Study of edema reduction patterns during the treatment phase of complex decongestive physiotherapy for extremity lymphedema.
Identifieur interne : 006928 ( Main/Exploration ); précédent : 006927; suivant : 006929Study of edema reduction patterns during the treatment phase of complex decongestive physiotherapy for extremity lymphedema.
Auteurs : T. Yamamoto [Japon] ; Y. Todo ; M. Kaneuchi ; Y. Handa ; K. Watanabe ; R. YamamotoSource :
- Lymphology [ 0024-7766 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Membres.
- Adulte, Adulte d'âge moyen, Bandages, Humains, Lymphoedème, Massage, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Temps, Tumeurs.
English descriptors
- KwdEn :
- MESH :
- pathology : Extremities.
- surgery : Neoplasms.
- therapy : Lymphedema.
- Adult, Aged, Aged, 80 and over, Bandages, Humans, Massage, Middle Aged, Physical Therapy Modalities, Time, Treatment Outcome.
Abstract
Shortening the treatment phase of complex decongestive physiotherapy (CDP) is extremely important both for individual patients and medical economics. In 83 patients with stage II unilateral secondary extremity lymphedema (31 upper extremities and 52 lower extremities), the daily changes in the volume of affected extremities during the treatment phase of CDP were prospectively investigated. For the upper extremity lymphedemas, the biggest change was seen between days 1 (100% residual edema rate) and 2 (46.0 +/- 2.7%; mean +/- SD) of therapy with a 54.0% reduction (p < 0.0001). Between days 2 and 3 (38.0 +/- 2.6%) of therapy, there was an 8.0% reduction (p < 0.05). From days 3 to 6 of therapy, slight changes ranging from 0.2 to 3.2%/day were seen. For the lower extremity lymphedemas, the biggest change was seen between days 1 (100%) and 2 (44.5 +/- 2.1%) of therapy with a 55.5% reduction (p < 0.0001). Between days 2 and 3 (33.5 +/- 2.6%) of therapy, there was an 11.0% reduction (p < 0.001). The daily volume changes from days 4 to 6 were slight, ranging from 0.1 to 1.0%/day. During the treatment phase of CDP, the largest volume changes were seen soon after the start of therapy.
PubMed: 18720915
Affiliations:
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Le document en format XML
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<term>Lymphedema (therapy)</term>
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<term>Treatment Outcome</term>
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<term>Résultat thérapeutique</term>
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<term>Techniques de physiothérapie</term>
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<front><div type="abstract" xml:lang="en">Shortening the treatment phase of complex decongestive physiotherapy (CDP) is extremely important both for individual patients and medical economics. In 83 patients with stage II unilateral secondary extremity lymphedema (31 upper extremities and 52 lower extremities), the daily changes in the volume of affected extremities during the treatment phase of CDP were prospectively investigated. For the upper extremity lymphedemas, the biggest change was seen between days 1 (100% residual edema rate) and 2 (46.0 +/- 2.7%; mean +/- SD) of therapy with a 54.0% reduction (p < 0.0001). Between days 2 and 3 (38.0 +/- 2.6%) of therapy, there was an 8.0% reduction (p < 0.05). From days 3 to 6 of therapy, slight changes ranging from 0.2 to 3.2%/day were seen. For the lower extremity lymphedemas, the biggest change was seen between days 1 (100%) and 2 (44.5 +/- 2.1%) of therapy with a 55.5% reduction (p < 0.0001). Between days 2 and 3 (33.5 +/- 2.6%) of therapy, there was an 11.0% reduction (p < 0.001). The daily volume changes from days 4 to 6 were slight, ranging from 0.1 to 1.0%/day. During the treatment phase of CDP, the largest volume changes were seen soon after the start of therapy.</div>
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