Negrini Francesco, Fascio Edoardo, Tivolesi Valentina, Pelosi Catia, Tripodo Elena, Banfi Giuseppe, Negrini Stefano, Vitale Jacopo A
Istituti Clinici Scientifici Maugeri IRCCS, 21049 Tradate, Italy.
Department of Biotechnology and Life Sciences, University of Insubria, 21100 Varese, Italy.
J Clin Med. 2024 Dec 4;13(23):7376. doi: 10.3390/jcm13237376.
: The aim of our study was to verify whether the application of Kinesiotaping in addition to the usual treatment was superior to the usual treatment alone regarding functional outcome, pain, and edema in the first 13 days after total knee arthroplasty (TKA) surgery. : The study sample ( = 71) comprised 42.3% men and the mean age was 68.1 (±9) years. A 1:1 ratio randomization list was used to allocate the patient either to a Kinesiotaping Group (KT) or to a control (CON) group. The KT and CON groups received the same volume of standard post-TKA rehabilitation. KT was additionally treated with lymphatic correction applications of Kinesiotaping (Kinesio Tex Classic, Mogliano Veneto, Italy) on day 3 (±1) and 7 (±1) post-surgery (two applications during the rehabilitation period). Each application lasted four to five days before removal. KT was removed before the patients' discharge. The main outcome measures were as follows: (1) the circumference at knee level; (2) the VAS for pain; (3) the 10 m Walking Test; (4) the Timed Up and Go Test; (5) the passive knee range of motion; (6) body composition; (7) the Functional Independence Measure; and (8) the Modified Barthel Index. Data were collected at T0 (before surgery), T1 (3 ± 1 days after surgery), T2 (7 ± 1 days after surgery), and T3 (13 ± 1 days after surgery). : No inter-group differences were found between KT and CON at T0, T1, T2, and T3. An effect of time was observed for all outcome measures. : No superiority of Kinesiotaping was observed compared to the usual rehabilitation treatment.
我们研究的目的是验证在全膝关节置换术（TKA）后的前13天，除常规治疗外应用肌内效贴布在功能结局、疼痛和水肿方面是否优于单纯常规治疗。研究样本（n = 71）中男性占42.3%，平均年龄为68.1（±9）岁。采用1:1比例的随机分组列表将患者分配至肌内效贴布组（KT）或对照组（CON）。KT组和CON组接受相同量的TKA术后标准康复治疗。KT组在术后第3（±1）天和第7（±1）天额外接受肌内效贴布的淋巴矫正应用（Kinesio Tex Classic，意大利莫利亚诺韦内托）（康复期间应用两次）。每次应用持续四至五天后去除。在患者出院前去除KT。主要结局指标如下：（1）膝关节水平周长；（2）疼痛视觉模拟评分（VAS）；（3）10米步行试验；（4）计时起立行走试验；（5）膝关节被动活动范围；（6）身体成分；（7）功能独立性测量；（8）改良巴氏指数。在T0（术前）、T1（术后第3±1天）、T2（术后第7±1天）和T3（术后第13±1天）收集数据。在T0、T1、T2和T3时，KT组和CON组之间未发现组间差异。观察到所有结局指标均有时间效应。与常规康复治疗相比未观察到肌内效贴布有优势。
