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Massage for rehabilitation after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials.
- Source :
-
Journal of orthopaedic surgery and research [J Orthop Surg Res] 2024 May 21; Vol. 19 (1), pp. 307. Date of Electronic Publication: 2024 May 21. - Publication Year :
- 2024
-
Abstract
- Objective: This study aimed to evaluate the effectiveness of massage for postoperative rehabilitation after total knee arthroplasty (TKA).<br />Data Sources: The PubMed, Web of Science, EMBASE, Cochrane Library, and China National Knowledge Infrastructure (CNKI) databases were systematically searched from inception to May 2024.<br />Study Selection: Any randomized controlled trials on the use of massage for postoperative TKA rehabilitation were included.<br />Data Extraction: A meta-analysis of outcomes, including postoperative pain, knee range of motion (ROM), postoperative D-dimer levels, and length of hospital stay, was performed. The Cochrane Risk of Bias Assessment Tool was used to assess the risk of bias, and the data for each included study were extracted independently by two researchers.<br />Data Synthesis: Eleven randomized controlled clinical trials with 940 subjects were included. The results showed that compared with the control group, the massage group experienced more significant pain relief on the 7th, 14th and 21st days after the operation. Moreover, the improvement in knee ROM was more pronounced on postoperative days 7 and 14. In addition, the massage group reported fewer adverse events. However, there was no statistically significant difference in the reduction in postoperative D-dimer levels between the patients and controls. Subgroup analysis revealed that massage shortened the length of hospital stay for postoperative patients in China but not significantly for patients in other regions. Nevertheless, the heterogeneity of the studies was large.<br />Conclusions: Increased massage treatment was more effective at alleviating pain and improving knee ROM in early post-TKA patients. However, massage did not perform better in reducing D-dimer levels in patients after TKA. Based on the current evidence, massage can be used as an adjunctive treatment for rehabilitation after TKA.<br /> (© 2024. The Author(s).)
- Subjects :
- Female
Humans
Male
Fibrin Fibrinogen Degradation Products metabolism
Fibrin Fibrinogen Degradation Products analysis
Knee Joint surgery
Postoperative Care methods
Treatment Outcome
Arthroplasty, Replacement, Knee rehabilitation
Length of Stay
Massage methods
Pain, Postoperative rehabilitation
Pain, Postoperative etiology
Pain, Postoperative prevention & control
Randomized Controlled Trials as Topic
Range of Motion, Articular
Subjects
Details
- Language :
- English
- ISSN :
- 1749-799X
- Volume :
- 19
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedic surgery and research
- Publication Type :
- Academic Journal
- Accession number :
- 38773539
- Full Text :
- https://doi.org/10.1186/s13018-024-04798-6