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Impact of Aggressive Decongestion on the Maintenance Phase in Combined Physical Therapy for Lower Extremity Lymphedema

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Impact of Aggressive Decongestion on the Maintenance Phase in Combined Physical Therapy for Lower Extremity Lymphedema

Auteurs : Kotaro Suehiro [Japon] ; Noriyasu Morikage [Japon] ; Osamu Yamashita [Japon] ; Yohikazu Okazaki [Japon] ; Kimikazu Hamano Md [Japon]

Source :

Annals of Vascular Diseases [ 1881-641X ] ; 2011.

RBID : PMC:3614389

Abstract

Objectives: To evaluate the impact of initial aggressive decongestion (Phase 1) on the maintenance phase of complex physical therapy (CPT).

Materials and Methods: We reviewed 27 patients with unilateral and 3 patients with bilateral lower extremity lymphedema who started CPT between April, 2009 and October, 2010. Twelve patients elected to undergo in-hospital Phase 1 (Group I), while the other 18 started CPT on an outpatient-basis without having Phase 1 (Group O). The extremity volume was assessed at the beginning of CPT, and then 3 and 6 months later.

Results: A significant reduction in extremity volume was achieved in each group after 6 months of CPT: from 9049 ± 1912 mL at the beginning to 7771 ± 1486 mL (p = 0.0033) in group I; and from 7370 ± 1392 mL to 7036 ± 1241 mL (p = 0.0200) in group O. However, after 6 months, extremity volume reduction (−845 ± 1283 mL in group I vs. −404 ± 370 mL in group O; p = 0.7672) and volume reduction rates (−23.6 ± 22.7% in group I vs. −46.4 ± 52.2% in group O; p = 0.2564) did not differ significantly between the groups.

Conclusion: Phase 1 did not have a significant impact on the maintenance phase in terms of control of the extremity volume for at least 6 months after the induction of CPT.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3614389

DOI: 10.3400/avd.oa.11.00037
PubMed: 23555469
PubMed Central: 3614389

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Le document en format XML

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Physical Therapy for Lower Extremity Lymphedema</title>
<author><name sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Okazaki, Yohikazu" sort="Okazaki, Yohikazu" uniqKey="Okazaki Y" first="Yohikazu" last="Okazaki">Yohikazu Okazaki</name>
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<author><name sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name>
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<wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea>
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<author><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea>
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<author><name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name>
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<wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea>
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<author><name sortKey="Okazaki, Yohikazu" sort="Okazaki, Yohikazu" uniqKey="Okazaki Y" first="Yohikazu" last="Okazaki">Yohikazu Okazaki</name>
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<series><title level="j">Annals of Vascular Diseases</title>
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<front><div type="abstract" xml:lang="en"><p>Objectives: To evaluate the impact of initial aggressive decongestion (Phase 1) on the
maintenance phase of complex physical therapy (CPT).</p>
<p>Materials and Methods: We reviewed 27 patients with unilateral and 3 patients with
bilateral lower extremity lymphedema who started CPT between April, 2009 and October,
2010. Twelve patients elected to undergo in-hospital Phase 1 (Group I), while the other 18
started CPT on an outpatient-basis without having Phase 1 (Group O). The extremity volume
was assessed at the beginning of CPT, and then 3 and 6 months later.</p>
<p>Results: A significant reduction in extremity volume was achieved in each group after 6
months of CPT: from 9049 ± 1912 mL at the beginning to 7771 ± 1486 mL (<italic>p =
</italic>
0.0033) in group I; and from 7370 ± 1392 mL to 7036 ± 1241 mL (<italic>p =
</italic>0.0200) in group O. However, after 6 months, extremity volume reduction (−845 ±
1283 mL in group I vs. −404 ± 370 mL in group O; <italic>p = </italic>0.7672) and volume
reduction rates (−23.6 ± 22.7% in group I vs. −46.4 ± 52.2% in group O; <italic>p =
</italic>
0.2564) did not differ significantly between the groups. </p>
<p>Conclusion: Phase 1 did not have a significant impact on the maintenance phase in terms
of control of the extremity volume for at least 6 months after the induction of CPT.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Vasc Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Vasc Dis</journal-id>
<journal-id journal-id-type="publisher-id">AVD</journal-id>
<journal-title-group><journal-title>Annals of Vascular Diseases</journal-title>
</journal-title-group>
<issn pub-type="ppub">1881-641X</issn>
<issn pub-type="epub">1881-6428</issn>
<publisher><publisher-name>Japanese College of Angiology, The Japanese Society for Vascular Surgery,
Japanese Society of Phlebology</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23555469</article-id>
<article-id pub-id-type="pmc">3614389</article-id>
<article-id pub-id-type="publisher-id">oa.11.00037</article-id>
<article-id pub-id-type="doi">10.3400/avd.oa.11.00037</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Impact of Aggressive Decongestion on the Maintenance Phase in Combined
Physical Therapy for Lower Extremity Lymphedema</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Suehiro</surname>
<given-names>Kotaro</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morikage</surname>
<given-names>Noriyasu</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yamashita</surname>
<given-names>Osamu</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Okazaki</surname>
<given-names>Yohikazu</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hamano, md</surname>
<given-names>Kimikazu</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<aff id="aff1"><label>1</label>
Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</aff>
</contrib-group>
<pub-date pub-type="epub"><day>15</day>
<month>11</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><year>2011</year>
</pub-date>
<volume>4</volume>
<issue>4</issue>
<fpage>306</fpage>
<lpage>312</lpage>
<history><date date-type="received"><day>23</day>
<month>3</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>19</day>
<month>8</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>2011©Annals of Vascular Diseases</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><p>Objectives: To evaluate the impact of initial aggressive decongestion (Phase 1) on the
maintenance phase of complex physical therapy (CPT).</p>
<p>Materials and Methods: We reviewed 27 patients with unilateral and 3 patients with
bilateral lower extremity lymphedema who started CPT between April, 2009 and October,
2010. Twelve patients elected to undergo in-hospital Phase 1 (Group I), while the other 18
started CPT on an outpatient-basis without having Phase 1 (Group O). The extremity volume
was assessed at the beginning of CPT, and then 3 and 6 months later.</p>
<p>Results: A significant reduction in extremity volume was achieved in each group after 6
months of CPT: from 9049 ± 1912 mL at the beginning to 7771 ± 1486 mL (<italic>p =
</italic>
0.0033) in group I; and from 7370 ± 1392 mL to 7036 ± 1241 mL (<italic>p =
</italic>0.0200) in group O. However, after 6 months, extremity volume reduction (−845 ±
1283 mL in group I vs. −404 ± 370 mL in group O; <italic>p = </italic>0.7672) and volume
reduction rates (−23.6 ± 22.7% in group I vs. −46.4 ± 52.2% in group O; <italic>p =
</italic>
0.2564) did not differ significantly between the groups. </p>
<p>Conclusion: Phase 1 did not have a significant impact on the maintenance phase in terms
of control of the extremity volume for at least 6 months after the induction of CPT.</p>
</abstract>
<kwd-group><kwd>leg</kwd>
<kwd>lymphedema</kwd>
<kwd>combined physical therapy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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Impact of Aggressive Decongestion on the Maintenance Phase in Combined Physical Therapy for Lower Extremity Lymphedema

Impact of Aggressive Decongestion on the Maintenance Phase in Combined Physical Therapy for Lower Extremity Lymphedema

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