informed about the study and potential risk, all patients undergoing inpatient rehabilitation after bilateral total knee arthroplasty will have Kinesio(R)Tape applied to one randomly selected leg while the other leg serves as a control. Measurement of bilateral leg circumference, knee range of motion, numerical rating scale for pain, and selected questions from the Knee Injury and Osteoarthritis Outcome Score will occur at regular intervals throughout the rehabilitation stay. Patients will receive standard rehabilitation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •admitted to Burke Rehabilitation Hospital for inpatient rehabilitation within 5 days after same-day or staged bilateral total knee arthroplasty;
- •50-85 years of age;
- •able to read and understand English or a hospital-provided translator when consenting for the study;
- •free from contraindications for kinesiotaping (see below); and,
- •able to tolerate an active rehabilitation program.
排除标准
- •stage III or IV heart failure, stage III or IV renal failure;
- •fragile, very hairy or sensitive skin;
- •anesthesia or paraesthesia of any area of the lower extremity, except the surgical sites
- •active skin rashes or infections or skin lesions in the lower extremity;
- •prior history of allergic reactions to skin taping, bandaids, surgical tape; athletic tape or other skin-adhering electrode adhesives;
- •prior history of lower extremity lymphedema;3
- •prior history of lower extremity venous or arterial disease;
- •post-operative complications in the surgical sites;4
- •partial joint arthroplasty or revision arthroplasty of one or both knees;1,5
- •inability to give informed consent offered in English or through a hospital-provided translator
- •age less than 50 years or over 85 years;
- •inability to tolerate an active rehabilitation program.
结局指标
主要结局
Change from baseline and during 1-2-day time intervals of circumferences of both knees and lower extremities
时间窗: During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8
Bilateral circumferences, in centimeters, at the following points: 10 cm above the superior pole of the patella; middle of the knee joint; calf circumference at the broadest part of the calf and at 3 inches below the fibular head landmark; figure of eight method for foot and ankle circumference - a measurement from the lateral malleolus to the navicular tuberosity, under the plantar aspect of the foot towards the tuberosity of the fifth metatarsal, around to the medial malleolus, and posterior to the leg to return to the lateral malleolus.
次要结局
- Change from baseline and during 1-2-day time intervals for bilateral knee range of motion(During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8)
- Change from baseline and day-to-day changes of bilateral knee pain on numerical pain rating scale(During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8)
- Change from baseline to Day 4 to Discharge Day for selected parts of the Knee Injury and Osteoarthritis Outcome Score (KOOS) self-report(At start of study, 4 days after start of study, and day 8)
- Change from baseline and during 1-2-day time intervals for Timed Up-and-Go Test(During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8)