Post-operative Edema, Total Knee Arthroplasty
Conditions
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.
Interventions
OTHERManual Lymphatic Drainage
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.
OTHERPhysical Therapy
All patients will participate in joint physical therapy classes during their inpatient stay.
Sponsors
Anne Arundel Health System Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to 90 Years
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 * Tumor * 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scores | 3 days | Determine if performing MLD after TKR surgery decreases pain in the knee as compared to controls |
| Range of Motion | 3 days | Determine if performing MLD after TKR surgery increases range of motion as compared to the standard of care |
| Girth | 3 days | Determine if performing MLD after TKR surgery decreases girth and swelling in the knee as compared to the standar of care |
Countries
United States
Outcome results
None listed