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Complete decongestive physical therapy in a patient with secondary lymphedema due to orthopedic trauma and surgery of the lower extremity.

Identifieur interne : 002478 ( PubMed/Corpus ); précédent : 002477; suivant : 002479

Complete decongestive physical therapy in a patient with secondary lymphedema due to orthopedic trauma and surgery of the lower extremity.

Auteurs : Meryl D. Cohen

Source :

RBID : pubmed:21868611

English descriptors

Abstract

This case report describes a patient who developed lower-extremity lymphedema secondary to orthopedic trauma and surgery and reports the response to complete decongestive physical therapy (CDP), with 8 treatment sessions over 3 months.

DOI: 10.2522/ptj.20100101
PubMed: 21868611

Links to Exploration step

pubmed:21868611

Le document en format XML

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<term>Fractures, Bone (surgery)</term>
<term>Humans</term>
<term>Lymphedema (therapy)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
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<div type="abstract" xml:lang="en">This case report describes a patient who developed lower-extremity lymphedema secondary to orthopedic trauma and surgery and reports the response to complete decongestive physical therapy (CDP), with 8 treatment sessions over 3 months.</div>
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<AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">This case report describes a patient who developed lower-extremity lymphedema secondary to orthopedic trauma and surgery and reports the response to complete decongestive physical therapy (CDP), with 8 treatment sessions over 3 months.</AbstractText>
<AbstractText Label="CASE DESCRIPTION" NlmCategory="METHODS">The patient was a 56-year-old man who sustained a right ankle displaced fibular fracture, underwent open reduction internal fixation surgery 12 days later, and developed lymphedema 4 months postinjury. The patient's impairments of the right lower extremity included increased girth, decreased ankle range of motion, and increased pain. Due to these impairments and the inability to fit into normal footwear, the patient limited activities such as ambulating long distances and climbing stairs. This limited activity restricted him from participating in his normal lifestyle activities such as walking his dog in the community and performing all necessary work duties.</AbstractText>
<AbstractText Label="OUTCOMES" NlmCategory="RESULTS">Using the truncated cone formula to measure limb volume, the limb volume of the right (involved) lower extremity decreased 368 mL as a result of CDP. The percentage of difference in limb volume between the right and left lower extremities at the initial examination was 9%, and it was reduced to less than 1% at discharge. He was independent with his home program in order to maintain the results of therapy.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Physical therapist management of secondary lymphedema due to orthopedic trauma and surgery of the lower extremity was effective in decreasing circumferential girth measurements and decreasing limb volume, thereby improving gait and allowing the patient to fit into his work and leisure shoes. The patient reported improvement in his ability to perform all work activities, and he returned to his prior level of participation in the community.</AbstractText>
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