LymphedemaV1, Main, Exploration, bibRecord, 003C81

Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

Identifieur interne : 003C81 ( Main/Exploration ); précédent : 003C80; suivant : 003C82

Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

Auteurs : Saravu R. Narahari [Inde] ; Kuthaje S. Bose [Inde] ; Madhur G. Aggithaya [Inde] ; GADDAM KUMARA SWAMY [Inde] ; Terence J. Ryan [Royaume-Uni] ; Bhaskaran Unnikrishnan [Inde] ; Reynold G. Washington [Inde] ; BALU PALICHERALU SREENIVASA RAO [Inde] ; Shrikrishna Rajagopala [Inde] ; Kadengodlu Manjula [Inde] ; Usha Vandana [Inde] ; THAIVALATH ANANDAN SREEMOL [Inde] ; Mathew Rojith [Inde] ; Shanappa Y. Salimani [Inde] ; Mohammed Shefuvan [Inde]

Source :

Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2013.

RBID : Pascal:13-0281576

Descripteurs français

Pascal (Inist)
- Lymphoedème, Filariose lymphatique, Morbidité, Contrôle, Traitement, Homme, Inde, Maladie tropicale, Compression, Médecine tropicale, Pronostic, Maladie négligée.
Wicri :
- geographic : Inde.
- topic : Homme, Maladie tropicale.

English descriptors

KwdEn :
- Check, Compression, Human, India, Lymphatic filariasis, Lymphedema, Morbidity, Neglected disease, Prognosis, Treatment, Tropical disease, Tropical medicine.

Abstract

Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.

Affiliations:

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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study</title>
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<country>Inde</country>
<wicri:noRegion>Kerala 671124</wicri:noRegion>
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</author>
<author><name sortKey="Thaivalath Anandan Sreemol" sort="Thaivalath Anandan Sreemol" uniqKey="Thaivalath Anandan Sreemol" last="Thaivalath Anandan Sreemol">THAIVALATH ANANDAN SREEMOL</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
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<country>Inde</country>
<wicri:noRegion>Kerala 671124</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rojith, Mathew" sort="Rojith, Mathew" uniqKey="Rojith M" first="Mathew" last="Rojith">Mathew Rojith</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
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<country>Inde</country>
<wicri:noRegion>Kerala 671124</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Salimani, Shanappa Y" sort="Salimani, Shanappa Y" uniqKey="Salimani S" first="Shanappa Y." last="Salimani">Shanappa Y. Salimani</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
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<country>Inde</country>
<wicri:noRegion>Kerala 671124</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shefuvan, Mohammed" sort="Shefuvan, Mohammed" uniqKey="Shefuvan M" first="Mohammed" last="Shefuvan">Mohammed Shefuvan</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
<sZ>1 aut.</sZ>
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<country>Inde</country>
<wicri:noRegion>Kerala 671124</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title>
<title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title>
<idno type="ISSN">0035-9203</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title>
<title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title>
<idno type="ISSN">0035-9203</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Check</term>
<term>Compression</term>
<term>Human</term>
<term>India</term>
<term>Lymphatic filariasis</term>
<term>Lymphedema</term>
<term>Morbidity</term>
<term>Neglected disease</term>
<term>Prognosis</term>
<term>Treatment</term>
<term>Tropical disease</term>
<term>Tropical medicine</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Filariose lymphatique</term>
<term>Morbidité</term>
<term>Contrôle</term>
<term>Traitement</term>
<term>Homme</term>
<term>Inde</term>
<term>Maladie tropicale</term>
<term>Compression</term>
<term>Médecine tropicale</term>
<term>Pronostic</term>
<term>Maladie négligée</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Inde</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
<term>Maladie tropicale</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.</div>
</front>
</TEI>
<affiliations><list><country><li>Inde</li>
<li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Oxfordshire</li>
</region>
<settlement><li>Oxford</li>
</settlement>
</list>
<tree><country name="Inde"><noRegion><name sortKey="Narahari, Saravu R" sort="Narahari, Saravu R" uniqKey="Narahari S" first="Saravu R." last="Narahari">Saravu R. Narahari</name>
</noRegion>
<name sortKey="Aggithaya, Madhur G" sort="Aggithaya, Madhur G" uniqKey="Aggithaya M" first="Madhur G." last="Aggithaya">Madhur G. Aggithaya</name>
<name sortKey="Balu Palicheralu Sreenivasa Rao" sort="Balu Palicheralu Sreenivasa Rao" uniqKey="Balu Palicheralu Sreenivasa Rao" last="Balu Palicheralu Sreenivasa Rao">BALU PALICHERALU SREENIVASA RAO</name>
<name sortKey="Bose, Kuthaje S" sort="Bose, Kuthaje S" uniqKey="Bose K" first="Kuthaje S." last="Bose">Kuthaje S. Bose</name>
<name sortKey="Gaddam Kumara Swamy" sort="Gaddam Kumara Swamy" uniqKey="Gaddam Kumara Swamy" last="Gaddam Kumara Swamy">GADDAM KUMARA SWAMY</name>
<name sortKey="Manjula, Kadengodlu" sort="Manjula, Kadengodlu" uniqKey="Manjula K" first="Kadengodlu" last="Manjula">Kadengodlu Manjula</name>
<name sortKey="Rajagopala, Shrikrishna" sort="Rajagopala, Shrikrishna" uniqKey="Rajagopala S" first="Shrikrishna" last="Rajagopala">Shrikrishna Rajagopala</name>
<name sortKey="Rojith, Mathew" sort="Rojith, Mathew" uniqKey="Rojith M" first="Mathew" last="Rojith">Mathew Rojith</name>
<name sortKey="Salimani, Shanappa Y" sort="Salimani, Shanappa Y" uniqKey="Salimani S" first="Shanappa Y." last="Salimani">Shanappa Y. Salimani</name>
<name sortKey="Shefuvan, Mohammed" sort="Shefuvan, Mohammed" uniqKey="Shefuvan M" first="Mohammed" last="Shefuvan">Mohammed Shefuvan</name>
<name sortKey="Thaivalath Anandan Sreemol" sort="Thaivalath Anandan Sreemol" uniqKey="Thaivalath Anandan Sreemol" last="Thaivalath Anandan Sreemol">THAIVALATH ANANDAN SREEMOL</name>
<name sortKey="Unnikrishnan, Bhaskaran" sort="Unnikrishnan, Bhaskaran" uniqKey="Unnikrishnan B" first="Bhaskaran" last="Unnikrishnan">Bhaskaran Unnikrishnan</name>
<name sortKey="Vandana, Usha" sort="Vandana, Usha" uniqKey="Vandana U" first="Usha" last="Vandana">Usha Vandana</name>
<name sortKey="Washington, Reynold G" sort="Washington, Reynold G" uniqKey="Washington R" first="Reynold G." last="Washington">Reynold G. Washington</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Ryan, Terence J" sort="Ryan, Terence J" uniqKey="Ryan T" first="Terence J." last="Ryan">Terence J. Ryan</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

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