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膝关节初次人工关节置换术后早期恢复阶段,应用淋巴引流结合肌内效贴布对水肿程度和关节活动范围是否有影响?

Does Application of Lymphatic Drainage with Kinesiology Taping Have Any Effect on the Extent of Edema and Range of Motion in Early Postoperative Recovery following Primary Endoprosthetics of the Knee Joint?

作者信息

Sobiech Magdalena, Czępińska Agata, Zieliński Grzegorz, Zawadka Magdalena, Gawda Piotr

机构信息

Department of Sports Medicine, Faculty of Health Sciences, Medical University of Lublin, 20-093 Lublin, Poland.

出版信息

J Clin Med. 2022 Jun 16;11(12):3456. doi: 10.3390/jcm11123456.

DOI:10.3390/jcm11123456
PMID:35743526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9224659/
Abstract

BACKGROUND

The surgery of knee replacement due to degenerative changes is the last step of the treatment. After surgery, a major problem in patients is pain, swelling, intraarticular hematoma, and the restriction of the mobility of the joint. The aim of this work was to determine the effect of Kinesio Taping (KT) on reducing edema of the subcutaneous tissue and improving the range of motion in the joint.

METHODS

82 patients were qualified for the study. After surgery, 42 patients received postoperative edema treatment with KT bands, and 40 patients did not receive the treatment. The swelling thickness and range of mobility were measured on the third and eighth days after the operation.

RESULTS

A statistical difference between the longitudinal measurements of the KT group and the group without KT application was shown at the level of the fibula head, 25 mm below the fibula neck, and 50 mm below the fibular neck. There were no statistically significant differences in the change in knee angle between the applied and non-applied patients.

CONCLUSION

The lymphatic application technique KT influences the absorption of subcutaneous edema after primary knee joint replacement surgery but has no influence on mobility.

摘要

背景

因退行性变进行膝关节置换手术是治疗的最后一步。术后,患者面临的主要问题是疼痛、肿胀、关节内血肿以及关节活动受限。本研究的目的是确定肌内效贴布(KT)对减轻皮下组织水肿和改善关节活动范围的效果。

方法

82例患者符合研究条件。术后,42例患者使用KT带进行术后水肿治疗,40例患者未接受该治疗。在术后第三天和第八天测量肿胀厚度和活动范围。

结果

在腓骨头、腓骨颈下方25毫米处以及腓骨颈下方50毫米处,KT组与未使用KT组的纵向测量结果存在统计学差异。应用和未应用KT的患者之间膝关节角度变化无统计学显著差异。

结论

淋巴应用技术KT影响初次膝关节置换术后皮下水肿的吸收,但对活动度无影响。

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A Kinesio Taping Method Applied in the Treatment of Postsurgical Knee Swelling after Primary Total Knee Arthroplasty.一种肌内效贴扎法在初次全膝关节置换术后膝关节肿胀治疗中的应用。
J Clin Med. 2021 Jul 4;10(13):2992. doi: 10.3390/jcm10132992.
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Kinesiotaping for postoperative oedema - what is the evidence? A systematic review.术后水肿的肌内效贴布疗法——证据何在?一项系统评价。
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Postoperative C-reactive protein levels correlate with reduced spinal column mobility after median sternotomy: a prospective cohort study.正中开胸术后C反应蛋白水平与脊柱活动度降低相关:一项前瞻性队列研究。
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