The Efficacy of Kinesiotaping on Pain, Edema and Functionality After Total Knee Arthroplasty
Condition: Knee Arthroplasty; Pain; Edema
MeSH terms: Edema
Study type: Interventional

Summary: 
      In this prospective, randomized controlled trial; To evaluate the effect of kinesiology
      taping applied for edema on pain, edema and functions in the early period after total knee
      replacement.Patients who underwent total knee replacement will be included in the 10-day
      follow-up study.Patients will be divided into three groups by randomization. A conservative
      postoperative physiotherapy program, which is routinely applied to all groups, will be
      applied. Thus, no patient will be left without treatment. The first group will be considered
      as the control group, which will be given only a conservative physiotherapy program.

      In addition to the conservative postoperative physiotherapy program, the 2nd group will be
      taped without applying tension with a plaster and will be considered as the sham group.

      In the third group, in addition to the conservative postoperative physiotherapy program,
      kinesiotaping for payment will be applied.
    

Detailed description: 
      Patients will be divided into three groups by randomization. A conservative postoperative
      physiotherapy program, which is routinely applied to all groups, will be applied. Thus, no
      patient will be left without treatment. The first group will be considered as the control
      group, which will be given only a conservative physiotherapy program.

      In addition to the conservative postoperative physiotherapy program, the 2nd group will be
      taped without applying tension with a plaster and will be considered as the sham group.

      In the third group, in addition to the conservative postoperative physiotherapy program,
      kinesiotaping for payment will be applied.

      It is planned to prevent bias between the groups by giving standard analgesic treatment to
      all three groups in the postoperative period. In the postoperative period, Paracetamol 10
      mg/ml Infusion 3*1, 100 mg tramadol hydrochloride tablet 2*1 and celecoxib capsule 100 mg 2*1
      will be routinely administered until the discharge period.

      Conservative postoperative physiotherapy program:

      Conservative exercise program will be started on the second day after the surgery. All
      patients will receive an exercise program combined with a 20-minute local cold application
      once a day. Ankle pumping exercises, deep breathing exercises, isometric knee and hip
      circumference strengthening exercises, sitting by the bed, timed walking with a tolerable
      load on the prosthetic side will be recommended.

      The number and frequency of exercises were gradually increased; isotonic knee and hip
      circumference strengthening exercises It will be added. After the drainage of the surgical
      wound is removed on the 2nd or 3rd day, the patients will be discharged on the 4th
      postoperative day. All patients will be informed about the conditions and activities that
      need attention. Patients who continue their home exercise program after discharge will be
      called for control on the 10th day.

      Kinesio taping: In addition to its use in regional pain syndromes in recent years, KT
      application has also been reported in the literature after various non-orthopedic surgical
      procedures . Today, after KT application, which is widely used in orthopedics, especially in
      arthroscopic interventions, no negative effects have been observed on patients, and positive
      results have been reported, especially in the early period. The investigators aimed to
      compare this treatment method, which has been shown to be effective in studies performed
      after total knee arthroplasty, with SHAM taping and conservative postoperative physiotherapy
      program control group in a prospective randomized comparison.

      Kinesiotaping is applied to the sub-knee region in accordance with the lymphatic correction
      technique in order to reduce edema and pain from the first postoperative day in the group
      receiving KT treatment.Accordingly, the proximal part of the tape will be placed close to the
      lymph node.In our study, as stated in the literature, the proximal part of the tape will be
      adhered to the fibular head area next to the lymph nodes without applying any stretching.Then
      5-10% stretching is applied and the distal part is adhered.

      The strips are applied as 2 separate bands crossing each other (from the medial and lateral
      of the knee).The patients will be taped with kinesio tape on the first day and the third day
      postoperatively, and they will be discharged on the fourth day.

      After discharge, participant will be asked to remove the bands after 3 days as instructed.

      SHAM taping: Sham application will be taped with a plaster from the same area on the same
      days as the kinesio application. No tension will be applied while taping. The difference of
      the plaster from the kinesiotape is that it does not contain tension and does not allow
      stretching.

      Kinesiotaping application; It will be done by a physical therapist who has a kinesiology
      taping course certificate.
    

Intervention name(s): kinesio tape; Sham taping; Exercise
Intervention type(s): Other; Other; Other
Intervention description(s): According to this, the proximal part of the band is located close to the lymph node. In our study, as stated in the literature, the proximal part of the tape will be adhered to the fibular head area next to the lymph nodes without applying any stretching. Then 5-10% stretching is applied and the distal part is adhered. 2 separate tapes are applied so that the strips cross each other; In the same procedure and time as kinesiotaping, inelastic tape will be used instead of kinesiotape.; Routine exercise and physiotherapy program applied after knee arthroplasty surgery will be applied
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: randomized controlled study
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: knee arthroplasty; kinesiotaping