Short-time Effect of Sterile Kinesio Tape applied during Anterior Cruciate Ligament Reconstruction on Edema, Pain and Range of Motion

2021 ◽  
pp. 1-12
Author(s):  
Gul Baltaci ◽  
Nihan Ozunlu Pekyavas ◽  
Ozgur Ahmet Atay
2009 ◽  
Vol 1 (1) ◽  
pp. 3 ◽  
Author(s):  
Matjaz Sajovic ◽  
Gorazd Lesnicar ◽  
Mojca Z. Dernovsek

Septic arthritis of the knee is a rare complication after arthroscopic anterior cruciate ligament reconstruction, and the most appropriate treatment is unclear. All case series reported so far have been retrospective, and case numbers of septic arthritis have ranged from 4 to 11. From a consecutive case series of 1,283 patients who underwent arthroscopic anterior cruciate ligament reconstruction between January 1997 and May 2008, we report on 3 patients (0.23%) with post-operative septic arthritis. All patients had acute infection (≤ 2 weeks), bacterial cultures showed Staphylococcus species in 2 patients, while the bacterial culture was negative in the third. All of them underwent immediate arthroscopic debridement and lavage with continuous irrigation, as well as antibiotic treatment. The results were evaluated with physical and radiographic examination, functional testing, KT-2000, Lysholm and Tegner scales. The infection was successfully eradicated without further surgical treatment and the ligament graft was retained in all patients. Follow-up, at an average of 33 months, revealed that the patients had full symmetric knee range of motion and no effusion. The average Lysholm score was 91 points. In the patient with a lower subjective score, radiographs demonstrated patellofemoral joint-space narrowing, which is most probably in correlation with his anterior knee pain problems and lower activity level. The 134 N KT-2000 arthrometer side-to-side differences averaged 13 mm. Their performance in the single-legged hop test gave excellent results. The goals of treatment for septic arthritis after anterior cruciate ligament reconstruction are, primarily, to protect the articular cartilage and, secondly, to protect the graft. Through early diagnosis and prompt treatment, the infection can be successfully eradicated, with stability of the knee and full range of motion achieved.


2020 ◽  
Author(s):  
Milad Gholami ◽  
Fahimeh Kamali ◽  
Maryam Mirzaei ◽  
Alireza Motealleh ◽  
MohammadBagher Shamsi

Abstract Background : This study aimed to investigate the effects of Kinesio Taping on Kinesiophobia (fear of re-injury), balance and functional performance in athletes after anterior cruciate ligament reconstruction. Methods: This randomized, placebo-controlled clinical trial was performed on 20 athletes with anterior cruciate ligament reconstruction (mean age 32.35 ± 6.25 years) at the time of return to sport. The participants were selected using purposive sampling approach and they were randomly assigned to kinesio tape group (n=10) or placebo kinesio tape group (n=10). While subjects under taped, the following outcomes were measured at baseline, ten minutes after the intervention, and two days later. Kinesiophobia, balance, strength, functional / agility performance was assessed by Tampa Scale, Y balance test (YBT), single leg hops and 10-yard extremity functional test, respectively. Data were analyzed using the repeated measure analysis of variance (RMANOVA) in the SPSS v.23. Results: Two days after Kinesio taping, the difference between the scores obtained in the first and the second measurements for all variables in the kinesio tape group was not significantly different rather than placebo kinesio tape group (all P> 0.05). The difference between scores of the third and the first measurements of all variables was also not significantly different in the kinesio tape group compared to the placebo kinesio tape group (all P> 0.05). In the kinesio tape and placebo kinesio tape groups, RMANOVA indicated that the differences in all variables scores were significant over time (P < 0.001), Sidak post-hoc test indicated that the differences between the first and the second measurements, as well as between the first and the third measurements were significant (P < 0.001). Conclusion: This study gives no support for any beneficial effect of kinesio taping on reduction of kinesiophobi or improvement of balance score and functional performance in athletes with post anterior cruciate ligament reconstruction. Trial registration: This study was registered in the Iranian Clinical Trial Center with the code IRCT20190130042556N1, https://www.irct.ir/trial/37312, registered 12 February 2019.


