The effect of mechanical lymph drainage accompanied with heat on lymphedema
Identifieur interne : 004136 ( Pmc/Curation ); précédent : 004135; suivant : 004137The effect of mechanical lymph drainage accompanied with heat on lymphedema
Auteurs : Valente Flávia Mariana ; Guerreiro Godoy Maria De Fátima ; Pereira De Godoy José MariaSource :
- Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences [ 1735-1995 ] ; 2011.
Abstract
Thermotherapy has been indicated by some researchers as a treatment for lymphedema. A study comparing temperatures demonstrated that a temperature of 40°C significantly increased the transportation of lymph compared to other temperatures assessed. The aim of this study was to evaluate the possible benefits of mechanical lymph drainage accompanied with heat in the treatment of lymphedema of the lower limbs.
In a cross-over randomized study, the effect of heat on lymph drainage was evaluated in the treatment of leg lymphedema. The study, performed in the Godoy Clinic in São Jose do Rio Preto, Brazil, involved seven patients (two males and five females) with leg lymphedema. The patients’ ages ranged from 18 to 79 years old with a mean of 48.5 years. The subjects underwent a total of 38 assessments including 19 evaluations of mechanical lymph drainage alone and 19 combined with thermotherapy. Heat was applied using an electric blanket which was wrapped around the legs of the patients. The volume of legs was evaluated by water plethysmography before and after treatment sessions. The paired t-test was used for statistical analysis with an alpha error of p = 0.05 being considered as acceptable.
No statistically significant differences were evidenced between mechanical lymph drainage alone and lymph drainage combined with thermotherapy.
There was no obvious synergic effect in the immediate post-treatment period when heat was combined with mechanical lymph drainage in the treatment of lymphedema.
Url:
PubMed: 22973346
PubMed Central: 3430062
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<author><name sortKey="Mariana, Valente Flavia" sort="Mariana, Valente Flavia" uniqKey="Mariana V" first="Valente Flávia" last="Mariana">Valente Flávia Mariana</name>
<affiliation><nlm:aff>NONE</nlm:aff>
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<author><name sortKey="De Fatima, Guerreiro Godoy Maria" sort="De Fatima, Guerreiro Godoy Maria" uniqKey="De Fatima G" first="Guerreiro Godoy Maria" last="De Fátima">Guerreiro Godoy Maria De Fátima</name>
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<author><name sortKey="Maria, Pereira De Godoy Jose" sort="Maria, Pereira De Godoy Jose" uniqKey="Maria P" first="Pereira De Godoy José" last="Maria">Pereira De Godoy José Maria</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effect of mechanical lymph drainage accompanied with heat on lymphedema</title>
<author><name sortKey="Mariana, Valente Flavia" sort="Mariana, Valente Flavia" uniqKey="Mariana V" first="Valente Flávia" last="Mariana">Valente Flávia Mariana</name>
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<author><name sortKey="De Fatima, Guerreiro Godoy Maria" sort="De Fatima, Guerreiro Godoy Maria" uniqKey="De Fatima G" first="Guerreiro Godoy Maria" last="De Fátima">Guerreiro Godoy Maria De Fátima</name>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>BACKGROUND:</title>
<p>Thermotherapy has been indicated by some researchers as a treatment for lymphedema. A study comparing temperatures demonstrated that a temperature of 40°C significantly increased the transportation of lymph compared to other temperatures assessed. The aim of this study was to evaluate the possible benefits of mechanical lymph drainage accompanied with heat in the treatment of lymphedema of the lower limbs.</p>
</sec>
<sec id="st2"><title>METHODS:</title>
<p>In a cross-over randomized study, the effect of heat on lymph drainage was evaluated in the treatment of leg lymphedema. The study, performed in the Godoy Clinic in São Jose do Rio Preto, Brazil, involved seven patients (two males and five females) with leg lymphedema. The patients’ ages ranged from 18 to 79 years old with a mean of 48.5 years. The subjects underwent a total of 38 assessments including 19 evaluations of mechanical lymph drainage alone and 19 combined with thermotherapy. Heat was applied using an electric blanket which was wrapped around the legs of the patients. The volume of legs was evaluated by water plethysmography before and after treatment sessions. The paired t-test was used for statistical analysis with an alpha error of p = 0.05 being considered as acceptable.</p>
