Limb Differences in the Therapeutic Effects of Complex Decongestive Therapy on Edema, Quality of Life, and Satisfaction in Lymphedema Patients
Identifieur interne : 001C07 ( Main/Exploration ); précédent : 001C06; suivant : 001C08Limb Differences in the Therapeutic Effects of Complex Decongestive Therapy on Edema, Quality of Life, and Satisfaction in Lymphedema Patients
Auteurs : Sujin Noh [Corée du Sud] ; Ji Hye Hwang [Corée du Sud] ; Tae Hee Yoon [Corée du Sud] ; Hyun Ju Chang [Corée du Sud] ; In Ho Chu [Corée du Sud] ; Jung Hyun Kim [Corée du Sud]Source :
- Annals of Rehabilitation Medicine [ 2234-0645 ] ; 2015.
Abstract
To investigate the changing patterns of edema, quality of life (QOL), and patient-satisfaction after complex decongestive therapy (CDT) in three trajectories: arm lymphedema (AL), secondary leg lymphedema (LL) and primary leg lymphedema (PL).
Candidates for AL (n=35), LL (n=35) and PL (n=14) were identified from prospective databases. The patients were treated with CDT for 2 weeks, and lymphedema volume was measured before and immediately following the therapy. Patients then self-administered home therapy for 3 months and presented for a follow-up visit. The Korean version of Short Form-36 (SF-36) was used to assess QOL, and we administered a study-specific satisfaction survey.
There was no significant difference in the volume reductions between the 3 groups. There were no significant differences in all of the measures between PL and LL. Overall initial QOL was significantly lower in patients with LL than in patients with AL. SF-36 scores post-CDT did not differ significantly between AL and LL. Clinically significant differences were noted between AL and LL in the mean values of the satisfaction survey.
AL, LL, and PL may have different longitudinal courses. We suggest that lower extremity lymphedema patients present more favorable outcomes after CDT with respect to QOL and satisfaction than upper extremity lymphedema patients. Clinicians should approach patients with different therapeutic considerations specific to each type or region of lymphedema before using CDT in clinical practice.
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DOI: 10.5535/arm.2015.39.3.347
PubMed: 26161340
PubMed Central: 4496505
Affiliations:
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Quality of Life, and Satisfaction in Lymphedema Patients</title><author><name sortKey="Noh, Sujin" sort="Noh, Sujin" uniqKey="Noh S" first="Sujin" last="Noh">Sujin Noh</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Hwang, Ji Hye" sort="Hwang, Ji Hye" uniqKey="Hwang J" first="Ji Hye" last="Hwang">Ji Hye Hwang</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Yoon, Tae Hee" sort="Yoon, Tae Hee" uniqKey="Yoon T" first="Tae Hee" last="Yoon">Tae Hee Yoon</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chang, Hyun Ju" sort="Chang, Hyun Ju" uniqKey="Chang H" first="Hyun Ju" last="Chang">Hyun Ju Chang</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chu, In Ho" sort="Chu, In Ho" uniqKey="Chu I" first="In Ho" last="Chu">In Ho Chu</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Jung Hyun" sort="Kim, Jung Hyun" uniqKey="Kim J" first="Jung Hyun" last="Kim">Jung Hyun Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Center for Clinical Medicine, Samsung Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Center for Clinical Medicine, Samsung Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Rehabilitation Medicine</title><idno type="ISSN">2234-0645</idno><idno type="eISSN">2234-0653</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate the changing patterns of edema, quality of life (QOL), and patient-satisfaction after complex decongestive therapy (CDT) in three trajectories: arm lymphedema (AL), secondary leg lymphedema (LL) and primary leg lymphedema (PL).</p></sec><sec><title>Methods</title><p>Candidates for AL (n=35), LL (n=35) and PL (n=14) were identified from prospective databases. The patients were treated with CDT for 2 weeks, and lymphedema volume was measured before and immediately following the therapy. Patients then self-administered home therapy for 3 months and presented for a follow-up visit. The Korean version of Short Form-36 (SF-36) was used to assess QOL, and we administered a study-specific satisfaction survey.</p></sec><sec><title>Results</title><p>There was no significant difference in the volume reductions between the 3 groups. There were no significant differences in all of the measures between PL and LL. Overall initial QOL was significantly lower in patients with LL than in patients with AL. SF-36 scores post-CDT did not differ significantly between AL and LL. Clinically significant differences were noted between AL and LL in the mean values of the satisfaction survey.