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

Sponsor

Hacettepe University (Other)

Overall Status

Completed

CT.gov ID

NCT05847725

Collaborator

(none)

Enrollment

Arms

19.1

Actual Duration (Months)

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Knee Osteoarthritis	Other: Elastic bandaging Other: Short stretch bandaging Other: Kinesio taping	N/A

Detailed Description

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.

Study Design

Study Type:

Interventional

Actual Enrollment :

30 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention 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.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 (Outcomes Assessor)

Primary Purpose:

Supportive Care

Official Title:

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

Actual Study Start Date :

May 1, 2015

Actual Primary Completion Date :

Jun 1, 2016

Actual Study Completion Date :

Dec 1, 2016

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Elastic bandaging Patients who have undergone TKA for primary knee OA	Other: Elastic bandaging 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.
Experimental: Short stretch bandaging Patients who have undergone TKA for primary knee OA	Other: Short stretch bandaging 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.
Experimental: Kinesio taping Patients who have undergone TKA for primary knee OA	Other: Kinesio taping 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.

Arm

Intervention/Treatment

Experimental: Elastic bandaging

Patients who have undergone TKA for primary knee OA

Other: Elastic bandaging

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.

Experimental: Short stretch bandaging

Patients who have undergone TKA for primary knee OA

Other: Short stretch bandaging

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.

Experimental: Kinesio taping

Patients who have undergone TKA for primary knee OA

Other: Kinesio taping

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.

Outcome Measures

Primary Outcome Measures

Visual Analogue Scale [up to sixth weeks]
Pain intensity, Minumum score 0: no pain, maximum score 10: worst pain

Secondary Outcome Measures

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

Eligibility Criteria

Criteria

Ages Eligible for Study:

60 Years to 85 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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)