</sec>
<sec id="st3"><title>RESULTS:</title>
<p>No statistically significant differences were evidenced between mechanical lymph drainage alone and lymph drainage combined with thermotherapy.</p>
</sec>
<sec id="st4"><title>CONCLUSIONS:</title>
<p>There was no obvious synergic effect in the immediate post-treatment period when heat was combined with mechanical lymph drainage in the treatment of lymphedema.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Res Med Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Res Med Sci</journal-id>
<journal-id journal-id-type="publisher-id">JRMS</journal-id>
<journal-title-group><journal-title>Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">1735-1995</issn>
<issn pub-type="epub">1735-7136</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22973346</article-id>
<article-id pub-id-type="pmc">3430062</article-id>
<article-id pub-id-type="publisher-id">JRMS-16-1448</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The effect of mechanical lymph drainage accompanied with heat on lymphedema</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Mariana</surname>
<given-names>Valente Flávia</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Fátima</surname>
<given-names>Guerreiro Godoy Maria</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maria</surname>
<given-names>Pereira de Godoy José</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1-</label>
Associate Professor, Godoy Clinic, Paulista University, São Jose do Rio Preto, Brazil.</aff>
<aff id="aff2"><label>2-</label>
Occupational Therapist, Associate Professor, Godoy Clinic, School of Medicine, São José do Rio Preto Medical School, São Jose do Rio Preto, Brazil.</aff>
<aff id="aff3"><label>3-</label>
Adjunct Professor, Department of Cardiology and Cardiovascular Surgery, School of Medicine, São José do Rio Preto Medical School, São Jose do Rio Preto, Brazil.</aff>
<author-notes><corresp id="cor1">Corresponding author: José Maria Pereira de Godoy E-mail: <email xlink:href="godoyjmp@riopreto.com.br">godoyjmp@riopreto.com.br</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2011</year>
</pub-date>
<volume>16</volume>
<issue>11</issue>
<fpage>1448</fpage>
<lpage>1451</lpage>
<history><date date-type="received"><day>12</day>
<month>3</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>03</day>
<month>11</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © Journal of Research in Medical Sciences</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec id="st1"><title>BACKGROUND:</title>
<p>Thermotherapy has been indicated by some researchers as a treatment for lymphedema. A study comparing temperatures demonstrated that a temperature of 40°C significantly increased the transportation of lymph compared to other temperatures assessed. The aim of this study was to evaluate the possible benefits of mechanical lymph drainage accompanied with heat in the treatment of lymphedema of the lower limbs.</p>
</sec>
<sec id="st2"><title>METHODS:</title>
<p>In a cross-over randomized study, the effect of heat on lymph drainage was evaluated in the treatment of leg lymphedema. The study, performed in the Godoy Clinic in São Jose do Rio Preto, Brazil, involved seven patients (two males and five females) with leg lymphedema. The patients’ ages ranged from 18 to 79 years old with a mean of 48.5 years. The subjects underwent a total of 38 assessments including 19 evaluations of mechanical lymph drainage alone and 19 combined with thermotherapy. Heat was applied using an electric blanket which was wrapped around the legs of the patients. The volume of legs was evaluated by water plethysmography before and after treatment sessions. The paired t-test was used for statistical analysis with an alpha error of p = 0.05 being considered as acceptable.</p>
</sec>
<sec id="st3"><title>RESULTS:</title>
<p>No statistically significant differences were evidenced between mechanical lymph drainage alone and lymph drainage combined with thermotherapy.</p>
</sec>
<sec id="st4"><title>CONCLUSIONS:</title>
<p>There was no obvious synergic effect in the immediate post-treatment period when heat was combined with mechanical lymph drainage in the treatment of lymphedema.</p>
</sec>
</abstract>
<kwd-group><title>KEYWORDS</title>
<kwd>Thermotherapy</kwd>
<kwd>Lymphedema</kwd>
<kwd>Mechanical Lymph Drainage</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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