Table 7.
Author | Balki et al. (2016) [30] RCT | Laborie et al. (2015) [31] CT | Labianca et al. 2022 [32] RCT |
---|---|---|---|
Method of randomization | Randomization table | No randomization | Online randomizer tool |
Study population | N = 30; Experimental group N = 15 (15M; aged 22–37; mean age 28.60 ± 4.50), Control group N = 15 (15M; aged 18–39; mean age 27.66 ± 7.45). |
N = 57 (44M, 13F); Experimental group N = 28 (21M, 7F; mean age 29.2 ± 8.6); Control group N = 29 (23M, 6F; mean age 32.6 ± 9.1) |
N = 52 (M; aged 18–45); Experimental group N = 26 (26M; mean age 28.5 ± 5.3); Control group N = 26 (26M; mean age 29.2 ± 4.6) |
ACLR method | Hamstring tendon autograft and tibialis posterior or peroneus longus allograft. | Hamstring tendon graft | Gracilis and semitendinosus tendon autograft |
Enrollment time | 4th day postoperatively | Immediately postoperatively | 2nd day postoperatively |
Intervention | 2 muscle and lymphatic KT techniques every 5 days during a 10-day period plus 6 week rehabilitation program vs. 2 placebo KT techniques every 5 days during a 10-day period plus 6 week rehabilitation program | 3 days of muscle/lymphatic KT technique plus anesthesia-analgesia protocol vs. 3 days of anesthesia-analgesia protocol | Muscle and lymphatic KT application every 5 days for 4 weeks plus standard 4 week rehabilitation program vs. standard 4 week rehabilitation program |
Outcome measures | On 4th day (baseline; before KT application) and after 5 and 10 days after KT application: Pain (VAS); swelling (circumferences; tailor’s tape); ROM of knee flexion and extension (goniometer); hamstring and quadriceps strength (dynamometer). Follow up after 1 and 3 months: subjective functions (modified Cincinnati (30-point), Lysholm and Tegner tests). | At baseline (in the evening and at night) and on days: 1, 2, 3 after KT application: knee pain intensity (VAS); analgesia intake, awakening due to pain, postoperative discomfort, allergic reaction to KT, overall patient satisfaction (online self-assessment survey). | At the end of 2nd and 4th postoperative weeks: pain (VAS scale), edema (girth; measured at the mid patella), muscle mass (thigh circumference; measured 10 cm above the upper edge of the patella), passive knee ROM and knee function (Tegner-Lysholm Knee Scale and Knee Injury and Osteoarthritis Outcome Score (KOOS)) |
Main outcomes | Significant improvements in experimental vs. control group in knee swelling, pain and hamstring muscle strength (6.33 ± 1.54 vs. 5.13 ± 1.40) on the 5th day (p < 0.05); in knee flexion ROM (76.80 ± 14.85 vs. 60.13 ± 8.79), night pain, knee swelling and hamstring muscle strength (9.86 ± 2.32 vs. 7.53 ± 2.16) on the 10th day (p < 0.05) No significant improvement in experimental vs. control group in knee function, extension and extensor muscle strength (p > 0.05). |
No significant difference in experimental vs. control group for knee pain intensity, evolution of pain and overall satisfaction (p > 0.05). | Significant improvement in experimental vs. control group in pain intensity at week 2 (3.2 ± 1.6 vs. 4.7 ± 1.9; p = 0.029) and edema reduction at week 2 (−6.0 ± 2.2 vs. −0.75 ± 0.5; p = 0.007) and week 4 (−7.6 ± 2.9 vs. −2.75 ± 1.4; p = 0.006). No significant improvement in experimental vs. control group in thigh circumference, ROM recovery, and knee function (p > 0.05) |