Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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TERMINATED
NA
4 participants
INTERVENTIONAL
2015-01-31
2016-10-11
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Control
Patients randomized to this arm will follow the current standard for post-operative care.
Physical Therapy
All patients will participate in joint physical therapy classes during their inpatient stay.
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.
Manual 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.
Physical Therapy
All patients will participate in joint physical therapy classes during their inpatient stay.
Interventions
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Manual 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.
Physical Therapy
All patients will participate in joint physical therapy classes during their inpatient stay.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Primary diagnosis of osteoarthritis or degenerative joint disease
* Able to read and understand English to consent
* Acceptance of the study protocol procedure
Exclusion Criteria
* 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
45 Years
90 Years
ALL
No
Sponsors
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Anne Arundel Health System Research Institute
OTHER
Responsible Party
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Principal Investigators
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Paul King, M.D.
Role: PRINCIPAL_INVESTIGATOR
Anne Arundel Medical Center, OSMC
Locations
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Anne Arundel Medical Center
Annapolis, Maryland, United States
Countries
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References
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Kessler T, de Bruin E, Brunner F, Vienne P, Kissling R. Effect of manual lymph drainage after hindfoot operations. Physiother Res Int. 2003;8(2):101-10. doi: 10.1002/pri.277.
Holm B, Kristensen MT, Bencke J, Husted H, Kehlet H, Bandholm T. Loss of knee-extension strength is related to knee swelling after total knee arthroplasty. Arch Phys Med Rehabil. 2010 Nov;91(11):1770-6. doi: 10.1016/j.apmr.2010.07.229.
Ebert JR, Joss B, Jardine B, Wood DJ. Randomized trial investigating the efficacy of manual lymphatic drainage to improve early outcome after total knee arthroplasty. Arch Phys Med Rehabil. 2013 Nov;94(11):2103-11. doi: 10.1016/j.apmr.2013.06.009. Epub 2013 Jun 26.
Shimoyama Y, Sawai T, Tatsumi S, Nakahira J, Oka M, Nakajima M, Jotoku T, Minami T. Perioperative risk factors for deep vein thrombosis after total hip arthroplasty or total knee arthroplasty. J Clin Anesth. 2012 Nov;24(7):531-6. doi: 10.1016/j.jclinane.2012.02.008. Epub 2012 Sep 21.
Watanabe H, Sekiya H, Kariya Y, Hoshino Y, Sugimoto H, Hayasaka S. The incidence of venous thromboembolism before and after total knee arthroplasty using 16-row multidetector computed tomography. J Arthroplasty. 2011 Dec;26(8):1488-93. doi: 10.1016/j.arth.2011.01.001. Epub 2011 Feb 12.
Januel JM, Chen G, Ruffieux C, Quan H, Douketis JD, Crowther MA, Colin C, Ghali WA, Burnand B; IMECCHI Group. Symptomatic in-hospital deep vein thrombosis and pulmonary embolism following hip and knee arthroplasty among patients receiving recommended prophylaxis: a systematic review. JAMA. 2012 Jan 18;307(3):294-303. doi: 10.1001/jama.2011.2029.
Other Identifiers
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MLD-2014
Identifier Type: -
Identifier Source: org_study_id
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