【論文摘要】Positive Effects of Cryotherapy on Pain Reduction and Decreasing of Drainage Volume for Patients After Total Knee Arthroplasty Surgery: A Systematic Review and Meta-Analysis

【論文摘要】冰敷對全膝關節置換術後之疼痛與引流量的正向影響：系統性回顧與統合分析

張婧禕(Jing-Yi Teoh) ； 顏連慶(Lian-Cing Yan) ； 端木和頤(Ho-Yi Tuan-Mu)

《物理治療》 47卷2期 (2022/06) Pp. 125-126

https://doi.org/10.6215/FJPT.202206.O27

摘要

Background and Purpose: Positive effects of cryotherapy were thought for post-operative clinical symptoms; however, inconsistent results were showed in the literature reviews for patients after total knee arthroplasty (TKA). Therefore, we proposed to conduct a meta-analysis to evaluate the effectiveness of cryotherapy for patients who underwent TKA surgery. Methods: Articles searched in databases published from January 2001 to November 2021 with the keywords of cryotherapy, TKA, pain, edema, hemorrhage, range of motion (ROM) of knee joint. The pain, ROM of knee joint, level of hemoglobin and drainage volume were compared between the groups with and without cryotherapy. The results from the selected articles were analyzed through the random effect model with Review Manager software (RevMan version 5.4.1). Results: Nine randomized controlled trials articles were included in the meta-analysis results. The results showed that cryotherapy is preferred in reducing pain for 2 weeks post-operation and drainage volume in 2 days post-operation comparing to non-cryotherapy (standardized mean differences [95% Confidence Interval] = -0.97 [-1.36, -0.58] and -2.10 [-4.10, -0.10] respectively); however, not in increasing the range of motion of knee joint and decreasing hemoglobin level in the drainage fluid within 2 days post-operation. Conclusions: The meta-analysis results demonstrated that cryotherapy could reduce pain as well as the drainage volume for patients who received the TKA surgery. Clinical Relevance: For the patients who underwent TKA surgery, cryotherapy could reduce pain and drainage volume which let the early mobilization and physical therapy interventions possible, probably leading to early function recovery.