Complex physical therapy of the lymphoedematous leg
Identifieur interne : 00C652 ( Main/Exploration ); précédent : 00C651; suivant : 00C653Complex physical therapy of the lymphoedematous leg
Auteurs : Judith R. Casley-Smith [Australie] ; Michael R. Mason ; R. Gwyn Morgan [Australie] ; John R. Casley-Smith [Australie]Source :
- International Journal of Angiology [ 1061-1711 ] ; 1995-06-01.
Abstract
Abstract: Complex physical therapy (CPT) was used to treat 128 lymphoedematous legs (55 had unilateral lymphoedema), 22 (8) had Grade 1 lymphoedema, 84 (40) Grade 2, and 19 (7) were elephantiatic. CPT involves (1) skin care and hygiene, (2) special lymphatic massage, (3) compression bandaging during the course and compression garments following it, (4) special exercises. After the first 4-week course of CPT, the mean losses were 1.1, 1.3, and 3.7 liters, respectively, for the various grades (all,p < 0.0001). Unilateral edemas were reduced by 81, 51, and 57%, respectively (all,p < 0.0001). Eight were reduced to less than the normal leg. With adequate compression garments, these reductions were maintained for the next 11 months; there were small further reductions (p<0.05−0.001). Six patients, who were fitted with Tubigrip rather than with adequate garments, had a significant increase over this period. Some patients had a second course of CPT with similar proportional reductions in the remaining edema as those from the first course.
Url:
DOI: 10.1007/BF02043007
Affiliations:
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Casley-Smith</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>The Henry Thomas Laboratory, University of Adelaide, 5005, Adelaide, S.A.</wicri:regionArea><wicri:noRegion>S.A.</wicri:noRegion></affiliation></author><author><name sortKey="Mason, Michael R" sort="Mason, Michael R" uniqKey="Mason M" first="Michael R." last="Mason">Michael R. Mason</name><affiliation><wicri:noCountry code="subField">S.A.</wicri:noCountry></affiliation></author><author><name sortKey="Morgan, R Gwyn" sort="Morgan, R Gwyn" uniqKey="Morgan R" first="R. Gwyn" last="Morgan">R. Gwyn Morgan</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Surgery, Flinder's Medical Centre, Bedford Park, S.A.</wicri:regionArea><wicri:noRegion>S.A.</wicri:noRegion></affiliation></author><author><name sortKey="Casley Smith, John R" sort="Casley Smith, John R" uniqKey="Casley Smith J" first="John R." last="Casley-Smith">John R. Casley-Smith</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>The Henry Thomas Laboratory, University of Adelaide, 5005, Adelaide, S.A.</wicri:regionArea><wicri:noRegion>S.A.</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Angiology</title><title level="j" type="abbrev">International Journal of Angiology</title><idno type="ISSN">1061-1711</idno><idno type="eISSN">1615-5939</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>New York</pubPlace><date type="published" when="1995-06-01">1995-06-01</date><biblScope unit="volume">4</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="134">134</biblScope><biblScope unit="page" to="142">142</biblScope></imprint><idno type="ISSN">1061-1711</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1061-1711</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Complex physical therapy (CPT) was used to treat 128 lymphoedematous legs (55 had unilateral lymphoedema), 22 (8) had Grade 1 lymphoedema, 84 (40) Grade 2, and 19 (7) were elephantiatic. CPT involves (1) skin care and hygiene, (2) special lymphatic massage, (3) compression bandaging during the course and compression garments following it, (4) special exercises. After the first 4-week course of CPT, the mean losses were 1.1, 1.3, and 3.7 liters, respectively, for the various grades (all,p < 0.0001). Unilateral edemas were reduced by 81, 51, and 57%, respectively (all,p < 0.0001). Eight were reduced to less than the normal leg. With adequate compression garments, these reductions were maintained for the next 11 months; there were small further reductions (p<0.05−0.001). Six patients, who were fitted with Tubigrip rather than with adequate garments, had a significant increase over this period. Some patients had a second course of CPT with similar proportional reductions in the remaining edema as those from the first course.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Mason, Michael R" sort="Mason, Michael R" uniqKey="Mason M" first="Michael R." last="Mason">Michael R. Mason</name></noCountry><country name="Australie"><noRegion><name sortKey="Casley Smith, Judith R" sort="Casley Smith, Judith R" uniqKey="Casley Smith J" first="Judith R." last="Casley-Smith">Judith R. Casley-Smith</name></noRegion><name sortKey="Casley Smith, John R" sort="Casley Smith, John R" uniqKey="Casley Smith J" first="John R." last="Casley-Smith">John R. Casley-Smith</name><name sortKey="Morgan, R Gwyn" sort="Morgan, R Gwyn" uniqKey="Morgan R" first="R. Gwyn" last="Morgan">R. Gwyn Morgan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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