Manual Lymph Drainage for Patients With Acute Total Knee Replacement
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Sponsor
- Enrollment
- 4
- Locations
- 2
- Primary Endpoint
- Range of Motion
Study Overview
Brief Summary
Manual Lymphatic Drainage (MLD) is a specialized massage technique utilized to decrease various forms of edema. This technique promotes reuptake of interstitial fluid along the pathways of the lymphatic system. This technique promotes healing, decrease swelling, and decrease pain.
Detailed Description
Manual Lymphatic Drainage (MLD) is a specialized massage technique utilized to decrease various forms of edema. Edema can limit function, range of motion (ROM) and increase pain after surgery. Studies have shown that decreasing edema can increase knee strength and functional performance on various standardized measures. MLD has been shown to be effective in patients with hind foot operations and increases ROM post total knee replacement (TKR) surgery. The aim of this study is to determine whether MLD on a sample of patients with TKR will decrease edema, increase ROM and decrease pain as compared to TKR patients who do not receive MLD.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 45 Years to 90 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •s/p total knee replacement
- •Primary diagnosis of osteoarthritis or degenerative joint disease
- •Able to read and understand English to consent
- •Acceptance of the study protocol procedure
Exclusion Criteria
- •Active infection
- •Metastatic or systemic malignancy
- •Acute thrombus
- •History of pulmonary embolism
- •Major cardiac pathology such has angina
- •Heart attack or uncompensated congestive heart failure (CHF)
- •Body mass index (BMI) > 40
- •Pregnant or lactating women
- •Renal dysfunction
- •Joint revision
- •Hospitalization length of stay less than or greater than 3 days
- •Previous knee replacement
- •Bilateral knee replacement
Arms & Interventions
Control
Patients randomized to this arm will follow the current standard for post-operative care.
Intervention: Physical Therapy (Other)
Experimental
Patients randomized to this arm will follow the current standard for post-operative care as well as 2 daily sessions of manual lymphatic drainage.
Intervention: Manual Lymphatic Drainage (Other)
Experimental
Patients randomized to this arm will follow the current standard for post-operative care as well as 2 daily sessions of manual lymphatic drainage.
Intervention: Physical Therapy (Other)
Outcomes
Primary Outcomes
Range of Motion
Time Frame: 3 days
Determine if performing MLD after TKR surgery increases range of motion as compared to the standard of care
Girth
Time Frame: 3 days
Determine if performing MLD after TKR surgery decreases girth and swelling in the knee as compared to the standar of care
Pain Scores
Time Frame: 3 days
Determine if performing MLD after TKR surgery decreases pain in the knee as compared to controls
Secondary Outcomes
No secondary outcomes reported