Two Layer Cohesive Compression Wrap has a Positive Impact on Rehabilitation Outcomes Following Joint Replacement

Background: Lower extremity edema following elective joint replacement has a negative impact on functional performance and rehabilitation, with increased pain and limited range of motion (ROM). Minimally invasive compression options, such as medical elastic compression stockings, have not proven clinically effective at managing this edema. Two-layer cohesive compression wraps have been shown to be effective in the management of chronic edema and recalcitrant wounds. 

Purpose: We hypothesize the use of a two-layer cohesive compression wrap would also have a positive impact on edema, pain and functional rehabilitation outcomes following joint replacement.

Method: Observational study performed at two separate outpatient rehabilitation clinics. Ten patients referred for rehabilitation services following elective joint replacements were evaluated by a physical therapist. Objective measurements included limb volume, ROM, subjective report of pain and functional level. Measurements were taken at initial evaluation and regular intervals over a 3-week time frame. Two-layer cohesive compression therapy was added to the standard of care for elective joint replacement (i.e. - therapeutic exercise, gait training, stretching).

Results/Discussion: A minimum of 10% volume reduction was observed in all patients. Reduction in pain and improved ROM was also observed. All patients' subjective reports of the compression experience were positive.

Conclusion: Management of lower extremity edema following elective joint replacement utilizing a two-layer cohesive compression wrap has a positive impact on edema management and rehabilitation outcomes.