{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T07:38:29Z","timestamp":1771486709216,"version":"3.50.1"},"reference-count":25,"publisher":"Hogrefe Publishing Group","issue":"1","license":[{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pflege"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p> Zusammenfassung.Hintergrund: Nach Implantation einer Knietotalprothese ist es wichtig, wirksame Methoden zur Schwellungsreduktion einzusetzen. Ziel: Das Ziel dieser Pilotstudie (EKNZ 2014 \u2013 225 DRKS00006271) war es, den Effekt des lymphologischen Kompressionsverbands (LKV) im Vergleich zur Standardtherapie mit K\u00e4ltepackung zu untersuchen. Methode: In dieser randomisierten, kontrollierten Pilotstudie wurden 16 Patienten nach Knietotalprothesenoperation der Interventionsgruppe (IG) oder der Kontrollgruppe (KG) zugeteilt. Umfangmessungen wurden genutzt, um die Schwellung zu beurteilen. Beweglichkeit (Range of Motion, ROM), Schmerzen (numerische Ratingskala, NRS) und Gehgeschwindigkeit (fast Self Paced Walking Test, fSPWT) dienten als sekund\u00e4re Studienendpunkte. Ergebnisse: Fr\u00fchpostoperativ sowie sechs Wochen nach der Operation konnten klinisch relevante Unterschiede zwischen den Gruppen in der Umfangreduktion beobachtet werden. Die Zeit-Gruppe-Interaktion (IE) zugunsten der IG betrug sechs Tage postoperativ \u22123,8 cm (95 % KI: \u22125,1; \u22122,4) bei den Messungen 10 cm proximal des Gelenkspalts und \u22122,7 cm (KI: \u22124,1; \u22121,3) bei Messungen 5 cm proximal. Gruppenunterschiede zugunsten der KG wurden bei den sekund\u00e4ren Endpunkten beobachtet. Sechs Tage postoperativ betrugen die IE \u22128.3 \u00b0 (KI: \u221222,0; 5,4) f\u00fcr die Knieflexion und 12,8 Sekunden (KI: \u221216,4; 41,3) f\u00fcr den fSPWT. Schlussfolgerungen: Die Ergebnisse geben erste Hinweise darauf, dass die Applikation eines LKV eine alternative Massnahme sein k\u00f6nnte, die Schwellung bei Patienten nach Knietotalprothese zu reduzieren, jedoch m\u00f6glicherweise mit leicht negativen Auswirkungen auf Beweglichkeit und Funktion. <\/jats:p>","DOI":"10.1024\/1012-5302\/a000575","type":"journal-article","created":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T10:29:16Z","timestamp":1505816956000},"page":"19-29","source":"Crossref","is-referenced-by-count":9,"title":["Lymphologischer Kompressionsverband oder Standardbehandlung mit                K\u00e4ltepackung zur Schwellungsreduktion nach                Knietotalprothesen-Operation"],"prefix":"10.1024","volume":"31","author":[{"given":"Brigitta","family":"Stocker","sequence":"first","affiliation":[{"name":"Institut f\u00fcr Physiotherapie,                Departement Gesundheit, Z\u00fcrcher Hochschule f\u00fcr angewandte                Wissenschaften (ZHAW), Winterthur"},{"name":"Physiotherapie, Spezialmedizin 3, Departement                Medizin, Luzerner Kantonsspital, Luzern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Babendererde","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Physiotherapie,                Departement Gesundheit, Z\u00fcrcher Hochschule f\u00fcr angewandte                Wissenschaften (ZHAW), Winterthur"},{"name":"Physiotherapiepraxis Oberer Graben,                Winterthur"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Rohner-Spengler","sequence":"additional","affiliation":[{"name":"Physiotherapie, Spezialmedizin 3, Departement                Medizin, Luzerner Kantonsspital, Luzern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urs W.","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die und                Unfallchirurgie, Departement Chirurgie, Luzerner Kantonsspital, Luzern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Meichtry","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Physiotherapie,                Departement Gesundheit, Z\u00fcrcher Hochschule f\u00fcr angewandte                Wissenschaften (ZHAW), Winterthur"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannu","family":"Luomajoki","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Physiotherapie,                Departement Gesundheit, Z\u00fcrcher Hochschule f\u00fcr angewandte                Wissenschaften (ZHAW), Winterthur"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","volume":"9","author":"Adie S.","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"c2","unstructured":"Barmer GEK Report                   Krankenhaus 2010. 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