{"title":"Efficacy of kinesiotaping during rehabilitation following total knee arthroplasty: a prospective randomised controlled trial.","authors":"Ahmed Al-Saadi, Bernd Wegener, Andreas Veihelmann","doi":"10.2340/jrm.v58.44964","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine whether adding kinesiotaping to standard inpatient rehabilitation reduces early postoperative swelling and improves function after total knee arthroplasty.</p><p><strong>Design: </strong>Prospective, randomized, controlled clinical trial.</p><p><strong>Patients: </strong>136 randomized post-total knee arthroplasty inpatients; 102 completed (kinesiotaping n = 51; control n = 51).</p><p><strong>Methods: </strong>Both groups received a standardized 3-week programme. Kinesiotaping was applied by a trained physician following K-Active protocols from postoperative day 10 to day 25. The primary outcome was change in knee circumference (cm) from day 10 to day 25. Secondary outcomes were numeric rating scale pain, passive range of motion, and functional tests (Timed Up and Go, chair stand, 10-m walk).</p><p><strong>Results: </strong>Swelling reduction was greater with kinesiotaping: mean change 2.1 (SD 1.7) cm vs 0.9 (1.4) cm; mean difference 1.2 cm (95% CI 0.7-1.7), p < 0.001. Flexion gain was larger with kinesiotaping: 18.3° (7.7°) vs 14.4° (10.0°); mean difference 3.9° (95% CI 0.4-7.4), p = 0.03. Pain reduction and other secondary outcomes did not differ significantly. No kinesiotaping-related adverse events occurred.</p><p><strong>Conclusion: </strong>Kinesiotaping added to standard rehabilitation reduced early postoperative knee swelling and produced a small improvement in flexion after total knee arthroplasty. Further work should examine durability and patient-centred outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT06831682. Registration date: February 8, 2025.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44964"},"PeriodicalIF":2.3000,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386228/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Rehabilitation Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2340/jrm.v58.44964","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To determine whether adding kinesiotaping to standard inpatient rehabilitation reduces early postoperative swelling and improves function after total knee arthroplasty.
Patients: 136 randomized post-total knee arthroplasty inpatients; 102 completed (kinesiotaping n = 51; control n = 51).
Methods: Both groups received a standardized 3-week programme. Kinesiotaping was applied by a trained physician following K-Active protocols from postoperative day 10 to day 25. The primary outcome was change in knee circumference (cm) from day 10 to day 25. Secondary outcomes were numeric rating scale pain, passive range of motion, and functional tests (Timed Up and Go, chair stand, 10-m walk).
Results: Swelling reduction was greater with kinesiotaping: mean change 2.1 (SD 1.7) cm vs 0.9 (1.4) cm; mean difference 1.2 cm (95% CI 0.7-1.7), p < 0.001. Flexion gain was larger with kinesiotaping: 18.3° (7.7°) vs 14.4° (10.0°); mean difference 3.9° (95% CI 0.4-7.4), p = 0.03. Pain reduction and other secondary outcomes did not differ significantly. No kinesiotaping-related adverse events occurred.
Conclusion: Kinesiotaping added to standard rehabilitation reduced early postoperative knee swelling and produced a small improvement in flexion after total knee arthroplasty. Further work should examine durability and patient-centred outcomes.
Trial registration: ClinicalTrials.gov Identifier: NCT06831682. Registration date: February 8, 2025.
目的:探讨在标准的住院康复中加入运动带是否能减少全膝关节置换术后早期肿胀并改善功能。设计:前瞻性、随机、对照临床试验。患者:136例随机全膝关节置换术后住院患者;102例完成(运动胶带n = 51,对照组n = 51)。方法:两组均采用标准化的3周方案。从术后第10天到第25天,由训练有素的医生按照K-Active方案进行运动固定。主要观察指标为第10天至第25天膝关节围度(cm)的变化。次要结果是数值评定量表疼痛、被动活动范围和功能测试(定时起身和行走、椅子站立、10米步行)。结果:运动固定术肿胀减轻更大:平均变化2.1 (SD 1.7) cm vs 0.9 (1.4) cm;平均差异1.2 cm (95% CI 0.7-1.7), p结论:在标准康复中加入运动固定术可减少术后早期膝关节肿胀,并对全膝关节置换术后屈曲有轻微改善。进一步的工作应检查持久性和以患者为中心的结果。试验注册:ClinicalTrials.gov标识符:NCT06831682。报名日期:2025年2月8日。
期刊介绍:
Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year.
Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.