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The effect of mechanical massage on early outcome after total knee arthroplasty: a pilot study

Identifieur interne : 000374 ( Pmc/Curation ); précédent : 000373; suivant : 000375

The effect of mechanical massage on early outcome after total knee arthroplasty: a pilot study

Auteurs : Sun Mi Kim ; Sang-Rim Kim ; Yong Ki Lee ; Bo Ryun Kim ; Eun Young Han

Source :

RBID : PMC:4681916

Abstract

[Purpose] The aim of this study was to evaluate the efficacy of mechanical massage via Endermologie® after total knee arthroplasty in reducing edema and pain and improving knee range of motion, in the early postoperative period. [Subjects and Methods] Eighteen patients with knee edema following total knee arthroplasty were randomly assigned to the intervention group (n=8) or the control group (n=10). The intervention group received mechanical massage therapy using Endermologie® and the control group received conventional physical therapy for 20 minutes a day, 5 times a week from the seventh day postsurgery. Clinical assessments included active knee flexion and extension range of motion, knee pain using a numeric rating scale, the operated limb circumference, the soft tissue cross-sectional area using ultrasonography, the extracelluar fluid volume, and single frequency bioimpedance analysis at 5 kHz using bioelectrical impedance spectroscopy. [Results] Both groups showed significant reduction in edema and pain, and improvement in active knee flexion at the end of treatment. There were no significant inter-group differences before or after treatment. [Conclusion] Mechanical massage could be an alternative way of managing knee edema after total knee arthroplasty in early postoperative recovery.


Url:
DOI: 10.1589/jpts.27.3413
PubMed: 26696709
PubMed Central: 4681916

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PMC:4681916

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<p>[Purpose] The aim of this study was to evaluate the efficacy of mechanical massage via Endermologie
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after total knee arthroplasty in reducing edema and pain and improving knee range of motion, in the early postoperative period. [Subjects and Methods] Eighteen patients with knee edema following total knee arthroplasty were randomly assigned to the intervention group (n=8) or the control group (n=10). The intervention group received mechanical massage therapy using Endermologie
<sup>®</sup>
and the control group received conventional physical therapy for 20 minutes a day, 5 times a week from the seventh day postsurgery. Clinical assessments included active knee flexion and extension range of motion, knee pain using a numeric rating scale, the operated limb circumference, the soft tissue cross-sectional area using ultrasonography, the extracelluar fluid volume, and single frequency bioimpedance analysis at 5 kHz using bioelectrical impedance spectroscopy. [Results] Both groups showed significant reduction in edema and pain, and improvement in active knee flexion at the end of treatment. There were no significant inter-group differences before or after treatment. [Conclusion] Mechanical massage could be an alternative way of managing knee edema after total knee arthroplasty in early postoperative recovery.</p>
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<article-title>The effect of mechanical massage on early outcome after total knee arthroplasty: a pilot study</article-title>
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<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Sun Mi</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Sang-Rim</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref rid="cor1" ref-type="corresp">
<sup>*</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Yong Ki</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Bo Ryun</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Han</surname>
<given-names>Eun Young</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<aff id="aff1">
<label>1)</label>
Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Republic of Korea</aff>
<aff id="aff2">
<label>2)</label>
Department of Orthopaedic Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Republic of Korea</aff>
</contrib-group>
<author-notes>
<corresp id="cor1">
<label>*</label>
Corresponding author. Sang-Rim Kim, Department of Orthopaedic Surgery, Jeju National University Hospital, Jeju National University School of Medicine: 15 Aran 13-gil, Jeju 690-767, Republic of Korea. (E-mail:
<email xlink:href="kimsros@jejunu.ac.kr">kimsros@jejunu.ac.kr</email>
)</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<month>11</month>
<year>2015</year>
</pub-date>
<volume>27</volume>
<issue>11</issue>
<fpage>3413</fpage>
<lpage>3416</lpage>
<history>
<date date-type="received">
<day>02</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>8</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>2015©by the Society of Physical Therapy Science. Published by IPEC Inc.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. </license-p>
</license>
</permissions>
<abstract>
<p>[Purpose] The aim of this study was to evaluate the efficacy of mechanical massage via Endermologie
<sup>®</sup>
after total knee arthroplasty in reducing edema and pain and improving knee range of motion, in the early postoperative period. [Subjects and Methods] Eighteen patients with knee edema following total knee arthroplasty were randomly assigned to the intervention group (n=8) or the control group (n=10). The intervention group received mechanical massage therapy using Endermologie
<sup>®</sup>
and the control group received conventional physical therapy for 20 minutes a day, 5 times a week from the seventh day postsurgery. Clinical assessments included active knee flexion and extension range of motion, knee pain using a numeric rating scale, the operated limb circumference, the soft tissue cross-sectional area using ultrasonography, the extracelluar fluid volume, and single frequency bioimpedance analysis at 5 kHz using bioelectrical impedance spectroscopy. [Results] Both groups showed significant reduction in edema and pain, and improvement in active knee flexion at the end of treatment. There were no significant inter-group differences before or after treatment. [Conclusion] Mechanical massage could be an alternative way of managing knee edema after total knee arthroplasty in early postoperative recovery.</p>
</abstract>
<kwd-group>
<title>Key words</title>
<kwd>Total knee arthroplasty</kwd>
<kwd>Edema</kwd>
<kwd>Mechanical massage</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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