NCT06911814

Brief Summary

Total knee arthroplasty (TKA) is a surgical procedure performed to relieve pain and functional limitations caused by advanced gonarthrosis that cannot be managed with conservative methods. It is known that the postoperative rehabilitation program plays a crucial role in functionality and mobility in the postoperative period. Pain and swelling are the most commonly reported minor complications that lead to functional limitations, often associated with decreased muscle strength. After TKA, various current methods such as compression therapy and electrotherapy are employed to treat postoperative edema. Typically, patients are discharged with a home exercise program once they are ambulatory. However, the return to daily living activities varies among patients, and some may experience prolonged recovery times. In our country and hospital, there is no standardized algorithm for postoperative care following TKA. Patients are often referred to rehabilitation clinics only when complications arise. Due to issues with patient ambulation, there may be a need for inpatient care following TKA. While traditional rehabilitation programs are used, alternative methods to facilitate early ambulation have emerged in recent years, one of which is kinesiology taping (KT). Developed by Kenso Kase in the 1970s, KT is an elastic, wave-textured, waterproof, breathable cotton tape applied directly to the skin. When applied with various techniques, it helps alleviate pain, reduce edema, and provides mechanical support and joint protection. KT does not restrict movement; instead, its elastic structure opens the space between the dermis and fascia, aiding lymphatic and blood flow, thereby reducing swelling in the extremities. There are studies on the use of KT in postoperative patients beyond musculoskeletal pain conditions, particularly regarding its effectiveness in managing pain, swelling, and joint range of motion after shoulder and anterior cruciate ligament surgeries. Although recent studies in the literature have explored the use of KT after TKA, there is still no consensus on its efficacy and application methods. This study aims to investigate the potential effects or complications of KT treatment on balance, pain, mobility, and quality of life in patients undergoing rehabilitation after TKA.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 22, 2025

Completed
13 days until next milestone

First Posted

Study publicly available on registry

April 4, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

June 1, 2025

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2026

Completed
Last Updated

April 4, 2025

Status Verified

April 1, 2025

Enrollment Period

7 months

First QC Date

March 22, 2025

Last Update Submit

April 3, 2025

Conditions

Keywords

Total knee arthroplastyKinesiotapePainEdema

Outcome Measures

Primary Outcomes (1)

  • Lysholm knee scale

    Scale is a patient-reported outcome measure used to evaluate the functional status of the knee joint (0-100 point) 95-100 points: Excellent knee function 84-94 points: Good knee function 65-83 points: Fair knee function \< 65 points: Poor knee function

    From enrollment to the end of treatment at 3 weeks

Study Arms (2)

The exercise group

ACTIVE COMPARATOR

The exercise group will receive joint range of motion exercises, strengthening exercises, and walking exercises from experienced physiotherapists while in bed.

Other: THE EXERCİSE

The kinesiology taping (KT) group

ACTIVE COMPARATOR

On the 3rd day, the following taping will be applied to patients: a 15 cm I tape to support the medial collateral ligaments, a 20 cm Y tape for patellar tendon support, and a 25 cm Y tape to strengthen the quadriceps muscle. Additionally, KT will be applied to patients a total of three times on the 10th and 17th days.The KT group will be shown joint range of motion exercises, strengthening exercises, and walking exercises.

Other: kinesio tapingOther: THE EXERCİSE

Interventions

KT is an elastic, wave-textured, waterproof, breathable cotton tape applied directly to the skin.We are going to apply to patients in three times.

The kinesiology taping (KT) group

KT is an elastic, wave-textured, waterproof, breathable cotton tape applied directly to the skin.We are going to apply to patients in three times.

The exercise groupThe kinesiology taping (KT) group

Eligibility Criteria

Age50 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients aged 50-75 who have undergone total knee arthroplasty (TKA)
  • Patients able to mobilize independently
  • Patients willing to participate in the treatment program
  • Patients without any secondary conditions that could cause immobilization

You may not qualify if:

  • Patients who have undergone surgery due to cancer
  • Renal insufficiency (GFR \&lt;30)
  • Patients with local infection in the kinesiology taping application area
  • Heart failure (Stage III-IV)
  • BMI \&gt;35
  • Cognitive impairment
  • COPD (GOLD Stage III-IV)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

PainEdema

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Ömer Berkan ÖZCAN, License

CONTACT

Taner DANDİNOĞLU, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Physical Medicine and Rehabilitation Physician

Study Record Dates

First Submitted

March 22, 2025

First Posted

April 4, 2025

Study Start

June 1, 2025

Primary Completion

January 1, 2026

Study Completion

January 1, 2026

Last Updated

April 4, 2025

Record last verified: 2025-04