Twisting Tourniquet© Technique: introducing Schnogh, a novel device and its effectiveness in treating primary and secondary lymphedema of extremities
Identifieur interne : 001656 ( Main/Exploration ); précédent : 001655; suivant : 001657Twisting Tourniquet© Technique: introducing Schnogh, a novel device and its effectiveness in treating primary and secondary lymphedema of extremities
Auteurs : Narumon Chanwimalueang [Thaïlande] ; Wichai Ekataksin [Thaïlande, Japon] ; Parkpoom Piyaman [Thaïlande] ; Gedsuda Pattanapen [Thaïlande] ; Borimas K. Hanboon [Thaïlande]Source :
- Cancer Medicine [ 2045-7634 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Thaïlande.
English descriptors
- KwdEn :
- MESH :
- geographic : Thailand.
- therapy : Lymphedema.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Clinical Protocols, Diet, Vegan, Female, Humans, Lower Extremity, Male, Middle Aged, Tourniquets, Treatment Outcome, Upper Extremity, Young Adult.
Abstract
Twisting Tourniquet© or in Thai “Schnogh” is a new invention for compression therapy of lymphedema. Twisting Tourniquet© Technique (TTT) is totally noninvasive for lymphedema management. After the amazing successful evidence in the first series of 28 patients, we have conducted preliminary studies in lymphedema clinics. It was found that the combination of gradually increasing constriction force by Schnogh until desired pressure was reached and maintained for 15 min, followed by a 5-min release, doing repeatedly this compression-decompression for at least 10 sessions a day, can generate acceptable results. The aim of the study was to evaluate the scientific effectiveness and establish a treatment protocol of TTT proposed as a therapeutic approach for clinical management of lymphedema. During 2006–2013, from over 3500 patients, 647 with primary/secondary lymphedema passed inclusion criteria, 307 for upper, and 340 for lower extremity. In the 5-day course of TTT, each day patients underwent 10 sessions of a 15-min compression followed by a 5-min decompression. Vegan diet was encouraged as an adjuvant therapy. Among lymphedema patients whose spectrum of edema severity ranged from mild to gigantic, TTT yielded an average volume reduction rate (VR) at 50.2% and 55.6%, making the average edema reduction volume attained at 463 and 1856 mL for upper and lower limb, respectively. The uniformed practice by Schnogh which supports a continual compression–decompression maneuver over 3.5 h daily for five consecutive days could induce an average VR at above half of the swelling in extremities of 647 patients. Schnogh is therefore effective in clinical management of lymphedema under TTT treatment of fibroblastic interstitium.
Url:
DOI: 10.1002/cam4.498
PubMed: 26247407
PubMed Central: 4618622
Affiliations:
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<italic>Schnogh</italic>, a novel device and its effectiveness in treating primary and secondary lymphedema of extremities</title><author><name sortKey="Chanwimalueang, Narumon" sort="Chanwimalueang, Narumon" uniqKey="Chanwimalueang N" first="Narumon" last="Chanwimalueang">Narumon Chanwimalueang</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Lymphology Institute of Thailand and Lymphedema Day Care Center</institution><addr-line>Nontaburi, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Nontaburi</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Liver Research Unit, Faculty of Tropical Medicine, Mahidol University</institution><addr-line>Bangkok, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Bangkok</wicri:regionArea></affiliation></author><author><name sortKey="Ekataksin, Wichai" sort="Ekataksin, Wichai" uniqKey="Ekataksin W" first="Wichai" last="Ekataksin">Wichai Ekataksin</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Lymphology Institute of Thailand and Lymphedema Day Care Center</institution><addr-line>Nontaburi, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Nontaburi</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Liver Research Unit, Faculty of Tropical Medicine, Mahidol University</institution><addr-line>Bangkok, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Bangkok</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au3"><institution>Lymphedema Clinic, Tokushukai Overseas Medical Cooperation Center, Tateyama Hospital</institution><addr-line>Chiba, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Chiba</wicri:regionArea></affiliation></author><author><name sortKey="Piyaman, Parkpoom" sort="Piyaman, Parkpoom" uniqKey="Piyaman P" first="Parkpoom" last="Piyaman">Parkpoom Piyaman</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Lymphology