Home-made Compression Stockings and Shoes of a Cotton–Polyester Material in the Treatment of Primary Congenital Lymphedema
Identifieur interne : 000A72 ( Pmc/Corpus ); précédent : 000A71; suivant : 000A73Home-made Compression Stockings and Shoes of a Cotton–Polyester Material in the Treatment of Primary Congenital Lymphedema
Auteurs : José Maria Pereira De Godoy ; Lina M. O. Azoubel ; Maria De Fátima Guerreiro De GodoySource :
- Indian Journal of Pediatrics [ 0019-5456 ] ; 2010.
Url:
DOI: 10.1007/s12098-010-0225-8
PubMed: 20882431
PubMed Central: 3000909
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Home-made Compression Stockings and Shoes of a Cotton–Polyester Material in the Treatment of Primary Congenital Lymphedema</title><author><name sortKey="De Godoy, Jose Maria Pereira" sort="De Godoy, Jose Maria Pereira" uniqKey="De Godoy J" first="José Maria Pereira" last="De Godoy">José Maria Pereira De Godoy</name><affiliation><nlm:aff id="Aff1">Department of Cardiology and Cardiovascular Surgery, Medical School of São Jose do Rio Preto-FAMERP-Brazil and CNPq (National Council for Research and Development), São José do Rio Preto, Brazil</nlm:aff></affiliation><affiliation><nlm:aff id="Aff4">Rua Floriano Peixoto, 2950, São José do Rio Preto, SP Brazil 15010-020</nlm:aff></affiliation></author><author><name sortKey="Azoubel, Lina M O" sort="Azoubel, Lina M O" uniqKey="Azoubel L" first="Lina M. O." last="Azoubel">Lina M. O. Azoubel</name><affiliation><nlm:aff id="Aff2">Godoy Clinic, São José do Rio Preto, Brazil</nlm:aff></affiliation></author><author><name sortKey="De Godoy, Maria De Fatima Guerreiro" sort="De Godoy, Maria De Fatima Guerreiro" uniqKey="De Godoy M" first="Maria De Fátima Guerreiro" last="De Godoy">Maria De Fátima Guerreiro De Godoy</name><affiliation><nlm:aff id="Aff3">Godoy Clinic and Research CAPES (Coordination of Improvement of Personal of Superior Level), São José do Rio Preto, Brazil</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20882431</idno><idno type="pmc">3000909</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3000909</idno><idno type="RBID">PMC:3000909</idno><idno type="doi">10.1007/s12098-010-0225-8</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000A72</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A72</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Home-made Compression Stockings and Shoes of a Cotton–Polyester Material in the Treatment of Primary Congenital Lymphedema</title><author><name sortKey="De Godoy, Jose Maria Pereira" sort="De Godoy, Jose Maria Pereira" uniqKey="De Godoy J" first="José Maria Pereira" last="De Godoy">José Maria Pereira De Godoy</name><affiliation><nlm:aff id="Aff1">Department of Cardiology and Cardiovascular Surgery, Medical School of São Jose do Rio Preto-FAMERP-Brazil and CNPq (National Council for Research and Development), São José do Rio Preto, Brazil</nlm:aff></affiliation><affiliation><nlm:aff id="Aff4">Rua Floriano Peixoto, 2950, São José do Rio Preto, SP Brazil 15010-020</nlm:aff></affiliation></author><author><name sortKey="Azoubel, Lina M O" sort="Azoubel, Lina M O" uniqKey="Azoubel L" first="Lina M. O." last="Azoubel">Lina M. O. Azoubel</name><affiliation><nlm:aff id="Aff2">Godoy Clinic, São José do Rio Preto, Brazil</nlm:aff></affiliation></author><author><name sortKey="De Godoy, Maria De Fatima Guerreiro" sort="De Godoy, Maria De Fatima Guerreiro" uniqKey="De Godoy M" first="Maria De Fátima Guerreiro" last="De Godoy">Maria De Fátima Guerreiro De Godoy</name><affiliation><nlm:aff id="Aff3">Godoy Clinic and Research CAPES (Coordination of Improvement of Personal of Superior Level), São José do Rio Preto, Brazil</nlm:aff></affiliation></author></analytic><series><title level="j">Indian Journal of Pediatrics</title><idno type="ISSN">0019-5456</idno><idno type="eISSN">0973-7693</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Godoy, Jm" uniqKey="Godoy J">JM Godoy</name></author><author><name sortKey="De Godoy, Mfg" uniqKey="De Godoy M">MFG de Godoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kerchner, K" uniqKey="Kerchner K">K Kerchner</name></author><author><name sortKey="Fleischer, A" uniqKey="Fleischer A">A Fleischer</name></author><author><name sortKey="Yosipovitch, G" uniqKey="Yosipovitch G">G Yosipovitch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Godoy, Mfg" uniqKey="De Godoy M">MFG de Godoy</name></author><author><name sortKey="Godoy, Jmp" uniqKey="Godoy J">JMP Godoy</name></author><author><name sortKey="Braile, Dm" uniqKey="Braile D">DM Braile</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Pediatr</journal-id><journal-title-group><journal-title>Indian Journal of Pediatrics</journal-title></journal-title-group><issn pub-type="ppub">0019-5456</issn><issn pub-type="epub">0973-7693</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20882431</article-id><article-id pub-id-type="pmc">3000909</article-id><article-id pub-id-type="publisher-id">225</article-id><article-id pub-id-type="doi">10.1007/s12098-010-0225-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Scientific Letters to the Editor</subject></subj-group></article-categories><title-group><article-title>Home-made Compression Stockings and Shoes of a Cotton–Polyester Material in the Treatment of Primary Congenital Lymphedema</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>de Godoy</surname><given-names>José Maria Pereira</given-names></name><address><email>godoyjmp@riopreto.com.br</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Azoubel</surname><given-names>Lina M. O.