TENS in Post-operative Total Knee Arthroplasty Recovery and Intra-venous Analgesics Requirement

University of Lahore60 enrolled

Overview

Total knee arthroplasty (TKA) is among the major advancements for the treatment of knee pain and improvement of physical function when conservative management fails to comply with. The success of this arthoplasty results in more functional mobility and better quality of life. However, management of pain after TKA in post-operative period is a big challenge to deal.

Transcutaneous electrical nerve stimulation is a cost effective, non-invasive electrotherapeutic modality used in alleviating pain in both acute and chronic conditions affecting neuromusculoskeletal system of the body.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Total Knee Arthoplasty Knee Pain

Interventions

Routine Physical Therapy and Intra-venous analgesic regimenOTHER

ROM Exercises will be performed and analgesics including the NSAIDs and narcotics as per prescription of surgeon/physician will be given to all subjects

Transcutaneous Electrical Nerve Stimulation along with Routine Physical Therapy and Intra-venous analgesic regimenOTHER

High frequency stimulations via Transcutaneous Electrical Nerve Simulator will be applied. ROM Exercises will be performed and analgesics including the NSAIDs and narcotics as per prescription of surgeon/physician will be given to all subjects

Eligibility

Sex: ALLMin age: 31 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Both male and female 2. Aged between 31-70 years 3. Total Knee Arthoplasty, who had been diagnosed with knee osteoarthritis, inflammatory arthritis, trauma, fracture result in total knee arthoplasty. Exclusion Criteria: 1. Any allergic condition of skin 2. Chronic consumption of opioids 3. History of dysplasia or malignancy to knee joint 4. Any major bone operation of lower limb 5. BMI higher than 35 kg m-2 6. History of mental disorder 7. Neurological illness e.g. Alzheimer which might interfere with assessment process.

Locations (1)

The University of Lahore

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Pain Intensity

Pain intensity will be measured using Visual Analogue Scale

Time frame: Pain intensity will be measured at baseline,and change in pain intensity will be measured from baseline to 24 hour, 48 hour and 72 hours.

Rang of Motion

Knee Rang of Motion will be measured using Universal Goniometer

Time frame: Knee Range of Motion will be measured at baseline, and Change in Knee Range of Motion will be measured from baseline to 24 hour, 48 hour and 72 hours

Intra-venous analgesic requirement

Dose and frequency of intravenous analgesic requirement will be observed through Patient's file

Time frame: Analgesics requirement will be observed at first post-operative day, at second post-operative day, at third post-operative day

Secondary Outcomes

Length of Hospital Stay

Length of Hospital Stay of patient

Time frame: It will be measured from the time of randomization till the time of discharge from hospital upto ten days

Data from ClinicalTrials.gov

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