ArticlePhysical therapy research2020
Effect of manual lymph drainage for up to 10 days after total knee arthroplasty: Arandomized controlled trial.
Article in Physical therapy research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Effects of manual lymphatic drainage on total knee replacement: a systematic review and meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2024Pooled it
- Efficacy of kinesiotaping during rehabilitation following total knee arthroplasty: a prospective randomised controlled trial.Journal of rehabilitation medicine · 2026Trial
- Postoperative swelling: influence of a negative pressure application in comparison to manual lymphatic drainage after total knee arthroplasty-a randomized controlled trial.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Trial
- Effectiveness of Manual Lymphatic Drainage After Total Knee Arthroplasty: A Systematic Review.Journal of clinical medicine · 2026Review
- Review
- Manual lymphatic drainage before and after total knee arthroplasty, a randomized controlled trial.Journal of clinical orthopaedics and trauma · 2024Article
- Massage Therapy Effectiveness in Rehabilitation on Humeral Shaft Fracture in a Child: A Case Study.International journal of therapeutic massage & bodywork · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effect of manual lymph drainage (MLD) on pain in Japanese patients up to 10 days after a total knee arthroplasty (TKA).
methodsThis study was a randomized controlled trial performed at a University Medical Center. Patients who underwent unilateral TKA and received once daily MLD for 20 minutes prior to standard physical therapy up to 10 days after TKA were investigated. Pain at rest, knee extension muscle contraction, and maximum load were assessed using the visual analog scale (mm) before surgery, after drain removal, and after the fifth MLD. As secondary outcomes, the circumference, range of motion, muscle strength, walking speed, and walking rate were evaluated.
resultForty-one patients aged 45-85 participated in this study, 21 of whom were assigned to the intervention (MLD group) and 20 who were not (control group). Ten days after TKA, no significant difference was evident between the MLD and control groups for resting pain [4.5 mm (1.6-10.8) vs 7.0 mm (1.8-25.5), respectively, p=0.17], pain during knee extension muscle contraction [12.3 mm (4.5-24.8) vs 20.8 mm (6.4-31.8), p=0.41], and pain at maximum load [13.0 mm (8.3-39.8) vs 16.0 mm (4.6-32.5), p=0.73]. There were no significant differences between groups in terms of secondary outcomes.
conclusionThis study shows that MLD up to 10 days after TKA does not affect pain.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.