Trial Outcomes & Findings for Manual Lymphatic Drainage Following Total Knee Arthroplasty Surgery (NCT NCT00711711)

NCT ID: NCT00711711

Last Updated: 2019-01-18

Results Overview

The bioimpedance, i.e. a measurement in ohms of the opposition to current flow between electrodes was evaluated for each limb. Then the bioimpedance percentage difference between operated and healthy limb was calculated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

presurgery, 2 days, 7 days and 3 months post surgery

Results posted on

2019-01-18

Participant Flow

Patients from the Department of Orthopedic and Traumatic Surgery of the University Hospital of Lausanne were recruited from July 1, 2008 to November 16, 2010

Participant milestones

Participant milestones
Measure
Manual Lymphatic Drainage
This arm will receive 5 manual lymphatic drainage treatments from day 2 to day 7 post surgery Manual lymphatic drainage: Each patient will receive 5 treatments of 30 minutes by a trained physiotherapist, from day 2 to day 7 post surgery
Relaxation
This arm will receive 5 relaxation treatments from day 2 to day 7 post surgery Relaxation: Each patient will receive 5 treatments of 30 minutes of tape recorded relaxation , from day 2 to day 7 post surgery
Overall Study
STARTED
30
30
Overall Study
Second Postsurgical Day
30
30
Overall Study
Seventh Postsurgical Day
29
27
Overall Study
COMPLETED
29
24
Overall Study
NOT COMPLETED
1
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Manual Lymphatic Drainage Following Total Knee Arthroplasty Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Manual Lymphatic Drainage
n=30 Participants
This arm will receive 5 manual lymphatic drainage treatments from day 2 to day 7 post surgery Manual lymphatic drainage: Each patient will receive 5 treatments of 30 minutes by a trained physiotherapist, from day 2 to day 7 post surgery
Relaxation
n=30 Participants
This arm will receive 5 relaxation treatments from day 2 to day 7 post surgery Relaxation: Each patient will receive 5 treatments of 30 minutes of tape recorded relaxation , from day 2 to day 7 post surgery
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=99 Participants
21 Participants
n=107 Participants
44 Participants
n=206 Participants
Age, Categorical
>=65 years
7 Participants
n=99 Participants
9 Participants
n=107 Participants
16 Participants
n=206 Participants
Age, Continuous
71.3 years
STANDARD_DEVIATION 8.5 • n=99 Participants
70.1 years
STANDARD_DEVIATION 9.1 • n=107 Participants
70.7 years
STANDARD_DEVIATION 8.8 • n=206 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
21 Participants
n=107 Participants
39 Participants
n=206 Participants
Sex: Female, Male
Male
12 Participants
n=99 Participants
9 Participants
n=107 Participants
21 Participants
n=206 Participants
Region of Enrollment
Switzerland
30 participants
n=99 Participants
30 participants
n=107 Participants
60 participants
n=206 Participants

PRIMARY outcome

Timeframe: presurgery, 2 days, 7 days and 3 months post surgery

Population: At day 7, 3 patients lost at follow up in the control group and 1 in the treatment group. At 3 months, 3 more patients lost at follow up in the control group.

The bioimpedance, i.e. a measurement in ohms of the opposition to current flow between electrodes was evaluated for each limb. Then the bioimpedance percentage difference between operated and healthy limb was calculated.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Patients who received relaxation as placebo intervention
Manual Lymphatic Drainage
n=30 Participants
Patients who received manual lymphatic drainage as the study intervention
Bioimpedance Percentage Difference Healthy/Operated
Baseline limb bioimpedance R0 difference (%)
1.8 percentage difference between limbs
Standard Deviation 5.0
0.2 percentage difference between limbs
Standard Deviation 4.5
Bioimpedance Percentage Difference Healthy/Operated
Limb bioimpedance R0 difference at day 2 (%)
12.9 percentage difference between limbs
Standard Deviation 9.7
13.7 percentage difference between limbs
Standard Deviation 72
Bioimpedance Percentage Difference Healthy/Operated
Limb bioimpedance R0 difference at day 7 (%)
41.8 percentage difference between limbs
Standard Deviation 6.5
40.8 percentage difference between limbs
Standard Deviation 6.6
Bioimpedance Percentage Difference Healthy/Operated
Limb bioimpedance R0 difference at 3 months (%)
16.6 percentage difference between limbs
Standard Deviation 9.3
19.1 percentage difference between limbs
Standard Deviation 11.0

PRIMARY outcome

Timeframe: presurgery, and 2 days, 7 days and 3 months after surgery

Population: At day 7, 3 patients lost at follow up in the control group and 1 in the treatment group. At 3 months, 3 more patients lost at follow up in the control group.

The limb volume was evaluated for each limb using circumferential tape measurements at 4 cm intervals. Then the tape measurementy were converted into limb volume using the validated truncated-cone method, and the percentage difference between the operated and the healthy limb was calculated.

Outcome measures

Outcome measures
Measure
Placebo
n=30 Participants
Patients who received relaxation as placebo intervention
Manual Lymphatic Drainage
n=30 Participants
Patients who received manual lymphatic drainage as the study intervention
Lower Limb Volume Percentage Difference Operated/Healthy
Baseline limb volume difference (%)
1.8 percentage difference between limbs
Standard Deviation 5.0
0. percentage difference between limbs
Standard Deviation 4.5
Lower Limb Volume Percentage Difference Operated/Healthy
Limb volume difference at day 2 (%)
12.9 percentage difference between limbs
Standard Deviation 9.7
13.7 percentage difference between limbs
Standard Deviation 7.2
Lower Limb Volume Percentage Difference Operated/Healthy
Limb volume difference at day 7 (%)
17.0 percentage difference between limbs
Standard Deviation 10.7
15.3 percentage difference between limbs
Standard Deviation 6.5
Lower Limb Volume Percentage Difference Operated/Healthy
Limb volume difference at 3 months (%)
3.7 percentage difference between limbs
Standard Deviation 5.7
4.1 percentage difference between limbs
Standard Deviation 5.1

Adverse Events

Manual Lymphatic Drainage

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Relaxation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Pr. Claude Pichonnaz

HECVSanté

Phone: ++41213168126

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place