Comparison Between Kinesiotaping and Cold Therapy After Total Knee Arthroplasty

Study Overview
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Brief Summary
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The investigators aim was to compare the effectiveness of kinesiotaping and cold therapy on muscle strength and functional performance outcomes in patients with TKA during early postoperative period. One-hundred-eleven patents with TKA are going to randomly assigned to control, KT and CT groups (nC=nKT=nCT=37).

Detailed Description
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Total knee arthroplasty (TKA) has been established as a valuable procedure patients with end-stage osteoarthritis and the rates of elective TKA are increasing steadily each year. Ninety percent of patients reported reduced pain, improved functional ability, and greater health related quality of life after TKA. Kinesiotaping (KT), a type of elastic tape that is being increasingly used for the management of pain and oedema after surgery . Cold therapy (CT) can also help relieve pain and swelling during early postoperative period . These two application may have impact on functional performance outcomes in patients with TKA. The number of studies that include KT in the rehabilitation process is increasing, but there isn't any study that compare KT application and CT after TKA. The aim was to compare the effectiveness of kinesiotaping and cold therapy on muscle strength and functional performance outcomes in patients with TKA during early postoperative period. Methods One-hundred-eleven patents with TKA are going to randomly assigned to control, KT and CT groups (nC=nKT=nCT=37). KT group are going to receive KT for lymphatic correction and rectus femoris facilitation technique. CT group are going to receive CT immediately after operation and following postoperative days. After surgery, all patients will receive standard post-operative treatment including continuous passive motion, active-assistive and active range of motion exercises, isometric and isotonic strengthening exercises, gait training and transfer training. After operation, pain intensity, active range of motion and knee function score [Hospital for Special Surgery (HSS) score] Functional activities are going to evaluate using the Iowa Level of Assistance Scale, and walking speed was evaluated using the Iowa Ambulation Velocity Scale. Isometric muscle strength measure of quadriceps femoris and hamstring muscles assessed by Hand-Held Dynamometer. All measurements evaluated at the discharge. One way ANOVA is going to be used in statistical analysis.

Official Title
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Comparison Between Kinesiotaping and Cold Therapy on Muscle Strength and Functional Performance Outcomes After Total Knee Arthroplasty: a Randomized Controlled Trial

Conditions
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Surgery

Intervention / Treatment
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* Other: KINESIOTAPING
* Other: COLD THERAPY


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 40 years older above have a primary total knee arthroplasty Exclusion Criteria: revision total knee arthroplasty unable to understand verbal and written instructions having previously orthopaedic or neurological disorder that causes gait disturbance and having surgery within six months.

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kinesiotaping Group<br>Kinesiotaping group received kinesiotape for lymphatic correction and rectus femoris facilitation technique. | Other: KINESIOTAPING<br>* Kinesiotaping group received kinesiotape for lymphatic correction and rectus femoris facilitation technique.<br>|
| Active Comparator: Cold Therapy Group<br>Cold Therapy group received cold pack immediately after operation and following postoperative days. | Other: COLD THERAPY<br>* Cold therapy group received cold packs immediately after operation and following postoperative days<br>|
| No Intervention: Control Group<br>Control group have no intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The maximum isometric muscle strength of Quadriceps and hamstring muscles of all the patients will be measured using Hand Held Dynamometer (Lafayette Instrument Company, Lafayette, Ind., USA). | Before the measurement, the subjects seat with the hips on the edge of the bed, knees at ninety degree of flexion, feet free and arms crossed on the chest, without a support. The subjects complete maximum knee extension during the test. When the knee extension was achieved, the participant will be asked to continue maximum isometric contraction for five seconds. Then the mean value of three consecutive maximum contraction measurements will be taken. For the maximum isometric muscle strength of hamstring muscles of all the patients will be measured using Hand Held Dynamometer. Before the measurement, subjects lay prone on the bed, knees at ninety degree of flexion. Same measurement techniques will be used. | Post-operative three months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity of the knees will be measured by a numerical rating scale. | Subjects will be asked to verbally rate the pain in and around the knee during activity and rest on the numeric rating scale from 0 to 10, with 0 representing no pain and 10 representing the worst pain imaginable. | Post-operative three months | 
| The active knee range of motion will be measured using a full circle manual goniometer. | The active knee range of motion will measured using a full circle manual goniometer made of flexible clear plastic with arms 30 cm in length. The patient will be positioned in the prone position. | Post-operative three months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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KINESIOTAPING, COLD THERAPY, FUNCTIONAL PERFORMANCE