Effect of Kinesio® Taping in Total Knee Replacement Surgery
Condition: Knee Osteoarthritis; Post-Surgical Complication
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

Summary: 
      Total knee replacement, which is the gold standard surgical treatment method applied in
      today's conditions, in order to maintain the patient's daily life without pain, to provide
      the knee joint range of motion, to eliminate the deformity and instability in the knee joint
      in advanced stage (Stage 3-4) knee osteoarthritis (OA) that does not benefit from
      conservative treatment. Obtaining the best clinical outcome for the patient after surgery is
      only possible with the implementation of post-surgical physical therapy and rehabilitation
      programs.

      Edema and pain occurring in the early post-surgical period prevent patients from moving
      freely, and as a result, the psychological state of the patients is also affected. With
      effective physiotherapy, besides relieving pain and edema, patients' sensorimotor
      performances, proprioceptive senses and body balances are restored, and thus the brain is
      taught how to maintain joint functions. For this reason, new physiotherapy methods are being
      developed every day for this purpose.

      "Kinesio Taping" (KT) is one of the modern physiotherapy methods that has been widely used in
      sports orthopedics in recent years. It was developed by Kenzo Kase in 1973 and is used
      clinically to relieve pain and edema, and to increase motor function in musculoskeletal
      diseases. In this method, an adhesive cotton-based tape called kinesio tape is used. The
      elastic structure of this band, which allows it to extend 130-140% of its original length,
      similar to the skin, together with its three-dimensional "fingerprint" texture specific to
      the band, causes the formation of microfolds on the skin. The formation of these folds; It is
      known that it increases the proprioceptive perception of the related joint by stimulating
      skin mechanoreceptors. It also reduces the pressure under the skin and helps relieve pain by
      increasing lymphatic drainage. The Epidermis-Dermis-Fascia (EDF) taping method is a KB method
      that has been developed in recent years. It provides less tension and is more easily applied
      to painful areas. The narrow strips of the applied tape provide more stimulation in the most
      superficial tissues5. Although studies on the effect of other application methods on
      rehabilitation after knee replacement surgery are available in the literature, there is no
      study in the literature showing the effects of the EDF technique.

      In this study, it is aimed to evaluate the effect of KT applied with EDF technique on
      clinical results in the early postoperative period in patients who have undergone total knee
      replacement surgery. The hypothesis of this study is; It was determined that "pain and edema
      decrease and functional gain increases in patients who underwent KT after total knee
      prosthesis surgery".
    


Intervention name(s): Sterile Kinesio Taping
Intervention type(s): Other
Intervention description(s): The standard post-surgical protocol and sterile EDF kinesio-taping will be applied to this group in the operating room at the end of the surgery in a sterile manner according to the epidermis-dermis-fascia (EDF) technique previously described in the literature (without tension). Original KinesioTex® Tape will be used in the study. The day of taping will be considered as Day 0 and the tapes will be changed on the 4th day, the 7th day.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Prospective randomized controlled clinical trial
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Kinesiotape; Post-Surgical Functional Outcomes; Total Knee Replacement Surgery