Tissue fluid pressure and flow during pneumatic compression in lymphedema of lower limbs.
Identifieur interne : 002574 ( PubMed/Corpus ); précédent : 002573; suivant : 002575Tissue fluid pressure and flow during pneumatic compression in lymphedema of lower limbs.
Auteurs : Waldemar L. Olszewski ; Pradeep Jain ; Govinda Ambujam ; Marzanna Zaleska ; Marta Cakala ; Tomasz GradalskiSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- therapy : Lymphedema.
- Adult, Female, Humans, Leg, Male, Massage, Middle Aged, Pressure.
Abstract
Physiotherapy of edema in cases with obstructed main lymphatics of lower limbs requires knowledge of how high external pressures should be applied manually or set in compression devices in order to generate tissue pressures high enough to move tissue fluid to nonswollen regions and to measure its flow rate.
DOI: 10.1089/lrb.2009.0025
PubMed: 21688976
Links to Exploration step
pubmed:21688976Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Tissue fluid pressure and flow during pneumatic compression in lymphedema of lower limbs.</title><author><name sortKey="Olszewski, Waldemar L" sort="Olszewski, Waldemar L" uniqKey="Olszewski W" first="Waldemar L" last="Olszewski">Waldemar L. Olszewski</name><affiliation><nlm:affiliation>Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland. waldemar.l.olszewski@gmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Jain, Pradeep" sort="Jain, Pradeep" uniqKey="Jain P" first="Pradeep" last="Jain">Pradeep Jain</name></author><author><name sortKey="Ambujam, Govinda" sort="Ambujam, Govinda" uniqKey="Ambujam G" first="Govinda" last="Ambujam">Govinda Ambujam</name></author><author><name sortKey="Zaleska, Marzanna" sort="Zaleska, Marzanna" uniqKey="Zaleska M" first="Marzanna" last="Zaleska">Marzanna Zaleska</name></author><author><name sortKey="Cakala, Marta" sort="Cakala, Marta" uniqKey="Cakala M" first="Marta" last="Cakala">Marta Cakala</name></author><author><name sortKey="Gradalski, Tomasz" sort="Gradalski, Tomasz" uniqKey="Gradalski T" first="Tomasz" last="Gradalski">Tomasz Gradalski</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21688976</idno><idno type="pmid">21688976</idno><idno type="doi">10.1089/lrb.2009.0025</idno><idno type="wicri:Area/PubMed/Corpus">002574</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002574</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Tissue fluid pressure and flow during pneumatic compression in lymphedema of lower limbs.</title><author><name sortKey="Olszewski, Waldemar L" sort="Olszewski, Waldemar L" uniqKey="Olszewski W" first="Waldemar L" last="Olszewski">Waldemar L. Olszewski</name><affiliation><nlm:affiliation>Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland. waldemar.l.olszewski@gmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Jain, Pradeep" sort="Jain, Pradeep" uniqKey="Jain P" first="Pradeep" last="Jain">Pradeep Jain</name></author><author><name sortKey="Ambujam, Govinda" sort="Ambujam, Govinda" uniqKey="Ambujam G" first="Govinda" last="Ambujam">Govinda Ambujam</name></author><author><name sortKey="Zaleska, Marzanna" sort="Zaleska, Marzanna" uniqKey="Zaleska M" first="Marzanna" last="Zaleska">Marzanna Zaleska</name></author><author><name sortKey="Cakala, Marta" sort="Cakala, Marta" uniqKey="Cakala M" first="Marta" last="Cakala">Marta Cakala</name></author><author><name sortKey="Gradalski, Tomasz" sort="Gradalski, Tomasz" uniqKey="Gradalski T" first="Tomasz" last="Gradalski">Tomasz Gradalski</name></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Leg</term><term>Lymphedema (therapy)</term><term>Male</term><term>Massage</term><term>Middle Aged</term><term>Pressure</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Leg</term><term>Male</term><term>Massage</term><term>Middle Aged</term><term>Pressure</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Physiotherapy of edema in cases with obstructed main lymphatics of lower limbs requires knowledge of how high external pressures should be applied manually or set in compression devices in order to generate tissue pressures high enough to move tissue fluid to nonswollen regions and to measure its flow rate.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21688976</PMID><DateCreated><Year>2011</Year><Month>06</Month><Day>21</Day></DateCreated><DateCompleted><Year>2011</Year><Month>10</Month><Day>13</Day></DateCompleted><DateRevised><Year>2014</Year><Month>07</Month><Day>30</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>2</Issue><PubDate><Year>2011</Year></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Tissue fluid pressure and flow during pneumatic compression in lymphedema of lower limbs.</ArticleTitle><Pagination><MedlinePgn>77-83</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2009.0025</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Physiotherapy of edema in cases with obstructed main lymphatics of lower limbs requires knowledge of how high external pressures should be applied manually or set in compression devices in order to generate tissue pressures high enough to move tissue fluid to nonswollen regions and to measure its flow rate.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We measured tissue fluid pressure and flow in subcutaneous tissue of lymphedematous limbs stages II to IV at rest and during pneumatic compression under various pressures and inflation timing. An 8-chamber sequential compression device inflated to pressures 50-120 mmHg, for 50 sec each chamber, with no distal deflation, was used. Pressures were measured using a wick-in-needle and electronic manometer. Fluid flow was calculated from continuously recorded changes in limb circumference using strain gauge plethysmography.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Before massage, in all stages of lymphedema, stagnant tissue fluid pressures in subcutaneous tissue ranged between -1 and +10 mmHg and did not differ from those measured in normal subjects. Pressures generated in tissue fluid by pneumatic compression reached 40-100 mmHg and were lower than those in inflated chambers. High pressure gradient through the skin was caused by its rigidity (fibrosis) and dissipation of applied compression force to proximal noncompressed limb regions. The calculated volumes of displaced tissue fluid ranged from 10 to 30 ml per compression cycle, to reach in some cases 100 ml in the groin region.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Tissue fluid pressures generated by a pneumatic device were found lower than in the compression chambers. The obtained results point to the necessity of applying high pressures and longer compression times to generate effective tissue fluid pressures and to provide enough time for moving the stagnant fluid.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Olszewski</LastName><ForeName>Waldemar L</ForeName><Initials>WL</Initials><AffiliationInfo><Affiliation>Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland. waldemar.l.olszewski@gmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jain</LastName><ForeName>Pradeep</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Ambujam</LastName><ForeName>Govinda</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Zaleska</LastName><ForeName>Marzanna</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Cakala</LastName><ForeName>Marta</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Gradalski</LastName><ForeName>Tomasz</ForeName><Initials>T</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="Y">Leg</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008405" MajorTopicYN="N">Massage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011312" MajorTopicYN="Y">Pressure</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>6</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>6</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>10</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21688976</ArticleId><ArticleId IdType="doi">10.1089/lrb.2009.0025</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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