</p></sec><sec><title>Conclusion</title><p>AL, LL, and PL may have different longitudinal courses. We suggest that lower extremity lymphedema patients present more favorable outcomes after CDT with respect to QOL and satisfaction than upper extremity lymphedema patients. Clinicians should approach patients with different therapeutic considerations specific to each type or region of lymphedema before using CDT in clinical practice.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Pusic, Al" uniqKey="Pusic A">AL Pusic</name></author><author><name sortKey="Cemal, Y" uniqKey="Cemal Y">Y Cemal</name></author><author><name sortKey="Albornoz, C" uniqKey="Albornoz C">C Albornoz</name></author><author><name sortKey="Klassen, A" uniqKey="Klassen A">A Klassen</name></author><author><name sortKey="Cano, S" uniqKey="Cano S">S Cano</name></author><author><name sortKey="Sulimanoff, I" uniqKey="Sulimanoff I">I Sulimanoff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cemal, Y" uniqKey="Cemal Y">Y Cemal</name></author><author><name sortKey="Jewell, S" uniqKey="Jewell S">S Jewell</name></author><author><name sortKey="Albornoz, Cr" uniqKey="Albornoz C">CR 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Parpia</name></author><author><name sortKey="Pritchard, Ki" uniqKey="Pritchard K">KI Pritchard</name></author><author><name sortKey="D Souza, Dp" uniqKey="D Souza D">DP D'Souza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pereira De Godoy, Jm" uniqKey="Pereira De Godoy J">JM Pereira de Godoy</name></author><author><name sortKey="Braile, Dm" uniqKey="Braile D">DM Braile</name></author><author><name sortKey="De Fatima Godoy, M" uniqKey="De Fatima Godoy M">M de Fatima Godoy</name></author><author><name sortKey="Longo, O" uniqKey="Longo O">O Longo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Sh" uniqKey="Kim S">SH Kim</name></author><author><name sortKey="Jo, Mw" uniqKey="Jo M">MW Jo</name></author><author><name sortKey="Lee, Si" uniqKey="Lee S">SI Lee</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><author><name sortKey="Rockson, Sg" uniqKey="Rockson S">SG Rockson</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></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="Yamamoto, R" uniqKey="Yamamoto R">R Yamamoto</name></author><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ridner, Sh" uniqKey="Ridner S">SH Ridner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boccardo, F" uniqKey="Boccardo F">F Boccardo</name></author><author><name sortKey="Campisi, C" uniqKey="Campisi C">C Campisi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Finegold, Dn" uniqKey="Finegold D">DN Finegold</name></author><author><name sortKey="Schacht, V" uniqKey="Schacht V">V Schacht</name></author><author><name sortKey="Kimak, Ma" uniqKey="Kimak M">MA Kimak</name></author><author><name sortKey="Lawrence, Ec" uniqKey="Lawrence E">EC Lawrence</name></author><author><name sortKey="Foeldi, E" uniqKey="Foeldi E">E Foeldi</name></author><author><name sortKey="Karlsson, Jm" uniqKey="Karlsson J">JM Karlsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davidson, Jh" uniqKey="Davidson J">JH Davidson</name></author><author><name sortKey="Khor, Ke" uniqKey="Khor K">KE Khor</name></author><author><name sortKey="Jones, Le" uniqKey="Jones L">LE Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roh, Yh" uniqKey="Roh Y">YH Roh</name></author><author><name sortKey="Kim, Kw" uniqKey="Kim K">KW Kim</name></author><author><name sortKey="Paik, Nj" uniqKey="Paik N">NJ Paik</name></author><author><name sortKey="Kim, Tk" uniqKey="Kim T">TK Kim</name></author><author><name sortKey="Gong, Hs" uniqKey="Gong H">HS Gong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Otero, Je" uniqKey="Otero J">JE Otero</name></author><author><name sortKey="Graves, Cm" uniqKey="Graves C">CM Graves</name></author><author><name sortKey="Tekippe, A" uniqKey="Tekippe A">A TeKippe</name></author><author><name sortKey="Buckwalter, Ja" uniqKey="Buckwalter J">JA Buckwalter</name></author><author><name sortKey="Miller, Bj" uniqKey="Miller B">BJ Miller</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Noh, Sujin" sort="Noh, Sujin" uniqKey="Noh S" first="Sujin" last="Noh">Sujin Noh</name></region><name sortKey="Chang, Hyun Ju" sort="Chang, Hyun Ju" uniqKey="Chang H" first="Hyun Ju" last="Chang">Hyun Ju Chang</name><name sortKey="Chu, In Ho" sort="Chu, In Ho" uniqKey="Chu I" first="In Ho" last="Chu">In Ho Chu</name><name sortKey="Hwang, Ji Hye" sort="Hwang, Ji Hye" uniqKey="Hwang J" first="Ji Hye" last="Hwang">Ji Hye Hwang</name><name sortKey="Kim, Jung Hyun" sort="Kim, Jung Hyun" uniqKey="Kim J" first="Jung Hyun" last="Kim">Jung Hyun Kim</name><name sortKey="Yoon, Tae Hee" sort="Yoon, Tae Hee" uniqKey="Yoon T" first="Tae Hee" last="Yoon">Tae Hee Yoon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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