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Treatment of lymphedema by complex physical therapy, with and without oral and topical benzopyrones: what should therapists and patients expect.

Identifieur interne : 00B821 ( Ncbi/Curation ); précédent : 00B820; suivant : 00B822

Treatment of lymphedema by complex physical therapy, with and without oral and topical benzopyrones: what should therapists and patients expect.

Auteurs : J R Casley-Smith [Australie] ; J R Casley-Smith

Source :

RBID : pubmed:8823730

Descripteurs français

English descriptors

Abstract

Using previously presented data, from an open multi-centered trial, the Medians and Third Quartiles were calculated for the overall edema reductions the "average" patient received from an "average" therapist using Complex Physical Therapy (CPT) on 628 lymphedematous limbs. These data provide therapists and patients a general guideline as to the minimal reductions which can be expected in three quarters of patients from average therapists, using CPT with or without the administration of benzo-pyrones. Benzo-pyrones were considered separately: oral (given for three months before and for 11 months after the course of CPT) and topical (during and after CPT). Depending on which measure of edema and its alterations were used, these reductions increased those from CPT alone from 130% to 200% and, after one year, between 150% to 300%. Whereas the effects of oral and topical benzo-pyrones were not statistically different, their combined usage was more effective than use of either alone.

PubMed: 8823730

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pubmed:8823730

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<term>Administration, Oral</term>
<term>Administration, Topical</term>
<term>Anticoagulants (administration & dosage)</term>
<term>Anticoagulants (therapeutic use)</term>
<term>Arm</term>
<term>Combined Modality Therapy</term>
<term>Coumarins (administration & dosage)</term>
<term>Coumarins (therapeutic use)</term>
<term>Humans</term>
<term>Hydroxyethylrutoside (administration & dosage)</term>
<term>Hydroxyethylrutoside (therapeutic use)</term>
<term>Leg</term>
<term>Lymphedema (drug therapy)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Physical Therapy Modalities</term>
<term>Treatment Outcome</term>
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<term>Association thérapeutique</term>
<term>Bras</term>
<term>Coumarines (administration et posologie)</term>
<term>Coumarines (usage thérapeutique)</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème (rééducation et réadaptation)</term>
<term>Lymphoedème (traitement médicamenteux)</term>
<term>O-(bêta-Hydroxyéthyl)rutosides (administration et posologie)</term>
<term>O-(bêta-Hydroxyéthyl)rutosides (usage thérapeutique)</term>
<term>Résultat thérapeutique</term>
<term>Techniques de physiothérapie</term>
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<term>Anticoagulants</term>
<term>Coumarins</term>
<term>Hydroxyethylrutoside</term>
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<term>Anticoagulants</term>
<term>Coumarins</term>
<term>Hydroxyethylrutoside</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr">
<term>Anticoagulants</term>
<term>Coumarines</term>
<term>O-(bêta-Hydroxyéthyl)rutosides</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Lymphedema</term>
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<term>Lymphedema</term>
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<term>Administration, Topical</term>
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<term>Combined Modality Therapy</term>
<term>Humans</term>
<term>Leg</term>
<term>Physical Therapy Modalities</term>
<term>Treatment Outcome</term>
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<term>Administration par voie orale</term>
<term>Administration par voie topique</term>
<term>Association thérapeutique</term>
<term>Bras</term>
<term>Humains</term>
<term>Jambe</term>
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<div type="abstract" xml:lang="en">Using previously presented data, from an open multi-centered trial, the Medians and Third Quartiles were calculated for the overall edema reductions the "average" patient received from an "average" therapist using Complex Physical Therapy (CPT) on 628 lymphedematous limbs. These data provide therapists and patients a general guideline as to the minimal reductions which can be expected in three quarters of patients from average therapists, using CPT with or without the administration of benzo-pyrones. Benzo-pyrones were considered separately: oral (given for three months before and for 11 months after the course of CPT) and topical (during and after CPT). Depending on which measure of edema and its alterations were used, these reductions increased those from CPT alone from 130% to 200% and, after one year, between 150% to 300%. Whereas the effects of oral and topical benzo-pyrones were not statistically different, their combined usage was more effective than use of either alone.</div>
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