Effect of Lymphatic Drainage Manipulation on Knee Joint Swelling after Anterior Cruciate Ligament Reconstruction

Rehabilitation Medicine Pub Date : 2024-02-01 DOI:10.3724/sp.j.1329.2024.01009

Cong Meng, Yong Bao, Weiming Zhang

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Abstract

Objective To analyze the effect of lymphatic drainage manipulation on knee joint swelling after anterior cruciate ligament (ACL) reconstruction. Methods This prospective study was conducted to select patients with ACL injury admitted to the Orthopaedics Department of Shanghai Ruijin Rehabilitation Hospital from February 2020 to February 2023. The participants were divided into the observation group and control group according to the random number table method, with 120 cases in each group. ACL reconstruction was performed in both groups. Postoperatively, the control group was treated with ice compression, and the ob‐ servation group was treated with lymphatic drainage manipulation. Both groups received continuous intervention for 4 weeks. The swelling degree and skin temperature of knee joint were observed at different time points (postoperative day, 1 week, 2 weeks and 4 weeks postoperatively). Range of motion (ROM) and knee function [Lysholm knee score scale (LKSS)] before and after intervention for both groups were observed, as well as changes in pain substances [substance P, 5-hydroxytryptamine (5-HT)] and inflammatory markers [tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6)]. Results The

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淋巴引流手法对前交叉韧带重建术后膝关节肿胀的影响

目的分析淋巴引流手法对前交叉韧带（ACL）重建术后膝关节肿胀的影响。方法本前瞻性研究选取 2020 年 2 月至 2023 年 2 月期间上海瑞金康复医院骨科收治的前交叉韧带损伤患者为研究对象。按照随机数字表法分为观察组和对照组，每组 120 例。两组均进行前交叉韧带重建术。术后，对照组采用冰敷治疗，观察组采用淋巴引流手法治疗。两组均持续干预 4 周。在不同时间点（术后 1 天、1 周、2 周和 4 周）观察膝关节的肿胀程度和皮肤温度。观察两组患者干预前后的活动范围（ROM）和膝关节功能[Lysholm 膝关节评分量表（LKSS）]，以及疼痛物质[P 物质、5-羟色胺（5-HT）]和炎症标志物[肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6）]的变化。结果

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Rehabilitation Medicine

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