Outcomes for Manual Lymphatic Drainage

NCT ID: NCT04795011

Last Updated: 2021-05-17

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 21 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-03-09
• Study Completion Date: 2021-04-22

Brief Summary

In this context, the purpose of our study is to investigate the effect of MLD(manual lymphatic drainage) technique applied in addition to the standard postoperative rehabilitation protocol on pain, kinesophobia and quality of life in early periods in patients undergoing primary TKA(total knee arthroplasty) surgery. Our hypothesis is that the addition of the MLD technique to the standard postoperative rehabilitation protocol will improve the early clinical outcomes of patients undergoing primary TKA. In the future perspective, we anticipate that the data obtained as a result of our study will make a significant contribution to the relevant literature on the early and mid-term ameliorative effects of MLD on postoperative pain, kinesiophobia and quality of life, which will be possibly applied in addition to standard postoperative rehabilitation protocols in patients undergoing primary TKA.

Conditions

Total Knee Arthroplasty

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

control group

Standard rehabilitation protocol will be administered to the control group. In the standard rehabilitation protocol for the first three days after surgery, 3 sets of exercises will be applied as 10 repetitions. The treatment will be initiated for the patients with tolerable coughing and deep breathing exercises. Active dorsi-plantar flexion of the ankle, isometric contraction for the quadriceps, hamstrings and gluteus maximus, for the knee in the supine position on the bed; active heel shift exercises, straight leg raising and standing knee and hip flexion, active hamstring curling, and self-hamstring stretching will be performed. After the exercise, the morning treatment protocol will be completed with a walker at a tolerable distance. The patient will be given assignment in the form of walking and repetition of morning exercises at a tolerable level at least twice during the day.

Group Type: ACTIVE_COMPARATOR

exercise

Intervention Type: OTHER

range of motion and walking exercise

manual lymphatic drainage group

manual lymphatic drainage (MLD) will be applied to the second group (MLD group) in addition to the standard rehabilitation protocol

Group Type: EXPERIMENTAL

exercise and manual lymphatic drainage

Intervention Type: OTHER

MLD will be launched with simple neck application. Hemodynamics of blood and lower extremity motoring will be increased by combining active bilateral shoulder-twisting with breathing after effleurage. Cervical lymph nodes will be stimulated. Back-up treatment will be applied for the abdominal area. Suction power in the ductus thoracicus will be increased with breathing exercises. Ventral drainage will be applied to the lower extremity in accordance with the surgery of the patient.

Interventions

exercise and manual lymphatic drainage

MLD will be launched with simple neck application. Hemodynamics of blood and lower extremity motoring will be increased by combining active bilateral shoulder-twisting with breathing after effleurage. Cervical lymph nodes will be stimulated. Back-up treatment will be applied for the abdominal area. Suction power in the ductus thoracicus will be increased with breathing exercises. Ventral drainage will be applied to the lower extremity in accordance with the surgery of the patient.

Intervention Type: OTHER

exercise

range of motion and walking exercise

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients between the ages of 40-85
• were diagnosed with stage IV gonarthrosis
• planned primary total knee arthroplasty (TKA)
• were evaluated before the operation
• whose informed consents

Exclusion Criteria

• Patients with postoperative pulmonary thromboembolism or treatment-related complications in the past,
• patients with osteoarthritis secondary bone or joint infections,
• patients with morbid obesity,
• patients with presence of hematological disease and malignancy,
• major cardiac pathology,
• venous insufficiency,
• patients taking high-dose anticoagulants
• patients with communication problems

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Selcuk University

OTHER

Sponsor Role: lead

Responsible Party

Emine Cihan

PhD Student

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Selcuk University

Konya, Selcuklu, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

SelcukUEC1

Identifier Type: -

Identifier Source: org_study_id