Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period
Identifieur interne : 002854 ( Main/Exploration ); précédent : 002853; suivant : 002855Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period
Auteurs : Igor F. B. Masson [Brésil] ; Bruna D. A. De Oliveira [Brésil] ; Aline Fernanda Perez Machado [Brésil] ; Thiago Saikali Farcic [Brésil] ; Ivaldo Esteves Júnior [Brésil] ; Cristiano Schiavinato Baldan [Brésil]Source :
- Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India [ 0970-0358 ] ; 2014.
Abstract
Physiotherapy in the plastic surgery post-operative (PO) is essential to provide means for an adequate and fast recovery as it restores function through the use of physiotherapeutic procedures.
The aim of the following study is to verify the effects of the association between the manual lymphatic drainage and the therapeutic ultrasound on pain, oedema and the tissue fibrosis in liposuction and lipoabdominoplasty PO.
This is a clinical trial prospective.
Eighteen women aged between 18 and 60 years participated in this study, in the late PO period following lipoabdominoplasty or liposuction in the abdomen, flanks and lower trunk, which showed tissue fibrosis of the flanks and abdomen regions. They were divided into two groups: Liposuction group and lipoabdominoplasty group. A total of twelve sessions of therapeutic ultrasound followed by the manual lymphatic drainage were performed. The patients were assessed with regard to pain, oedema and tissue fibrosis in different moments: Initial assessment, during assessment and final assessment through the application of the protocol of evaluation of cysts fibrosis levels.
The test of equality for two proportions and the confidence interval test for mean to evaluate the distribution of variables. The significance level adopted for statistical tests was 5% (
There was a statistically significant reduction of pain, swelling and tissue fibrosis in both groups.
the association between manual lymphatic drainage and the therapeutic ultrasound reduced the swelling and the tissue fibrosis and made pain disappear in liposuction and lipoabdominoplasty PO period.
Url:
DOI: 10.4103/0970-0358.129627
PubMed: 24987208
PubMed Central: 4075221
Affiliations:
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De Oliveira</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Machado, Aline Fernanda Perez" sort="Machado, Aline Fernanda Perez" uniqKey="Machado A" first="Aline Fernanda Perez" last="Machado">Aline Fernanda Perez Machado</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Farcic, Thiago Saikali" sort="Farcic, Thiago Saikali" uniqKey="Farcic T" first="Thiago Saikali" last="Farcic">Thiago Saikali Farcic</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Junior, Ivaldo Esteves" sort="Junior, Ivaldo Esteves" uniqKey="Junior I" first="Ivaldo Esteves" last="Júnior">Ivaldo Esteves Júnior</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Baldan, Cristiano Schiavinato" sort="Baldan, Cristiano Schiavinato" uniqKey="Baldan C" first="Cristiano Schiavinato" last="Baldan">Cristiano Schiavinato Baldan</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24987208</idno><idno type="pmc">4075221</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075221</idno><idno type="RBID">PMC:4075221</idno><idno type="doi">10.4103/0970-0358.129627</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003F32</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003F32</idno><idno type="wicri:Area/Pmc/Curation">003F31</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003F31</idno><idno type="wicri:Area/Pmc/Checkpoint">001A15</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001A15</idno><idno type="wicri:Area/Ncbi/Merge">006813</idno><idno type="wicri:Area/Ncbi/Curation">006813</idno><idno type="wicri:Area/Ncbi/Checkpoint">006813</idno><idno type="wicri:doubleKey">0970-0358:2014:Masson I:manual:lymphatic:drainage</idno><idno type="wicri:Area/Main/Merge">002858</idno><idno type="wicri:Area/Main/Curation">002854</idno><idno type="wicri:Area/Main/Exploration">002854</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period</title><author><name sortKey="Masson, Igor F B" sort="Masson, Igor F B" uniqKey="Masson I" first="Igor F. B." last="Masson">Igor F. B. Masson</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="De Oliveira, Bruna D A" sort="De Oliveira, Bruna D A" uniqKey="De Oliveira B" first="Bruna D. A." last="De Oliveira">Bruna D. A. De Oliveira</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Machado, Aline Fernanda Perez" sort="Machado, Aline Fernanda Perez" uniqKey="Machado A" first="Aline Fernanda Perez" last="Machado">Aline Fernanda