Institute of Thailand and Lymphedema Day Care Center</institution><addr-line>Nontaburi, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Nontaburi</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Liver Research Unit, Faculty of Tropical Medicine, Mahidol University</institution><addr-line>Bangkok, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Bangkok</wicri:regionArea></affiliation></author><author><name sortKey="Pattanapen, Gedsuda" sort="Pattanapen, Gedsuda" uniqKey="Pattanapen G" first="Gedsuda" last="Pattanapen">Gedsuda Pattanapen</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Lymphology Institute of Thailand and Lymphedema Day Care Center</institution><addr-line>Nontaburi, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Nontaburi</wicri:regionArea></affiliation></author><author><name sortKey="Hanboon, Borimas K" sort="Hanboon, Borimas K" uniqKey="Hanboon B" first="Borimas K" last="Hanboon">Borimas K. Hanboon</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Lymphology Institute of Thailand and Lymphedema Day Care Center</institution><addr-line>Nontaburi, Thailand</addr-line></nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Nontaburi</wicri:regionArea></affiliation></author></analytic><series><title level="j">Cancer Medicine</title><idno type="ISSN">2045-7634</idno><idno type="eISSN">2045-7634</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Clinical Protocols</term><term>Diet, Vegan</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Lymphedema (therapy)</term><term>Male</term><term>Middle Aged</term><term>Thailand</term><term>Tourniquets</term><term>Treatment Outcome</term><term>Upper Extremity</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Femelle</term><term>Garrots</term><term>Humains</term><term>Jeune adulte</term><term>Lymphoedème ()</term><term>Membre inférieur</term><term>Membre supérieur</term><term>Mâle</term><term>Protocoles cliniques</term><term>Régime végétalien</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thaïlande</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Thailand</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Clinical Protocols</term><term>Diet, Vegan</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Male</term><term>Middle Aged</term><term>Tourniquets</term><term>Treatment Outcome</term><term>Upper Extremity</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Femelle</term><term>Garrots</term><term>Humains</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Membre supérieur</term><term>Mâle</term><term>Protocoles cliniques</term><term>Régime végétalien</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thaïlande</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Thaïlande</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Twisting Tourniquet<sup>©</sup> or in Thai “Schnogh” is a new invention for compression therapy of lymphedema. Twisting Tourniquet<sup>©</sup> Technique (TTT) is totally noninvasive for lymphedema management. After the amazing successful evidence in the first series of 28 patients, we have conducted preliminary studies in lymphedema clinics. It was found that the combination of gradually increasing constriction force by Schnogh until desired pressure was reached and maintained for 15 min, followed by a 5-min release, doing repeatedly this compression-decompression for at least 10 sessions a day, can generate acceptable results. The aim of the study was to evaluate the scientific effectiveness and establish a treatment protocol of TTT proposed as a therapeutic approach for clinical management of lymphedema. During 2006–2013, from over 3500 patients, 647 with primary/secondary lymphedema passed inclusion criteria, 307 for upper, and 340 for lower extremity. In the 5-day course of TTT, each day patients underwent 10 sessions of a 15-min compression followed by a 5-min decompression. Vegan diet was encouraged as an adjuvant therapy. Among lymphedema patients whose spectrum of edema severity ranged from mild to gigantic, TTT yielded an average volume reduction rate (VR) at 50.2% and 55.6%, making the average edema reduction volume attained at 463 and 1856 mL for upper and lower limb, respectively. The uniformed practice by Schnogh which supports a continual compression–decompression maneuver over 3.5 h daily for five consecutive days could induce an average VR at above half of the swelling in extremities of 647 patients. Schnogh is therefore effective in clinical management of lymphedema under TTT treatment of fibroblastic interstitium.