Author(s):  
Milad Gholami ◽  
Fahimeh Kamali ◽  
Maryam Mirzeai ◽  
Alireza Motealleh ◽  
MohammadBagher Shamsi

Abstract Background Anterior cruciate ligament trauma is one of the most common knee injuries in professional athletes. This study aimed to investigate the effects of kinesio taping on kinesiophobia, balance, and functional performance in athletes after anterior cruciate ligament reconstruction. Methods This randomized, placebo-controlled clinical trial was performed on 20 athletes with anterior cruciate ligament reconstruction (mean age 32.3 ± 6.2 years) at the time of return to sport. The subjects were randomly assigned to the kinesio tape (KT) group (n = 10) or placebo KT group (n = 10). While subjects under taped, the following outcomes were measured at baseline, 10 minutes after the intervention, and 2 days later. Kinesiophobia, balance, strength, and functional / agility performance were assessed by the Tampa Scale, Y balance test (YBT), single-leg hops, and 10-yard extremity functional test, respectively. Results The results did not show a significant difference between-group post-intervention differences in kinesiophobia (Mean between-group difference = − 6.30, 95% CI = − 4.35 to 1.42, P-value = 0.17). Likewise, no significant statistical difference was observed between two study groups in terms of YBT scores (Mean between-group difference ranged over = − 6.30, 95% CI = − 1.1 to 4.7, the effect sizes ranged over = 0.01 to 0.31), P-value > 0.05), Single Leg Hop (Mean between-group difference = − 0.48, 95% CI for difference ranged over = − 10.3 to 9.3, effect size = 0.001, P-value = 0.918), and 10 Yard test scores (Mean between-group difference = − 0.30, 95% CI = (− 1.3 to 0.75), effect size = 0.02, P-value = 0.55) at 2 days after the KT. In the KT and placebo KT groups, RMANOVA indicated that the differences in all variables scores were significant over time with large effect sizes (effect size ranged over = 0.94–0.99; all P-value < 0.001). Conclusion This study gives no support for any beneficial effect of kinesio taping on the reduction of kinesiophobi or improvement of balance score and functional performance in athletes with post anterior cruciate ligament reconstruction. Trial registration This study was registered in the Iranian Clinical Trial Center with the code IRCT20190130042556N1, registered 12 February 2019.


2020 ◽  
Vol 10 (3) ◽  
pp. 177-184
Author(s):  
Moosareza Ghorbani ◽  
◽  
Farideh Babakhani ◽  

Background: Jumping and landing are common activities in soccer, i.e., associated with Anterior Cruciate Ligament (ACL) injuries in the players, especially when experiencing fatigue. The current study aimed to compare the kinematics of the lower limb joints in jump-landing maneuver among soccer players with and without a history of anterior cruciate ligament reconstruction. Methods: Among active soccer players in the provincial league level in Hamedan Province, Iran, 12 individuals with the intact knee (control group), and 12 individuals with 6 to 24 months post anterior cruciate ligament reconstruction (experimental group) were selected by convivence sampling method as the study participants. During the jump-landing task, the range of motion and the joints' angle at the contact instance were measured before and after performing plyometric fatigue protocol using the Vicon motion capture system. Multivariate Analysis of Variance (MANOVA) at a significance level of P<0.05 was used for intergroup comparisons. Results: Plyometric fatigue did not affect most of the kinematic variables before and after fatigue experience. Besides, only the hip range of motion revealed a significant difference between the study groups (P=0.38). Conclusion: Fatigue had more effect on some variables in individuals with ACL reconstruction, including the left and right hips angles. Moreover, there was a significant difference in some variables between the study groups; the range of motion of the left hip, the contact angle of the right hip before fatigue experience, and the contact angle of the right and left hips after fatigue. In general, a proper rehabilitation program is recommended for athletes with ACL reconstruction to reduce the risk of recurrence of jumping movements in exercise.


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