Perez Machado</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Farcic, Thiago Saikali" sort="Farcic, Thiago Saikali" uniqKey="Farcic T" first="Thiago Saikali" last="Farcic">Thiago Saikali Farcic</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Junior, Ivaldo Esteves" sort="Junior, Ivaldo Esteves" uniqKey="Junior I" first="Ivaldo Esteves" last="Júnior">Ivaldo Esteves Júnior</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Baldan, Cristiano Schiavinato" sort="Baldan, Cristiano Schiavinato" uniqKey="Baldan C" first="Cristiano Schiavinato" last="Baldan">Cristiano Schiavinato Baldan</name><affiliation wicri:level="3"><nlm:aff id="aff1">Department of Physical Therapy, Universidade Paulista, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physical Therapy, Universidade Paulista, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India</title><idno type="ISSN">0970-0358</idno><idno type="eISSN">1998-376X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Physiotherapy in the plastic surgery post-operative (PO) is essential to provide means for an adequate and fast recovery as it restores function through the use of physiotherapeutic procedures.</p></sec><sec id="st2"><title>Aim:</title><p>The aim of the following study is to verify the effects of the association between the manual lymphatic drainage and the therapeutic ultrasound on pain, oedema and the tissue fibrosis in liposuction and lipoabdominoplasty PO.</p></sec><sec id="st3"><title>Design:</title><p>This is a clinical trial prospective.</p></sec><sec id="st4"><title>Materials and Methods:</title><p>Eighteen women aged between 18 and 60 years participated in this study, in the late PO period following lipoabdominoplasty or liposuction in the abdomen, flanks and lower trunk, which showed tissue fibrosis of the flanks and abdomen regions. They were divided into two groups: Liposuction group and lipoabdominoplasty group. A total of twelve sessions of therapeutic ultrasound followed by the manual lymphatic drainage were performed. The patients were assessed with regard to pain, oedema and tissue fibrosis in different moments: Initial assessment, during assessment and final assessment through the application of the protocol of evaluation of cysts fibrosis levels.</p></sec><sec id="st5"><title>Statistical Analysis:</title><p>The test of equality for two proportions and the confidence interval test for mean to evaluate the distribution of variables. The significance level adopted for statistical tests was 5% (<italic>P</italic> < 0.05).</p></sec><sec id="st6"><title>Results:</title><p>There was a statistically significant reduction of pain, swelling and tissue fibrosis in both groups.</p></sec><sec id="st7"><title>Conclusion:</title><p>the association between manual lymphatic drainage and the therapeutic ultrasound reduced the swelling and the tissue fibrosis and made pain disappear in liposuction and lipoabdominoplasty PO period.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Reidy, Jp" uniqKey="Reidy J">JP Reidy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kanjoor, Jr" uniqKey="Kanjoor J">JR Kanjoor</name></author><author><name sortKey="Singh, Ak" uniqKey="Singh A">AK Singh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Silva, Db" uniqKey="Silva D">DB 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sortKey="Mann, Ge" uniqKey="Mann G">GE Mann</name></author><author><name sortKey="Salisbury, S" uniqKey="Salisbury S">S Salisbury</name></author><author><name sortKey="Salisbury, Av" uniqKey="Salisbury A">AV Salisbury</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Masson, Igor F B" sort="Masson, Igor F B" uniqKey="Masson I" first="Igor F. B." last="Masson">Igor F. B. Masson</name></region><name sortKey="Baldan, Cristiano Schiavinato" sort="Baldan, Cristiano Schiavinato" uniqKey="Baldan C" first="Cristiano Schiavinato" last="Baldan">Cristiano Schiavinato Baldan</name><name sortKey="De Oliveira, Bruna D A" sort="De Oliveira, Bruna D A" uniqKey="De Oliveira B" first="Bruna D. A." last="De Oliveira">Bruna D. A. De Oliveira</name><name sortKey="Farcic, Thiago Saikali" sort="Farcic, Thiago Saikali" uniqKey="Farcic T" first="Thiago Saikali" last="Farcic">Thiago Saikali Farcic</name><name sortKey="Junior, Ivaldo Esteves" sort="Junior, Ivaldo Esteves" uniqKey="Junior I" first="Ivaldo Esteves" last="Júnior">Ivaldo Esteves Júnior</name><name sortKey="Machado, Aline Fernanda Perez" sort="Machado, Aline Fernanda Perez" uniqKey="Machado A" first="Aline Fernanda Perez" last="Machado">Aline Fernanda Perez Machado</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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