Effect of Postoperative Kinesio Taping on Knee Edema, Pain, and Range of Motion After Total Knee Arthroplasty and Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Randomized Clinical Trials.

IF 1.7 Q2 SURGERY

JBJS Reviews Pub Date : 2024-03-15 eCollection Date: 2024-03-01 DOI:10.2106/JBJS.RVW.23.00221

Amirali Azimi, Shayan Roshdi Dizaji, Fatemeh-Sadat Tabatabaei, Saeed Safari, Morteza Nakhaei Amroodi, Amir Farbod Azimi

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引用次数: 0

Abstract

Background: Kinesio taping (KT) has been shown to be clinically effective in a wide range of musculoskeletal disorders. Despite evidence supporting KT, there still needs to be more certainty regarding its clinical worthiness in managing postoperative conditions. This study aims to assess the effect of postoperative KT on knee edema, pain, and range of motion (ROM) when added to routine physiotherapy after knee surgery.

Methods: In this systematic review and meta-analysis, MEDLINE, Embase, Scopus, Web of Science, and CENTRAL databases were searched from their inception to July 2023. Randomized controlled trials (RCTs) comparing routine physiotherapy with and without KT were included. Random-effect models were used to calculate the standardized mean difference (SMD), confidence interval, and heterogeneity (I2).

Results: Sixteen RCTs on 842 operated knees were included. KT reduced knee edema in first week (SMD, -0.59, p < 0.001), 14th postoperative day (POD) (SMD, -0.78, p < 0.001), and 28 to 42 days postop (SMD, -0.66, p < 0.001). The KT demonstrated significant pain improvement in second week (SMD, -0.87, p < 0.001) and the fourth week (SMD, -0.53, p < 0.001). The KT groups demonstrated ROM improvement within second week (SMD, 0.69, p = 0.010) and in the 28th POD (SMD, 0.89, p = 0.009). Subgroup analysis demonstrated minimal heterogeneity in anterior cruciate ligament reconstruction (ACLR) cases. However, it did not show significant superiority regarding ankle, calf, or thigh edema and Lysholm scale.

Conclusion: This study suggests that adding KT to routine postoperative physiotherapy reduces pain and knee edema after total knee arthroplasty or ACLR. Low to very low certainty of evidence for all outcomes and the limited number of studies emphasize the need for more high-quality primary studies to explore the optimal method of KT application and its effectiveness in specific knee surgeries.

Level of evidence: Level I. See Instructions for Authors for a complete description of levels of evidence.

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术后 Kinesio 胶带对全膝关节置换术和前交叉韧带重建术后膝关节水肿、疼痛和活动范围的影响：随机临床试验的系统回顾和元分析》。

背景：Kinesio taping（KT）已被证明对多种肌肉骨骼疾病具有临床疗效。尽管有证据支持 KT，但仍需进一步确定其在治疗术后疾病方面的临床价值。本研究旨在评估在膝关节术后常规物理治疗的基础上，术后 KT 对膝关节水肿、疼痛和活动范围（ROM）的影响：在这项系统性回顾和荟萃分析中，我们检索了从开始到 2023 年 7 月的 MEDLINE、Embase、Scopus、Web of Science 和 CENTRAL 数据库。纳入的随机对照试验（RCT）比较了常规物理治疗与 KT 的效果。随机效应模型用于计算标准化平均差异（SMD）、置信区间和异质性（I2）：结果：共纳入了 16 项研究，涉及 842 个手术膝关节。KT在术后第一周（SMD，-0.59，p < 0.001）、术后第14天（SMD，-0.78，p < 0.001）和术后28至42天（SMD，-0.66，p < 0.001）均减轻了膝关节水肿。KT组在第二周（SMD，-0.87，P < 0.001）和第四周（SMD，-0.53，P < 0.001）疼痛明显改善。KT 组在第二周（SMD，0.69，p = 0.010）和第 28 个 POD（SMD，0.89，p = 0.009）显示出 ROM 改善。亚组分析显示，前交叉韧带重建（ACLR）病例的异质性很小。然而，在踝关节、小腿或大腿水肿和 Lysholm 量表方面并没有显示出明显的优越性：本研究表明，在常规术后理疗中加入 KT 可减轻全膝关节置换术或 ACLR 术后的疼痛和膝关节水肿。由于所有结果的证据确定性较低或很低，且研究数量有限，因此需要进行更多高质量的初步研究，以探索应用 KT 的最佳方法及其在特定膝关节手术中的有效性：证据等级：I级。有关证据等级的完整描述，请参阅 "作者须知"。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS Reviews SURGERY-

CiteScore

4.40

自引率

4.30%

发文量

132

期刊介绍： JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.