Department of Orthopedics and Traumatology, Kirsehir Ahi Evran University Faculty of Medicine, Kirsehir, Turkey.
Department of Physical Medicine and Rehabilitation, Kırsehir Ahi Evran University Faculty of Medicine, Kirsehir, Turkey.
J Orthop Sci. 2024 Jul;29(4):983-989. doi: 10.1016/j.jos.2023.05.012. Epub 2023 Jun 10.
There are current studies on kinesio taping (KT) application after total knee arthroplasty (TKA), but there is no definite consensus on its effectiveness and application method yet. This study aims to evaluates the effectiveness of KT applied added to the conservative postoperative physiotherapy program (CPPP) after TKA on postoperative edema, pain, range of motion, and functions on the early period.
This prospective, randomized, controlled, double-blind study was conducted in with 187 patients undergoing TKA. The patients were divided into 3 groups as kinesio taping (KTG), sham taping (STG) and control group (CG). KT lymphedema technique and epidermis, dermis, fascia technique were applied on the 1st and 3rd days postoperatively. Extremity circumference and joint range of motion (ROM) were measured. Visual Analog Scale, Oxford Knee Scale filled. All patients were evaluated preoperatively, on the 1st day, 3rd day, and 10th day postoperatively.
There were 62 patients in CTG, 62 patients in STG, and 63 patients in CG. In all circumference measurements, the difference between post-op10th day (PO10D) diameter and preoperative diameter measurement was less in KTG than in CG and STG (p < 0.001). CG was higher than the STG in the ROM values measured at PO10D.There was no significant difference between the groups in terms of OKS values (P:0.648). CG was higher than STG in post-op 1st day VAS values (P:0.042).
Adding KT to CPP after TKA reduces edema in the acute phase, but has no additive effect on pain, functionality, and ROM.
目前有关于运动贴扎(KT)在全膝关节置换术(TKA)后应用的研究,但对于其有效性和应用方法尚未达成明确共识。本研究旨在评估 TKA 后在保守术后物理治疗方案(CPPP)中加入 KT 对术后早期水肿、疼痛、活动度和功能的影响。
这是一项前瞻性、随机、对照、双盲研究,共纳入 187 例接受 TKA 的患者。患者分为 3 组:运动贴扎组(KTG)、假贴扎组(STG)和对照组(CG)。术后第 1 天和第 3 天分别采用 KT 淋巴引流技术和表皮、真皮、筋膜技术。测量四肢周径和关节活动度(ROM)。采用视觉模拟评分(VAS)和牛津膝关节评分(OKS)进行评估。所有患者均在术前、术后第 1 天、第 3 天和第 10 天进行评估。
CTG 组 62 例,STG 组 62 例,CG 组 63 例。在所有周径测量中,KTG 组术后第 10 天(PO10D)直径与术前直径测量的差值小于 CG 组和 STG 组(p<0.001)。CG 组在 PO10D 时的 ROM 值高于 STG 组。各组 OKS 值无显著差异(P:0.648)。CG 组在术后第 1 天 VAS 值高于 STG 组(P:0.042)。
TKA 后在 CPP 中加入 KT 可减轻急性期水肿,但对疼痛、功能和 ROM 无附加作用。