Changes in lymphatic function after complex physical therapy for lymphedema.
Identifieur interne : 004C91 ( PubMed/Curation ); précédent : 004C90; suivant : 004C92Changes in lymphatic function after complex physical therapy for lymphedema.
Auteurs : J H Hwang [Corée du Sud] ; J Y Kwon ; K W Lee ; J Y Choi ; B T Kim ; B B Lee ; D I KimSource :
- Lymphology [ 0024-7766 ] ; 1999.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Antimoine, Bandages, Colloïdes, Composés du technétium, Drainage, Femelle, Humains, Lymphoedème (imagerie diagnostique), Lymphoedème (physiopathologie), Lymphoedème (rééducation et réadaptation), Lymphoscintigraphie, Mâle, Résultat thérapeutique, Système lymphatique (physiopathologie), Techniques de physiothérapie, Traitement par les exercices physiques.
- MESH :
- imagerie diagnostique : Lymphoedème.
- physiopathologie : Lymphoedème, Système lymphatique.
- rééducation et réadaptation : Lymphoedème.
- Adulte d'âge moyen, Antimoine, Bandages, Colloïdes, Composés du technétium, Drainage, Femelle, Humains, Lymphoscintigraphie, Mâle, Résultat thérapeutique, Techniques de physiothérapie, Traitement par les exercices physiques.
English descriptors
- KwdEn :
- Antimony, Bandages, Colloids, Drainage, Exercise Therapy, Female, Humans, Lymphatic System (physiopathology), Lymphedema (diagnostic imaging), Lymphedema (physiopathology), Lymphedema (rehabilitation), Lymphoscintigraphy, Male, Middle Aged, Physical Therapy Modalities, Technetium Compounds, Treatment Outcome.
- MESH :
- chemical : Antimony, Colloids, Technetium Compounds.
- diagnostic imaging : Lymphedema.
- physiopathology : Lymphatic System, Lymphedema.
- rehabilitation : Lymphedema.
- Bandages, Drainage, Exercise Therapy, Female, Humans, Lymphoscintigraphy, Male, Middle Aged, Physical Therapy Modalities, Treatment Outcome.
Abstract
Twenty-two extremities of 19 lymphedema patients (6 arms, 16 legs) were treated by 2 weeks of complex physical therapy (CPT) and self home maintenance therapy (bandage/wearing of elastic garment and exercise). In addition to the clinical response of volume reduction before and 3 months after CPT, we analyzed the functional changes of the peripheral lymphatic system by use of lymphoscintigraphy (LS). Before CPT, the main LS findings of lymphedema included dermal backflow (100%), absent or faintly visualized regional lymph nodes (95.5%), presence of collateral lymphatic vessels (68.2%), and no or barely visualized lymphatic vessels (27.3%). LS findings suggesting improved lymphatic function after CPT were a decrease in dermal backflow (72.7%), an increase in radioisotope uptake by lymphatic vessels (27.3%), and an increase in radioisotope uptake by lymph nodes (9.1%). 81.8% of limbs showed improved lymphoscintigraphic findings and no change in 9.1%. In the others (9.1%), LS findings appeared worse. There was, however, no correlation between LS "improvement" and the amount of limb volume reduction.
PubMed: 10197323
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<affiliation wicri:level="1"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyun kwan University, College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyun kwan University, College of Medicine, Seoul</wicri:regionArea>
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<series><title level="j">Lymphology</title>
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<term>Bandages</term>
<term>Colloids</term>
<term>Drainage</term>
<term>Exercise Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic System (physiopathology)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Technetium Compounds</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Antimoine</term>
<term>Bandages</term>
<term>Colloïdes</term>
<term>Composés du technétium</term>
<term>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Lymphoedème (rééducation et réadaptation)</term>
<term>Lymphoscintigraphie</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Système lymphatique (physiopathologie)</term>
<term>Techniques de physiothérapie</term>
<term>Traitement par les exercices physiques</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Antimony</term>
<term>Colloids</term>
<term>Technetium Compounds</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term>
<term>Système lymphatique</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphatic System</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Lymphoedème</term>
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<keywords scheme="MESH" xml:lang="en"><term>Bandages</term>
<term>Drainage</term>
<term>Exercise Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Antimoine</term>
<term>Bandages</term>
<term>Colloïdes</term>
<term>Composés du technétium</term>
<term>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoscintigraphie</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Techniques de physiothérapie</term>
<term>Traitement par les exercices physiques</term>
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<front><div type="abstract" xml:lang="en">Twenty-two extremities of 19 lymphedema patients (6 arms, 16 legs) were treated by 2 weeks of complex physical therapy (CPT) and self home maintenance therapy (bandage/wearing of elastic garment and exercise). In addition to the clinical response of volume reduction before and 3 months after CPT, we analyzed the functional changes of the peripheral lymphatic system by use of lymphoscintigraphy (LS). Before CPT, the main LS findings of lymphedema included dermal backflow (100%), absent or faintly visualized regional lymph nodes (95.5%), presence of collateral lymphatic vessels (68.2%), and no or barely visualized lymphatic vessels (27.3%). LS findings suggesting improved lymphatic function after CPT were a decrease in dermal backflow (72.7%), an increase in radioisotope uptake by lymphatic vessels (27.3%), and an increase in radioisotope uptake by lymph nodes (9.1%). 81.8% of limbs showed improved lymphoscintigraphic findings and no change in 9.1%. In the others (9.1%), LS findings appeared worse. There was, however, no correlation between LS "improvement" and the amount of limb volume reduction.</div>
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<Abstract><AbstractText>Twenty-two extremities of 19 lymphedema patients (6 arms, 16 legs) were treated by 2 weeks of complex physical therapy (CPT) and self home maintenance therapy (bandage/wearing of elastic garment and exercise). In addition to the clinical response of volume reduction before and 3 months after CPT, we analyzed the functional changes of the peripheral lymphatic system by use of lymphoscintigraphy (LS). Before CPT, the main LS findings of lymphedema included dermal backflow (100%), absent or faintly visualized regional lymph nodes (95.5%), presence of collateral lymphatic vessels (68.2%), and no or barely visualized lymphatic vessels (27.3%). LS findings suggesting improved lymphatic function after CPT were a decrease in dermal backflow (72.7%), an increase in radioisotope uptake by lymphatic vessels (27.3%), and an increase in radioisotope uptake by lymph nodes (9.1%). 81.8% of limbs showed improved lymphoscintigraphic findings and no change in 9.1%. In the others (9.1%), LS findings appeared worse. There was, however, no correlation between LS "improvement" and the amount of limb volume reduction.</AbstractText>
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