Wakabayashi Hidetaka
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Original article
Language English
Peer review Peer reviewed
Title Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial.
Journal Formal name：Physical therapy research
Abbreviation：Phys Ther Res
ISSN code：21898448/21898448
Domestic / ForeginForegin
Volume, Issue, Page 23(1),pp.39-46
Author and coauthor Fujiura Tatsu, Nagasawa Hiroshi, Wakabayashi Hidetaka
Authorship Last author
Publication date 2020
Summary 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