- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01657149
Influence of Manual Lymph Drainage During Hospitalization on Swelling, Function and Pain in Patients After Total Knee Replacement
Influence of Manual Lymph Drainage During Hospitalization on Swelling, Function and Pain in Patients After Total Knee Replacement - Randomized Control Trial.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In the past few decades there has been a rise in the number of knee replacements performed due to degenerative arthritis. In general over the years the number of operations has risen while the age of the patients has gone down. The aim of these operations is to improve quality of life, alleviate pain and improve function.
Post operative complications can delay recovery and rehabilitation, lengthen hospitalization duration and in extreme cases lead to failure of the operation. These complications include infection, deep vein thrombosis, swelling and edema, pain, impairment of range of motion, muscle weakness and functional disability.
Reduction of post operative edema may help to speed up recovery after total knee replacement.
Recently an effective treatment has been found for lymphatic edema that appears after oncological operations that include removal of lymph nodes or due to blood vessel disorders. This treatment is administered by a physiotherapist and includes lymphatic drainage massage, compression bandaging and exercises.
This trial will examine the effect of lymphatic massage treatment on orthopedic patients to ascertain if the use of this technique can shorten the duration and improve the quality of the post operative rehabilitation and prevent other post operative complications. At the present time not enough research has been done in this field and it is necessary to continue to investigate the efficiency of the lymphatic treatment in acute orthopedic patients.
Aims To investigate the effects of lymphatic drainage massage performed immediately after total knee replacement in relation to reduction of limb circumference, pain reduction and functional improvement.
Methods This blind randomized trial will take place in the Sharon hospital in Petach Tikvah with the cooperation of the orthopedic surgeons. The patients will be randomized into two groups- each containing 15 patients. The research group will receive lymphatic massage and individual physiotherapy while the control group will receive individual physiotherapy only.
Methods In order to assess the effects of the treatment the primary measurement will be circumferential measurement of limb volume. The secondary measurements will be pain assessment according to the VAS scale, a functional assessment according to BI"TI and range of motion measured with an inclinometer .
The measurements will be taken once prior to hospitalization. During hospitalization the measurements will be taken daily including the day of the release home and one last measurement will be taken 6 weeks after the operation. All measurements are valid and reliable.
The trial is scheduled to last 3-4 months
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Petah Tiqva, Israel
- Rabin Medical Center, Campus Golda
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- primary total knee replacement
- ages 50-85
- preserved cognitive facilities and comprehension.
Exclusion Criteria:
- Severe chronic heart failure.
- previous episode of lymph edema.
- surgical removal of lymph nodes in the lower limbs.
- significant scarring of the lower limbs (larger than 10 cm).
- Deterioration in a patient's medical condition or an infection of the lower limb during the trial period will also cause exclusion of that patient.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Research Group
receive lymphatic massage and individual physiotherapy
|
lymphatic massage and individual physiotherapy
|
Active Comparator: Control group
receive individual physiotherapy only
|
individual physiotherapy only
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Circumferential measurement of limb volume
Time Frame: The circumferential measurements will be assesed pre operative and post operative on daily basis for 5 days post op
|
The circumferential measurements will be assesed pre operative and post operative on daily basis for 5 days post op
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Visual Analogue Scale (VAS) Inclinometer
Time Frame: VAS & INCLINOMETER will be assessed on a daily basis for 5 days post op
|
VAS & INCLINOMETER will be assessed on a daily basis for 5 days post op
|
Daily functional capacity Assessment
Time Frame: Daily functional capacity Assessment after 6 days post op. All Outcomes will be reassessed after 6 weeks post op
|
Daily functional capacity Assessment after 6 days post op. All Outcomes will be reassessed after 6 weeks post op
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 0081-12-RMC
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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