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The aim of this study was to examine the efficacy of Kinesiotaping (KT) within postoperative rehabilitation after Total Knee Replacement (TKR) surgery by determining whether KT enhances early postoperative outcomes, in terms of reduction of swelling, pain relief and improvement in the function of the knee joint, compared to conventional rehabilitation without the use of KT.
Kinesiotaping and Rehabilitation after Total Knee Replacement The effectiveness of Kinesiotaping (KT) in postoperative rehabilitation remains scientifically unproven, despite its widespread use. KT is believed to reduce pain and swelling, improve muscle function, and enhance joint mobility by promoting blood flow and lymphatic drainage. However, high-quality studies assessing its efficacy, particularly following Total Knee Replacement (TKR), are lacking.
Aim of the Study The aim of this study is to demonstrate that KT, when applied during inpatient rehabilitation after TKR, improves clinical outcomes compared to standard rehabilitation without KT.
Specifically, the investigators aim to show that:
KT reduces postoperative swelling and pain, thereby enhancing knee function. KT promotes faster recovery of muscle strength and range of motion. KT shortens the time needed to achieve key postoperative milestones, allowing for a more effective rehabilitation process.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Kinesiotaping group | Experimental | Patients in this group will receive Kinesiotaping (KT) in addition to standard rehabilitation following TKR surgery. KT will be applied using various techniques, including lymphatic, muscle, and ligament taping. |
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| Control group (no KT) | Active Comparator | Patients in this group will receive standard rehabilitation following TKR surgery without the application of Kinesiotaping. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kinesiotaping (KT) | Device | Kinesiotaping will be applied using muscle, lymphatic, and ligament taping techniques to promote healing, reduce swelling, and improve muscle function following total knee replacement surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Level Using the Numeric Rating Scale (NRS) | Pain Level Using the Numeric Rating Scale (NRS): Pain intensity will be assessed using the Numeric Rating Scale, ranging from 0 (no pain) to 10 (worst possible pain). Unit of Measure: NRS score (0-10), where higher scores indicate worse pain. | From postoperative day 10 to postoperative day 25. |
| Knee Circumference (Swelling) | Knee Circumference (Swelling): The circumference of the operated knee will be measured using a standard tape measure at a consistent anatomical location. Unit of Measure: Centimeters. | From postoperative day 10 to postoperative day 25. |
| Passive Range of Motion (PROM) | Passive Range of Motion (PROM): Knee joint mobility (flexion and extension) will be measured using a goniometer. Unit of Measure: Degrees. | From postoperative day 10 to postoperative day 25. |
| Measure | Description | Time Frame |
|---|---|---|
| Timed Up and Go Test | Timed Up and Go Test: Measures the time (in seconds) for a patient to rise from a chair, walk 3 meters, turn, and return to the chair. Unit of Measure: Seconds (lower scores indicate better mobility). | From postoperative day 10 to postoperative day 25. |
| Chair Stand Test |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andreas Veihelmann, MD, PhD | 1 SRH Health-center, Bad Herrenalb, Germany 2 Department of Orthopaedics, Physical Medicine & Rehabilitation, Ludwig-Maximilians- University of Munich, Munich, Germany 3 Department for Spine Therapy, Sports Hospital Stuttgart, Stuttgart, Germany | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| SRH Health Center Bad Herrenalb | Bad Herrenalb | Bad Herrenalb | 76332 | Germany |
We plan to share de-identified individual participant data that underlie the results reported in the publication, including data on primary and secondary outcomes (e.g., pain levels, knee circumference, range of motion, functional tests). Access to data will be available upon reasonable request to researchers conducting relevant studies. Data will be shared following publication and will be accessible for up to 5 years. Researchers must submit a formal proposal, and data sharing agreements will be required to protect privacy and confidentiality.
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| Standard Rehabilitation | Other | Patients will receive standard postoperative rehabilitation, including physiotherapy, gait training, and medical exercises, without the application of Kinesiotaping. |
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Chair Stand Test: Measures the number of times a patient can rise from a chair and sit down within 30 seconds. Unit of Measure: Count (higher scores indicate better lower limb strength). |
| From postoperative day 10 to postoperative day 25. |
| 10-Meter Walk Test | 10-Meter Walk Test: Measures the time taken to walk 10 meters at a self-selected pace. Unit of Measure: Seconds (lower scores indicate better walking ability). | From postoperative day 10 to postoperative day 25. |