Localized tissue water changes accompanying one manual lymphatic drainage (MLD) therapy session assessed by changes in tissue dielectric constant inpatients with lower extremity lymphedema.
Identifieur interne : 006A55 ( Main/Exploration ); précédent : 006A54; suivant : 006A56Localized tissue water changes accompanying one manual lymphatic drainage (MLD) therapy session assessed by changes in tissue dielectric constant inpatients with lower extremity lymphedema.
Auteurs : H N Mayrovitz [États-Unis] ; S. Davey ; E. ShapiroSource :
- Lymphology [ 0024-7766 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- analyse : Eau.
- anatomopathologie : Membre inférieur.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Lymphoedème, Massage, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- chemical , analysis : Water.
- pathology : Lower Extremity.
- therapy : Lymphedema.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Massage, Middle Aged.
Abstract
Previous reports described the utility of assessing local tissue water via tissue dielectric constant (TDC) measurements. Our goal was to determine the suitability of this method to evaluate lymphedema changes. For this purpose, we measured changes in TDC produced by one MLD treatment in 27 legs of 18 patients with lower extremity lymphedema. TDC values were measured to a depth of 2.5 mm at the greatest leg swelling site before and after one MLD treatment. Girth at the target site was measured with a calibrated tape measure. TDC values, which range from 1 for zero water to 78.5 for all water within the sampled volume, were measured four times and the average used to estimate local changes. Results showed that in every case the posttreatment TDC was reduced from its pretreatment value with percentage reductions (mean SD) of -9.8 +/- 5.64% (p < 0.0001). Girth changes were smaller being -1.5 +/- 1.93% (p < 0.01). We conclude that since TDC measurements reflect changes to a depth of about 2.5 mm whereas girth measurements reflect conditions of the entire cross-section, TDC assessment may be more sensitive to localized lymphedema changes. This finding suggests that TDC measurements are useful as complementary and perhaps as independent assessment methods of edema/lymphedema and treatment-related changes.
PubMed: 18720916
Affiliations:
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Le document en format XML
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Lauderdale, Florida 33328, USA. mayrovit@nova.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>College of Medical Sciences, Nova Southeastern University, Ft. Lauderdale, Florida 33328</wicri:regionArea><wicri:noRegion>Florida 33328</wicri:noRegion></affiliation></author><author><name sortKey="Davey, S" sort="Davey, S" uniqKey="Davey S" first="S" last="Davey">S. Davey</name></author><author><name sortKey="Shapiro, E" sort="Shapiro, E" uniqKey="Shapiro E" first="E" last="Shapiro">E. Shapiro</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Lower Extremity (pathology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Massage</term><term>Middle Aged</term><term>Water (analysis)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Eau (analyse)</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Massage</term><term>Membre inférieur (anatomopathologie)</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Water</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Eau</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre inférieur</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lower Extremity</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Massage</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Massage</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Previous reports described the utility of assessing local tissue water via tissue dielectric constant (TDC) measurements. Our goal was to determine the suitability of this method to evaluate lymphedema changes. For this purpose, we measured changes in TDC produced by one MLD treatment in 27 legs of 18 patients with lower extremity lymphedema. TDC values were measured to a depth of 2.5 mm at the greatest leg swelling site before and after one MLD treatment. Girth at the target site was measured with a calibrated tape measure. TDC values, which range from 1 for zero water to 78.5 for all water within the sampled volume, were measured four times and the average used to estimate local changes. Results showed that in every case the posttreatment TDC was reduced from its pretreatment value with percentage reductions (mean SD) of -9.8 +/- 5.64% (p < 0.0001). Girth changes were smaller being -1.5 +/- 1.93% (p < 0.01). We conclude that since TDC measurements reflect changes to a depth of about 2.5 mm whereas girth measurements reflect conditions of the entire cross-section, TDC assessment may be more sensitive to localized lymphedema changes. This finding suggests that TDC measurements are useful as complementary and perhaps as independent assessment methods of edema/lymphedema and treatment-related changes.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Davey, S" sort="Davey, S" uniqKey="Davey S" first="S" last="Davey">S. Davey</name><name sortKey="Shapiro, E" sort="Shapiro, E" uniqKey="Shapiro E" first="E" last="Shapiro">E. Shapiro</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Mayrovitz, H N" sort="Mayrovitz, H N" uniqKey="Mayrovitz H" first="H N" last="Mayrovitz">H N Mayrovitz</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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