Manual Lymphatic Drainage Therapy in the Knee Joint Functional Rehabilitation After TKA in Diabetic Knee Osteoarthritis Patients: A Randomized Clinical Trial
Journal of Surgery
Volume 7, Issue 3, June 2019, Pages: 50-56
Received: Apr. 3, 2019;
Accepted: May 16, 2019;
Published: May 30, 2019
Views 548 Downloads 305
Hong Zhang, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Jiajie Yan, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Sujuan Lin, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Huajun Wang, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Lei Xiao, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Guorong She, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Ning Liu, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Zhengang Zha, Department of Orthopedics, the First Affiliated Hospital, Jinan University, Guangzhou, China
Follow on us
To investigate the clinical effect of manual lymphatic drainage on functional rehabilitation of patients with diabetic knee osteoarthritis. A total of 199 patients with diabetic osteoarthritis who underwent total knee arthroplasty (TKA) were enrolled in the hospital and there were 72 males and 127 females in these patients. They were randomly divided into manual lymphatic drainage group (103 cases) and routine care group (96 cases). The manual lymphatic drainage group was treated with manual lymphatic drainage on the basis of routine functional rehabilitation nursing in March, while the routine nursing group only received perioperative nursing for conventional knee replacement. The patients with manual lymphatic drainage and routine nursing were studied before and 1 week, 1 month, 1 month, 3 months, and 6 months after operation to get the results of the changes of knee active flexion and extension, limb swelling degree, VAS pain score and preoperative group, the difference of HSS score and AKS score of knee joint in 6 months after operation. The active knee flexion activity of patients in the manual lymphatic drainage group was better than that of the routine care group (P < 0.05). The active knee extension and knee swelling were better in the manual lymphatic drainage group than that in the routine nursing group 1 week and 1 month after operation (P < 0.05); there was no significant difference in knee active activity and knee swelling between the two groups in March and June (P > 0.05); The scores of HSS in patients with manual lymphatic drainage in each stage after operation were better than that in the routine care group (P < 0.05). The AKS pain scores of the manual lymphatic drainage group were better than those of the routine care group (P < 0.05). There was no statistical difference (P > 0.05) in the AKS pain scores of the two groups in March and June. The AKS clinical score and AKS function score of patients in the manual lymphatic drainage group were better than that in the routine care group (P < 0.05). In general, manual lymphatic drainage treatment for patients with diabetes after total knee surgery can not only effectively alleviate postoperative knee swelling and pain but can also accelerate knee joint function recovery and improve postoperative satisfaction.
Manual Lymphatic Drainage, Total Knee Replacement, Diabetic Patients, Functional Rehabilitation, Clinical Efficacy
To cite this article
Manual Lymphatic Drainage Therapy in the Knee Joint Functional Rehabilitation After TKA in Diabetic Knee Osteoarthritis Patients: A Randomized Clinical Trial, Journal of Surgery.
Vol. 7, No. 3,
2019, pp. 50-56.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Yang Z, Reed T and Longino BH. Bone Scintigraphy SPECT/CT Evaluation of Mandibular Condylar Hyperplasia. J Nucl Med Technol 2016; 44: 49-51.
Edwards PK, Milles JL, Stambough JB, Barnes CL and Mears SC. Inpatient versus Outpatient Total Knee Arthroplasty. J Knee Surg 2019.
Su CA, Copp JA, Weinberg DS, Kraay MJ, Fitzgerald SJ and Wera GD. Are Readmissions After Total Knee Arthroplasty Preventable? J Knee Surg 2019.
Mandell JB, Orr S, Koch J, Nourie B, Ma D, Bonar DD, Shah N and Urish KL. Large variations in clinical antibiotic activity against Staphylococcus aureus biofilms of periprosthetic joint infection isolates. J Orthop Res 2019.
Hiemstra LA, Kerslake S, Kupfer N and Lafave MR. Generalized joint hypermobility does not influence clinical outcomes following isolated MPFL reconstruction for patellofemoral instability. Knee Surg Sports Traumatol Arthrosc 2019.
Yoshimoto K, Noguchi M, Yamada A and Nasu Y. Compensatory Function of the Subtalar Joint for Lower Extremity Malalignment. Adv Orthop 2019; 2019: 7656878.
Ozkuk K and Uysal B. Is the Duration of Spa Cure Treatment Important in Knee Osteoarthritis? A Randomized Controlled Study. Complement Med Res 2019; 1-7.
Yao YY, Zhou QH, Yu LN and Yan M. Additional femoral nerve block analgesia does not reduce the chronic pain after total knee arthroplasty: A retrospective study in patients with knee osteoarthritis. Medicine (Baltimore) 2019; 98: e14991.
Guerero RM, das Neves LMS, Guirro RRJ and Guirro ECO. Manual Lymphatic Drainage in Blood Circulation of Upper Limb With Lymphedema After Breast Cancer Surgery. J Manipulative Physiol Ther 2017; 40: 246-249.
Majewski-Schrage T and Snyder K. The Effectiveness of Manual Lymphatic Drainage in Patients With Orthopedic Injuries. J Sport Rehabil 2016; 25: 91-97.
Veronese N, Stubbs B, Koyanagi A, Vaona A, Demurtas J, Schofield P and Maggi S. Mitochondrial genetic haplogroups and cardiovascular diseases: Data from the Osteoarthritis Initiative. PLoS One 2019; 14: e0213656.
Yang Z, Li YQ, Tang Y, Chen W, Li Q, Zhou CD, Zhao MX and Hu CM. [Penile augmentation and elongation using autologous dermal-fat strip grafting]. Zhonghua Zheng Xing Wai Ke Za Zhi 2012; 28: 172-176.
Nguyen C, Lefevre-Colau MM, Poiraudeau S and Rannou F. Rehabilitation (exercise and strength training) and osteoarthritis: A critical narrative review. Ann Phys Rehabil Med 2016; 59: 190-195.
Nieves-Plaza M, Castro-Santana LE, Font YM, Mayor AM and Vila LM. Association of hand or knee osteoarthritis with diabetes mellitus in a population of Hispanics from Puerto Rico. J Clin Rheumatol 2013; 19: 1-6.
Tittinger T, Sloniak R, Szczepanski D, Gazdzik TS, Kulesa-Mrowiecka M and Kikowski L. Lateral instability of the knee joint and disorder of the ankle joint extension disorder in men. Wiad Lek 2019; 72: 250-254.
Van Den Houte M, Van Oudenhove L, Bogaerts K, Van Diest I, De Bie J, Persoons P and Van den Bergh O. Relationship between different experimental measures of distorted symptom perception in functional syndrome patients. Psychosom Med 2019.