About this trial
Total knee arthroplasty (TKA) is commonly performed to improve mobility and quality of life in patients with degenerative joint diseases. However, severe postoperative pain, limited mobilization, and fluctuations in vital signs negatively affect recovery, particularly within the first 72 hours after surgery.
Reiki is a non-invasive complementary therapy aimed at enhancing the body's self-healing capacity through energy transfer. This randomized controlled trial aims to evaluate the effects of Reiki on postoperative pain, mobilization, and vital signs in patients undergoing total knee arthroplasty.
Participants will be randomly assigned to either a Reiki intervention group or a control group receiving routine postoperative care. Outcomes will be assessed using validated pain and mobility scales and objective vital sign measurements at the 24th, 48th, and 72nd postoperative hours.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 years and older
Undergoing elective (planned) primary total knee arthroplasty
Not receiving general anesthesia
Able to communicate effectively and understand the study protocol
Disqualifiers
Refusal to participate in the study
Previous total knee arthroplasty or revision knee surgery
Prior experience with Reiki, Therapeutic Touch, Healing Touch, or other energy-based therapies
Development of serious postoperative complications (e.g., bleeding, infection)
Trial design
Parallel
Treatments tested in this trial
Reiki Therapy
Other interventionThe researcher will administer Reiki touch therapy to the Reiki treatment group three times in total, each session lasting 30-45 minutes, with the sessions occurring at least four hours after taking pain medication during the first 24 and 48 hours post-surgery.
Treatment groups
Trial outcomes
Primary outcomes
Postoperative Pain Intensity
Postoperative pain intensity will be measured using the Visual Analog Scale for Pain (VAS), a 10-centimeter scale ranging from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst imaginable pain." Higher scores represent greater pain intensity and therefore a worse outcome.
Secondary outcomes
Pain and Difficulty During Mobilization (Patient Mobility Scale Total Score)
Pain and difficulty during mobilization will be assessed using the Patient Mobility Scale. The scale evaluates four postoperative activities (turning in bed, sitting, standing, and walking). For each activity, pain and difficulty are measured separately using 15-centimeter Visual Analog Scales (VAS). Scores for pain and difficulty are combined for each activity, and activity scores are summed to obtain a total score ranging from 0 to 120. Higher total scores indicate greater pain and difficulty during mobilization and therefore represent a worse outcome.
Heart Rate
Heart rate will be measured in beats per minute (bpm) using a standard bedside cardiac monitor. Higher values indicate increased sympathetic activity.
Systolic Blood Pressure
Systolic blood pressure will be measured in millimeters of mercury (mmHg) using a standard non-invasive blood pressure monitor.
Diastolic Blood Pressure
Diastolic blood pressure will be measured in millimeters of mercury (mmHg) using a standard non-invasive blood pressure monitor.
Sponsors and contacts
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