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| Impact d'une technique de stimulation manuelle veino-lymphatique selon la methode Schiltz sur la recuperation de la mobilite du genou suite a une arthroplastie totale de genou: un essai comparatif randomise (Impact of a manual veno-lymphatic stimulation according to the Schiltz method on the recovery of knee mobility following total knee arthroplasty: a randomized controlled trial) [French] |
| Preneuf-Pauthier B, Redon V, Marchat N, Toniolo J, Rousseau V, Delaide V, Dalliere S, Bergeron A, Marin B, Beloni P |
| Kinesitherapie La Revue 2022 Oct;22(250):14-20 |
| clinical trial |
| 6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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INTRODUCTION: Post-operative edema after total knee arthroplasty slows down joint recovery. The aim of this study was to evaluate the effectiveness of a massage technique using manual veno-lymphatic stimulation during the first week of hospitalization on the recovery of knee mobility following total knee arthroplasty versus usual physiotherapy alone. METHODS: This randomized controlled superiority clinical trial was conducted in two open and parallel groups: an experimental group received usual physiotherapy combined with a massage technique using the manual veno-lymphatic stimulation method (Schiltz method), a control group received only usual physiotherapy. The knee flexion amplitude was measured at D7. RESULTS: From 2014 to 2017, 44 patients were included (98 required): 22 in the experimental group, 22 in the control group. A mean difference of 2degree was found between the two groups without significant statistically difference. CONCLUSIONS: A tendency to decrease pain in the experimental group leads to consider further studies on a larger sample. In addition, the type of edema (superficial or deep) has to be taken into account in order to assess the effect of manual veno-lymphatic stimulation on superficial edema and therefore on the recovery of joint mobility. LEVEL OF CONFIDENCE: 2.
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