Knee Osteoarthritis, Manual Lymphatic Drainage, MLD, Rehabilitation, Total Knee Arthroplasty
Conditions
Brief summary
The aim of this observer-blinded randomized controlled trial is the evaluation of the influence of manual lymphatic drainage (MLD) on the outcome of patients receiving total knee replacement (TKA).
Interventions
Manual Lymphatic Drainage is a form of physical therapy with the primary goal of accelerating lymphatic drainage. In this study, the manual lymphatic drainage is applied by experienced physical therapists 5 days in a row for 30 minutes each; after and/or before the surgery.
Sponsors
Study design
Masking description
Observer/Investigators are unaware of the treatment arm of each patient. Patients cannot be blinded, due to the obvious treatment intervention (manual lymphatic drainage 15 minutes for 5 days).
Intervention model description
Randomized controlled trial with three treatment groups, two intervention groups and one control group
Eligibility
Inclusion criteria
* Total Knee Arthroplasty (TKA)
Exclusion criteria
* Venous insufficiency * BMI \> 38 * Vascular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Volume | Change in swelling weeks before the operation to one year after the operation | The swelling/volume is calculated through measurements of the circumference at 7 distinct points of the leg. The unit is \[mm\]. |
| Function | Change in ROM weeks before the operation to one year after the operation | Knee range of motion (ROM), active and passive. The unit is \[degrees\] |
| Knee Pain | Change in pain weeks before the operation to one year after the operation | Visual analogue scale from 0 to 10 on the average level of knee pain in the last 24 hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Subjective patient reported outcome | Before the operation, five days after the operation and one year after the operation | WOMAC Score (Western Ontario and McMaster University Osteoarthritis Index) |
Countries
Austria