Effects of Bandaging and Kinesiotaping® in Patients With Total Knee Arthroplasty

Study Overview
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Brief Summary
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The study aimed to compare the effectiveness of elastic bandaging, Kinesio taping, and short stretch bandaging techniques on postoperative pain, edema, and functional level in the early stage after total knee arthroplasty.

Detailed Description
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The study was conducted on 30 volunteer subjects who underwent unilateral total knee arthroplasty surgery. Thirty participants who underwent unilateral total knee arthroplasty were divided into the Elastic Bandage Group (n=10), Kinesio Tape group (n=10), and Short Stretch Bandage group (n=10). All treatments were stopped on the eighth day. All measurements taken preoperatively were repeated postoperative 1st, 3rd, 5th, 8th, 14th, 28th days, 6th week, and 3rd month. The functional level was measured in the sixth week and third month.

Official Title
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Effects of Bandaging and Kinesiotaping® on Pain, Edema, and Functional Level in Patients With Total Knee Arthroplasty in the Early Postoperative Period: A Randomized Clinical Trial

Conditions
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Knee Osteoarthritis

Intervention / Treatment
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* Other: Elastic bandaging
* Other: Short stretch bandaging
* Other: Kinesio taping


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 60 years or older patients who had undergone unilateral TKA surgery for primary knee osteoarthritis, rheumatoid arthritis, and posttraumatic arthritis. Exclusion Criteria: Body mass index greater than or equal to 35 kg/m2, Having a neurological or peripheral vascular disease, Having a contraindication condition for compression application (e.g., acute cellulitis, arterial insufficiency, unstable heart disease, acute deep vein thrombosis), and kinesio taping application (e.g., presence of active infectious, lymphedema and/ or cancer history)

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 85 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: Parallel Assignment
Interventional Model Description: The study included a three parallel group of blinded evaluators. These cases were followed up with a planned follow-up program between preoperative and postoperative three months.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Elastic bandaging<br>Patients who have undergone TKA for primary knee OA | Other: Elastic bandaging<br>* The bandages were wrapped circularly along the extremity from the toes to the groin, drawing an 8 at the ankle with a 50% overlap rate, starting with 80% tension and decreasing the pressure proximally.<br>|
| Experimental: Short stretch bandaging<br>Patients who have undergone TKA for primary knee OA | Other: Short stretch bandaging<br>* Short tension bandage application was started on postoperative day 1 following the removal of the drains. According to the width of the extremity, using short tension bandages of 6, 8 and 10 cm width, starting from the sole of the foot, the first layer was wrapped circularly with 50% overlapping rate, 80% tension, and wrapped from the sole of the foot to the groin.<br>|
| Experimental: Kinesio taping<br>Patients who have undergone TKA for primary knee OA | Other: Kinesio taping<br>* Kinesio taping was applied in the form of a fan by cutting into 4 longitudinal pieces using the lymphatic correction technique with 15-20% tension, starting from the periphery of the inguinal lymph nodes on the medial, anterior and lateral of the leg, following the removal of the drains from the 1st post-op day.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale | Pain intensity, Minumum score 0: no pain, maximum score 10: worst pain | up to sixth weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measuring Tape Measure | Edema | up to sixth weeks | 
| The Knee Society Clinical Scoring System | Functional level assessment, maximum score 100, <60 poor, 60-69 average, 70-84 good, 85-100 excellent | up to sixth weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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knee arthroplasty, edema, elastic bandages, short stretch bandages, kinesio tape