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In the postoperative period of a total knee arthroplasty, subjects present limitations of articular amplitudes, swelling, pain and functional limitations. Functional rehabilitation is unanimously recommended, including the use of cryotherapy. However, there is no consensus regarding the methods of application of cryotherapy. Thus the objective of the study is to compare 2 cryotherapy techniques associated with a classic rehabilitation on the improvement of mobility, swelling, pain and functional parameters. The 2 cryotherapies were a compressive cryotherapy and a so-called classic cryotherapy by cold pack.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | This group received classic rehabilitation* + compressive cryotherapy * classic rehabilitation include passive and active of mobilization of knee and patella, treat arthrogenic muscular inhibition, learn to lock the quadriceps, progressive muscular strengthening of the periarticular muscles of the knee, stretching of the quadriceps and the posterior muscular chain, proprioceptive exercises with bi- and unipodal balance, transfer of support and resumption of the walking pattern. |
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| Control Group | Active Comparator | This group received classic rehabilitation* + classic cryotherapy *classic rehabilitation include passive and active of mobilization of knee and patella, treat arthrogenic muscular inhibition, learn to lock the quadriceps, progressive muscular strengthening of the periarticular muscles of the knee, stretching of the quadriceps and the posterior muscular chain, proprioceptive exercises with bi- and unipodal balance, transfer of support and resumption of the walking pattern. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cryotherapy | Other | cryotherapy was added to rehabilitation*. One group received compressive cryotherapy and the other conventional cold pack cryotherapy. * rehabilitation includes (="classic rehabilitation") passive and active of mobilization of knee and patella, treat arthrogenic muscular inhibition, learn to lock the quadriceps, progressive muscular strengthening of the periarticular muscles of the knee, stretching of the quadriceps and the posterior muscular chain, proprioceptive exercises with bi- and unipodal balance, transfer of support and resumption of the walking pattern. |
| Measure | Description | Time Frame |
|---|---|---|
| knee range of motion | Measurement of passive flexion and active extension with a goniometer | Day 1-Day 8-Day 15-Day 21 |
| Measure | Description | Time Frame |
|---|---|---|
| Knee perimetry | A perimetry measurement with a tape measure was carried out | Day 1-Day 8-Day 15-Day 21 |
| Swelling | Swelling has been measured with the "fluctuation test": the examiner placed his thumb and fingers on either side of the lower part of the patella, while with his other hand, he positioned himself at the level of the upper part of the sub quadriceps fornix. The fingers of the cranial hand exerted light pressure to mobilize the fluid from the quadriceps fornix. The test was positive if the fingers or thumb were pushed back by the effusion. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital de la Porte Verte | Versailles | Yvelines | 78000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38419032 | Derived | Quesnot A, Mouchel S, Salah SB, Baranes I, Martinez L, Billuart F. Randomized controlled trial of compressive cryotherapy versus standard cryotherapy after total knee arthroplasty: pain, swelling, range of motion and functional recovery. BMC Musculoskelet Disord. 2024 Feb 28;25(1):182. doi: 10.1186/s12891-024-07310-7. |
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| ID | Term |
|---|---|
| D017679 | Cryotherapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| Day 1-Day 8-Day 15-Day 21 |
| Pain at rest and on exertion | Pain assessment was based on the use of the Verbal Numerical Scale (NVS). The examiner asked the subject to quantify their pain on a scale ranging from 0 to 10 (0 corresponding to no pain and 10 to unbearable pain). Pain assessment was carried out at rest and during exercise during the rehabilitation sessions. | Day 1-Day 8-Day 15-Day 21 |
| 6min walking test | The instructions were to cover the greatest distance possible for 6 minutes | Day 1-Day 8-Day 15-Day 21 |
| KOOS score (Knee injury and Osteoarthritis Outcome Score) | Only the 17 items of the questionnaire dealing with "quality of life" were considered in this study. Subjects had to complete the questions | Day 1-Day 8-Day 15-Day 21 |