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Yoga for correction of lymphedema's impairment of gait as an adjunct to lymphatic drainage: A pilot observational study.

Identifieur interne : 001105 ( PubMed/Curation ); précédent : 001104; suivant : 001106

Yoga for correction of lymphedema's impairment of gait as an adjunct to lymphatic drainage: A pilot observational study.

Auteurs : Madhur Guruprasad Aggithaya [Inde] ; Saravu R. Narahari [Inde] ; Terence J. Ryan [Royaume-Uni]

Source :

RBID : pubmed:25558134

Abstract

Yoga used as a major component of integrative treatment protocol in 14 Indian village camps improved quality-of-life in 425 lymphatic filariasis patients. They experienced better mobility and reduced disability. This paper documents the gait abnormalities observed in lower limb lymphedema patients and the locomotor changes following integrative treatment.

DOI: 10.4103/0973-6131.146063
PubMed: 25558134

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Le document en format XML

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<name sortKey="Aggithaya, Madhur Guruprasad" sort="Aggithaya, Madhur Guruprasad" uniqKey="Aggithaya M" first="Madhur Guruprasad" last="Aggithaya">Madhur Guruprasad Aggithaya</name>
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<nlm:affiliation>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Kasaragod, Kerala, India.</nlm:affiliation>
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<name sortKey="Narahari, Saravu R" sort="Narahari, Saravu R" uniqKey="Narahari S" first="Saravu R" last="Narahari">Saravu R. Narahari</name>
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<nlm:affiliation>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Kasaragod, Kerala, India.</nlm:affiliation>
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<name sortKey="Ryan, Terence J" sort="Ryan, Terence J" uniqKey="Ryan T" first="Terence J" last="Ryan">Terence J. Ryan</name>
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<nlm:affiliation>Department of Dermatology, Churchill Hospital, Oxford, UK.</nlm:affiliation>
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<div type="abstract" xml:lang="en">Yoga used as a major component of integrative treatment protocol in 14 Indian village camps improved quality-of-life in 425 lymphatic filariasis patients. They experienced better mobility and reduced disability. This paper documents the gait abnormalities observed in lower limb lymphedema patients and the locomotor changes following integrative treatment.</div>
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<Title>International journal of yoga</Title>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Yoga used as a major component of integrative treatment protocol in 14 Indian village camps improved quality-of-life in 425 lymphatic filariasis patients. They experienced better mobility and reduced disability. This paper documents the gait abnormalities observed in lower limb lymphedema patients and the locomotor changes following integrative treatment.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Yoga postures were performed as explained by traditional yoga practice in two sessions: Before ayurvedic oil massage without compression bandages and after the massage with compression bandages. Each yoga posture lasted for 5 min and the whole session ended in 45 min. Throughout each session, we advised patients to do long, diaphragmatic breathing, concentrating on each breath. The flexion of joints was coordinated with exhalation and extension with inhalation. We educated the patients to do longer expiration than inspiration.</AbstractText>
<AbstractText Label="RESULTS AND DISCUSSION" NlmCategory="CONCLUSIONS">A total of 98 patients (133 limbs) attending the 6(th) month follow-up were evaluated. The most common gait abnormality was antalgic gait. Structural and functional abnormalities were observed in hip, knee and ankle joints. We found that yoga as an adjunct to other components in integrative treatment improved the gait problems. Long standing lymphedema caused altered gait and joint deformities. This was mostly due to inactivity causing muscle weakness and edema within and around the muscles. Both large and small limbs have shown significant volume reduction (P < 0.01) during follow-up after 6 months.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">There can be a mixed etiology for gait related problems in lymphedema patients. Further studies are recommended to understand the causes of deformities in lymphedema patients and an exact role of yoga.</AbstractText>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Trans R Soc Trop Med Hyg. 2013 Sep;107(9):566-77</RefSource>
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<Keyword MajorTopicYN="N">lower limb lymphedema</Keyword>
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