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>de Godoy</surname><given-names>Maria de Fátima Guerreiro</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><aff id="Aff1"><label>1</label>Department of Cardiology and Cardiovascular Surgery, Medical School of São Jose do Rio Preto-FAMERP-Brazil and CNPq (National Council for Research and Development), São José do Rio Preto, Brazil</aff><aff id="Aff2"><label>2</label>Godoy Clinic, São José do Rio Preto, Brazil</aff><aff id="Aff3"><label>3</label>Godoy Clinic and Research CAPES (Coordination of Improvement of Personal of Superior Level), São José do Rio Preto, Brazil</aff><aff id="Aff4"><label>4</label>Rua Floriano Peixoto, 2950, São José do Rio Preto, SP Brazil 15010-020</aff></contrib-group><pub-date pub-type="epub"><day>30</day><month>9</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>30</day><month>9</month><year>2010</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2010</year></pub-date><volume>77</volume><issue>12</issue><fpage>1451</fpage><lpage>1452</lpage><history><date date-type="received"><day>14</day><month>2</month><year>2010</year></date><date date-type="accepted"><day>15</day><month>6</month><year>2010</year></date></history><permissions><copyright-statement>© Dr. K C Chaudhuri Foundation 2010</copyright-statement></permissions><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Dr. K C Chaudhuri Foundation 2010</meta-value></custom-meta></custom-meta-group></article-meta></front><body><p>Sir,</p><p>The recommended treatment of lymphedema is the association of therapies such as manual and mechanical lymph drainage, compression therapy (hosiery and bandaging), exercising, myolymphokinetic activities and hygienic precautions [<xref ref-type="bibr" rid="CR1">1</xref>–<xref ref-type="bibr" rid="CR3">3</xref>]. In primary congenital lymphedema, the forms of treatment are the same but the treatment must be adapted for children with respect to their social reality. The objective of the current study is to report on the treatment of congenital lymphedema utilizing stockings and shoes made of a cotton–polyester material.</p><p>Five children with primary congenital lymphedema of the lower extremities who used compression stockings made of a cotton–polyester material were evaluated in the period from 2002 to 2009 in the Godoy Clinic. This cotton–polyester material, called gorgurão in Brazil, has low elasticity (<50) across the material and is elastic along the material and thus allows low-stretch compression. The home-made stockings used in this study constantly require readjustment because of reductions in the size of the limb. Shoes are made of the same material with a rubber sole and can be made attractive to children using different colors. The diagnosis of lymphedema was clinical and by two perimetric measurements (3 and 6 cm) of the dorsum of the feet. The size of the contralateral limb was used as a comparison. The Tukey-Kramer Multiple Comparisons Test was employed for statistical analysis with an alpha error of 5% (<italic>p</italic>-value <0.05) considered acceptable. The consent form was signed by familiar responsible. The study was approved by the ethics committee in Medicine School of São Jose do Rio Preto-FAMERP-Brazil (n03375-2009)</p><p>The reduction between the initial and final measurements seen with treatment was significant (two-tailed <italic>t</italic>-test: <italic>p</italic>-value <0.0001).After treatment the sizes of the two feet were within the normal range (two-tailed <italic>t</italic>-test: <italic>p</italic>-value <0.3).</p><p>The longer adequate compression is used during the day the better the result. Use without adjustments is of little value as improvement will be limited or inexistent. Support of the family and of the people who live daily with young patients is important.</p><p>It is possible to normalize the edema just with the use of compression stockings, but as edema is an incurable disease treatment is life long. The association of other forms of treatment, such as manual and mechanical lymph drainage and cervical stimulation, provides a synergic effect. Thus an association of techniques is recommended to control the edema faster. The independence that the family achieves with this alternative changes the history of the therapy of lymphedema as the family is able to treat their own child.</p></body><back><ref-list id="Bib1"><title>References</title><ref id="CR1"><label>1.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Godoy</surname><given-names>JM</given-names></name><name><surname>de Godoy</surname><given-names>MFG</given-names></name></person-group><article-title>Development and evaluation of a new apparatus for lymph drainage: preliminary results</article-title><source>Lymphology</source><year>2004</year><volume>37</volume><issue>2</issue><fpage>62</fpage><lpage>64</lpage><pub-id pub-id-type="pmid">15328758</pub-id></mixed-citation></ref><ref id="CR2"><label>2.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kerchner</surname><given-names>K</given-names></name><name><surname>Fleischer</surname><given-names>A</given-names></name><name><surname>Yosipovitch</surname><given-names>G</given-names></name></person-group><article-title>Lower extremity lymphedema update: pathophysiology, diagnosis, and treatment guidelines</article-title><source>J Am Acad Dermatol</source><year>2008</year><volume>59</volume><issue>2</issue><fpage>324</fpage><lpage>331</lpage><pub-id pub-id-type="doi">10.1016/j.jaad.2008.04.013</pub-id><pub-id pub-id-type="pmid">18513827</pub-id></mixed-citation></ref><ref id="CR3"><label>3.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>de Godoy</surname><given-names>MFG</given-names></name><name><surname>Godoy</surname><given-names>JMP</given-names></name><name><surname>Braile</surname><given-names>DM</given-names></name></person-group><article-title>Pilot study with Myolymphokinetic activities in the treatment of lymphedema after breast cancer</article-title><source>Indian J Physiother Occup Ther</source><year>2008</year><volume>2</volume><issue>3</issue><fpage>17</fpage><lpage>19</lpage></mixed-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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