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| Name | Class |
|---|---|
| Burke Rehabilitation Hospital | OTHER |
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The purpose of this study is to determine if kinesiotaping for edema management will decrease post-operative edema in patients with bilateral total knee arthroplasty. The leg receiving kinesiotaping during inpatient rehabilitation may have decreased edema and pain and improved movement and function when compared to the leg not receiving kinesiotape.
After being informed about the study and potential risk, all patients undergoing inpatient rehabilitation after bilateral total knee arthroplasty will have Kinesio(R)Tape applied to one randomly selected leg while the other leg serves as a control. Measurement of bilateral leg circumference, knee range of motion, numerical rating scale for pain, and selected questions from the Knee Injury and Osteoarthritis Outcome Score will occur at regular intervals throughout the rehabilitation stay. Patients will receive standard rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Kinesiotape leg plus standard rehabilitation | Experimental | Kinesio(R)Tape for edema management applied to a randomly selected lower extremity plus standard inpatient rehabilitation after bilateral total knee arthroplasty |
|
| Control leg with standard rehabilitation alone | No Intervention | Control leg receiving standard inpatient rehabilitation alone. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kinesio(R)Tape for edema control | Device | Kinesio(R)Tape is an elastic, cotton tape with an adhesive backing. When applied for edema management, strips of Kinesio(R)Tape are applied to the lower leg in a criss-cross fashion by a physical therapist who is a Certified Kinesiotape Practitioner. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline and during 1-2-day time intervals of circumferences of both knees and lower extremities | Bilateral circumferences, in centimeters, at the following points: 10 cm above the superior pole of the patella; middle of the knee joint; calf circumference at the broadest part of the calf and at 3 inches below the fibular head landmark; figure of eight method for foot and ankle circumference - a measurement from the lateral malleolus to the navicular tuberosity, under the plantar aspect of the foot towards the tuberosity of the fifth metatarsal, around to the medial malleolus, and posterior to the leg to return to the lateral malleolus. | During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline and day-to-day changes of bilateral knee pain on numerical pain rating scale | Patient self-report: Pain rating for each leg on a integer scale of 0 (no pain) to 10 (worst pain imaginable) | During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Suzanne Babyar, PT, PhD | Burke Rehabilitation Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Burke Rehabilitation Hospital | White Plains | New York | 10605 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32459670 | Background | Tornatore L, De Luca ML, Ciccarello M, Benedetti MG. Effects of combining manual lymphatic drainage and Kinesiotaping on pain, edema, and range of motion in patients with total knee replacement: a randomized clinical trial. Int J Rehabil Res. 2020 Sep;43(3):240-246. doi: 10.1097/MRR.0000000000000417. | |
| Background | Guney Deniz H, Kinikli GI, Onal S, Sevinc C, Caglar O, Yuksei I. Comparison of Kinesio Tape application and manual lymphatic drainage on lower extremity oedema and functions after total knee arthroplasty. [Abstract]. Ann Rheum Dis. 2018; 77: 1791. | ||
| 24819349 |
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| ID | Term |
|---|---|
| D004487 | Edema |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Repeated measures with two within-subjects factors: time and taped/untaped leg
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| Change from baseline and during 1-2-day time intervals for bilateral knee range of motion |
Physical therapist's measurement of active and active assistive knee range of motion (degrees) for flexion and extension using a standard goniometer |
| During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8 |
| Change from baseline to Day 4 to Discharge Day for selected parts of the Knee Injury and Osteoarthritis Outcome Score (KOOS) self-report | Patient self-report using the KOOS sections relating to pain, stiffness, activities of daily living | At start of study, 4 days after start of study, and day 8 |
| Change from baseline and during 1-2-day time intervals for Timed Up-and-Go Test | Time (sec) to rise from a seated position, walk 10 m, turn, walk back to seat, and sit down. Patient will use appropriate assistive device and have appropriate guarding by a physical therapist. | During inpatient rehabilitation stay for each subject: at baseline (day 0), day 1, day 2, and every other day until day 8 |
| Background |
| Donec V, Krisciunas A. The effectiveness of Kinesio Taping(R) after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial. Eur J Phys Rehabil Med. 2014 Aug;50(4):363-71. Epub 2014 May 13. |
| Background | Sulman M, Riaz S, Khan RR, Faisal Z, Rajput R, Noor M. Effectiveness of Kinesio Taping on pain and function after total knee arthroplasty. Pak J Med Health Sci. 2020;14:1267-1270. |
| 30208939 | Background | Oktas B, Vergili O. The effect of intensive exercise program and kinesiotaping following total knee arthroplasty on functional recovery of patients. J Orthop Surg Res. 2018 Sep 12;13(1):233. doi: 10.1186/s13018-018-0924-9. |
| 26223312 | Background | Alghadir A, Anwer S, Brismee JM. The reliability and minimal detectable change of Timed Up and Go test in individuals with grade 1-3 knee osteoarthritis. BMC Musculoskelet Disord. 2015 Jul 30;16:174. doi: 10.1186/s12891-015-0637-8. |
| 30341552 | Background | Hancock GE, Hepworth T, Wembridge K. Accuracy and reliability of knee goniometry methods. J Exp Orthop. 2018 Oct 19;5(1):46. doi: 10.1186/s40634-018-0161-5. |
| 23948839 | Background | Unver B, Ertekin O, Karatosun V. Pain, fear of falling and stair climbing ability in patients with knee osteoarthritis before and after knee replacement: 6 month follow-up study. J Back Musculoskelet Rehabil. 2014;27(1):77-84. doi: 10.3233/BMR-130422. |
| 29075347 | Background | Bakar Y, Ozdemir OC, Sevim S, Duygu E, Tugral A, Surmeli M. Intra-observer and inter-observer reliability of leg circumference measurement among six observers: a single blinded randomized trial. J Med Life. 2017 Jul-Sep;10(3):176-181. |
| 22840304 | Background | Collins NJ, Roos EM. Patient-reported outcomes for total hip and knee arthroplasty: commonly used instruments and attributes of a "good" measure. Clin Geriatr Med. 2012 Aug;28(3):367-94. doi: 10.1016/j.cger.2012.05.007. Epub 2012 Jun 22. |
| 40228285 | Derived | DalCeredo C, LaCava J, Young R, Conklin K, Herbold J, Simsuangco C, Inostroza Millas F, Sokolow Z, Babyar S. Effectiveness of kinesiotaping for lymphatic drainage after bilateral total knee arthroplasty: A randomized controlled trial. Medicine (Baltimore). 2025 Apr 11;104(15):e41971. doi: 10.1097/MD.0000000000041971. |