Impact of aggressive decongestion on the maintenance phase in combined physical therapy for lower extremity lymphedema.
Identifieur interne : 002446 ( PubMed/Checkpoint ); précédent : 002445; suivant : 002447Impact of aggressive decongestion on the maintenance phase in combined physical therapy for lower extremity lymphedema.
Auteurs : Kotaro Suehiro [Japon] ; Noriyasu Morikage ; Osamu Yamashita ; Yohikazu Okazaki ; Kimikazu Hamano MdSource :
- Annals of vascular diseases [ 1881-641X ] ; 2011.
Abstract
To evaluate the impact of initial aggressive decongestion (Phase 1) on the maintenance phase of complex physical therapy (CPT).
DOI: 10.3400/avd.oa.11.00037
PubMed: 23555469
Affiliations:
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<author><name sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.</nlm:affiliation>
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<author><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name>
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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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<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="Hamano Md, Kimikazu" sort="Hamano Md, Kimikazu" uniqKey="Hamano Md K" first="Kimikazu" last="Hamano Md">Kimikazu Hamano Md</name>
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<affiliation wicri:level="1"><nlm:affiliation>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.</nlm:affiliation>
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<author><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name>
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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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<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="Hamano Md, Kimikazu" sort="Hamano Md, Kimikazu" uniqKey="Hamano Md K" first="Kimikazu" last="Hamano Md">Kimikazu Hamano Md</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">To evaluate the impact of initial aggressive decongestion (Phase 1) on the maintenance phase of complex physical therapy (CPT).</div>
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<DateCreated><Year>2013</Year>
<Month>04</Month>
<Day>04</Day>
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<DateCompleted><Year>2013</Year>
<Month>04</Month>
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<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1881-641X</ISSN>
<JournalIssue CitedMedium="Print"><Volume>4</Volume>
<Issue>4</Issue>
<PubDate><Year>2011</Year>
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</JournalIssue>
<Title>Annals of vascular diseases</Title>
<ISOAbbreviation>Ann Vasc Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Impact of aggressive decongestion on the maintenance phase in combined physical therapy for lower extremity lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>306-12</MedlinePgn>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To evaluate the impact of initial aggressive decongestion (Phase 1) on the maintenance phase of complex physical therapy (CPT).</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Suehiro</LastName>
<ForeName>Kotaro</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.</Affiliation>
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<MedlineTA>Ann Vasc Dis</MedlineTA>
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<ISSNLinking>1881-641X</ISSNLinking>
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<OtherID Source="NLM">PMC3614389</OtherID>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">combined physical therapy</Keyword>
<Keyword MajorTopicYN="N">leg</Keyword>
<Keyword MajorTopicYN="N">lymphedema</Keyword>
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