ワカバヤシ　ヒデタカ   Wakabayashi Hidetaka   若林　秀隆    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial.
掲載誌名	正式名：Physical therapy research 略　 称：Phys Ther Res ISSNコード：21898448/21898448
掲載区分	国外
巻・号・頁	23(1),pp.39-46
著者・共著者	Fujiura Tatsu, Nagasawa Hiroshi, Wakabayashi Hidetaka
担当区分	最終著者
発行年月	2020
概要	OBJECTIVE:To assess the effect of manual lymph drainage (MLD) on pain in Japanese patients up to 10 days after a total knee arthroplasty (TKA).METHODS:This study was a randomized controlled trial performed at a University Medical Center. Patients who underwent unilateral TKA and received once daily MLD for 20 minutes prior to standard physical therapy up to 10 days after TKA were investigated. Pain at rest, knee extension muscle contraction, and maximum load were assessed using the visual analog scale (mm) before surgery, after drain removal, and after the fifth MLD. As secondary outcomes, the circumference, range of motion, muscle strength, walking speed, and walking rate were evaluated.RESULT:Forty-one patients aged 45-85 participated in this study, 21 of whom were assigned to the intervention (MLD group) and 20 who were not (control group). Ten days after TKA, no significant difference was evident between the MLD and control groups for resting pain [4.5 mm (1.6-10.8) vs 7.0 mm (1.8-25.5), respectively, p=0.17], pain during knee extension muscle contraction [12.3 mm (4.5-24.8) vs 20.8 mm (6.4-31.8), p=0.41], and pain at maximum load [13.0 mm (8.3-39.8) vs 16.0 mm (4.6-32.5), p=0.73]. There were no significant differences between groups in terms of secondary outcomes.CONCLUSION:This study shows that MLD up to 10 days after TKA does not affect pain.
DOI	10.1298/ptr.E9992
PMID	32850277