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Yoffey, Jm" uniqKey="Yoffey J">JM Yoffey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barrowman, Ja" uniqKey="Barrowman J">JA Barrowman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levick, Jr" uniqKey="Levick J">JR Levick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Henriksen, Jh" uniqKey="Henriksen J">JH Henriksen</name></author><author><name sortKey="Horn, T" uniqKey="Horn T">T Horn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Trutmann, M" uniqKey="Trutmann M">M Trutmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heath, T" uniqKey="Heath T">T Heath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekataksin, W" uniqKey="Ekataksin W">W Ekataksin</name></author><author><name sortKey="Kaneda, K" uniqKey="Kaneda K">K Kaneda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekataksin, W" uniqKey="Ekataksin W">W Ekataksin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekataksin, W" uniqKey="Ekataksin W">W Ekataksin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Casley Smith, Jr" uniqKey="Casley Smith J">JR Casley-Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mortimer, Ps" uniqKey="Mortimer P">PS Mortimer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Foldi, E" uniqKey="Foldi E">E Földi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lerner, R" uniqKey="Lerner R">R Lerner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Szuba, A" uniqKey="Szuba A">A Szuba</name></author><author><name sortKey="Cooke, Jp" uniqKey="Cooke J">JP Cooke</name></author><author><name sortKey="Yousuf, S" uniqKey="Yousuf S">S Yousuf</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zuther, Je" uniqKey="Zuther J">JE Zuther</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shaw, Ja" uniqKey="Shaw J">JA Shaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bunnell, S" uniqKey="Bunnell S">S Bunnell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Damstra, Rj" uniqKey="Damstra R">RJ Damstra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ko, Ds" uniqKey="Ko D">DS Ko</name></author><author><name sortKey="Lerner, R" uniqKey="Lerner R">R Lerner</name></author><author><name sortKey="Klose, G" uniqKey="Klose G">G Klose</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamamoto, R" uniqKey="Yamamoto R">R Yamamoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liao, Sf" uniqKey="Liao S">SF Liao</name></author><author><name sortKey="Li, Sh" uniqKey="Li S">SH Li</name></author><author><name sortKey="Huang, Hy" uniqKey="Huang H">HY Huang</name></author><author><name sortKey="Chen, St" uniqKey="Chen S">ST Chen</name></author><author><name sortKey="Kuo, Sj" uniqKey="Kuo S">SJ Kuo</name></author><author><name sortKey="Chen, Dr" uniqKey="Chen D">DR Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liao, Sf" uniqKey="Liao S">SF Liao</name></author><author><name sortKey="Li, Sh" uniqKey="Li S">SH Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramos, Sm" uniqKey="Ramos S">SM Ramos</name></author><author><name sortKey="O Donnell, Ls" uniqKey="O Donnell L">LS O'Donnell</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li><li>Thaïlande</li></country></list><tree><country name="Thaïlande"><noRegion><name sortKey="Chanwimalueang, Narumon" sort="Chanwimalueang, Narumon" uniqKey="Chanwimalueang N" first="Narumon" last="Chanwimalueang">Narumon Chanwimalueang</name></noRegion><name sortKey="Chanwimalueang, Narumon" sort="Chanwimalueang, Narumon" uniqKey="Chanwimalueang N" first="Narumon" last="Chanwimalueang">Narumon Chanwimalueang</name><name sortKey="Ekataksin, Wichai" sort="Ekataksin, Wichai" uniqKey="Ekataksin W" first="Wichai" last="Ekataksin">Wichai Ekataksin</name><name sortKey="Ekataksin, Wichai" sort="Ekataksin, Wichai" uniqKey="Ekataksin W" first="Wichai" last="Ekataksin">Wichai Ekataksin</name><name sortKey="Hanboon, Borimas K" sort="Hanboon, Borimas K" uniqKey="Hanboon B" first="Borimas K" last="Hanboon">Borimas K. Hanboon</name><name sortKey="Pattanapen, Gedsuda" sort="Pattanapen, Gedsuda" uniqKey="Pattanapen G" first="Gedsuda" last="Pattanapen">Gedsuda Pattanapen</name><name sortKey="Piyaman, Parkpoom" sort="Piyaman, Parkpoom" uniqKey="Piyaman P" first="Parkpoom" last="Piyaman">Parkpoom Piyaman</name><name sortKey="Piyaman, Parkpoom" sort="Piyaman, Parkpoom" uniqKey="Piyaman P" first="Parkpoom" last="Piyaman">Parkpoom Piyaman</name></country><country name="Japon"><noRegion><name sortKey="Ekataksin, Wichai" sort="Ekataksin, Wichai" uniqKey="Ekataksin W" first="Wichai" last="Ekataksin">Wichai Ekataksin</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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