SavedAdd your journal

Journals / Turkish Journal of Medical Sciences / 2019 / Cilt: 49 - Sayı: 2

Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema

Meltem RAMOĞLU
Ethem GÜNEREN
Alis KOSTANOĞLU
Pages
610–616
Publication Date
2022-11-04
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It should be an available method for self-management of LEL at all stages.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background/aim: The aim of this study is to present the results of modified combined decongestive therapy (CDT) in patients withlower extremity lymphedema (LEL).Materials and methods: We retrospectively reviewed 95 patients aged 55.84 ± 15.70 years who had been diagnosed with LEL betweenMay 2015 and May 2017.
📊
Key Findings & Data:The patients were treated for 4 weeks with modified CDT, including self-manual lymphatic drainage, selfbandaging, decongestive exercises, and skin care.Results: The mean reduction amounts of edema volume before and after treatment were 296.05, 784.92, and 1038.50 mL for stages 1,2, and 3 respectively (P = 0.001).
💡
Conclusion & Impact:It should be an available method for self-management of LEL at all stages.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Background/aim: The aim of this study is to present the results of modified combined decongestive therapy (CDT) in patients withlower extremity lymphedema (LEL).Materials and methods: We retrospectively reviewed 95 patients aged 55.84 ± 15.70 years who had been diagnosed with LEL betweenMay 2015 and May 2017. The patients were treated for 4 weeks with modified CDT, including self-manual lymphatic drainage, selfbandaging, decongestive exercises, and skin care.Results: The mean reduction amounts of edema volume before and after treatment were 296.05, 784.92, and 1038.50 mL for stages 1,2, and 3 respectively (P = 0.001). There were significant differences between the values before and after treatment in excess extremityvolume (EEV) at all stages (P = 0.001). The EEV percentages of the secondary LEL patients were higher than those of the primary LELpatients (P = 0.04). There was no correlation between BMI and treatment response in terms of EEV percentages (r = –0.99; P = 0.36).Conclusion: Our results revealed that home-based modified CDT is more effective in reducing extremity edema volume in secondaryLEL than primary LEL. It should be an available method for self-management of LEL at all stages.

🔖

Cite This Article

RAMOĞLU, M., GÜNEREN, E., KOSTANOĞLU, A. (2022). Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema. Turkish Journal of Medical Sciences, Cilt: 49 - Sayı: 2, 610–616. https://ajindex.com/articles/610114

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Huggenberger K, Wagner S, Lehmann S, Aeschlimann A, Amann-Vesti B et al. Health and quality of life in patients with primary and secondary lymphedema of the lower extremity. Vasa 2015; 44 (2): 129-137
  2. Rockson SG, Rivera KK. Estimating the population burden of lymphedema. Annals of the New York Academy of Sciences 2008; 1131 (1): 147-154
  3. Williams AF, Franks PJ, Moffatt CJ. Lymphoedema: estimating the size of the problem. Palliative Medicine 2005; 19 (4): 300-313
  4. Murdaca G, Cagnati P, Gulli R, Spanò F, Puppo F et al. Current views on diagnostic approach and treatment of lymphedema. American Journal of Medicine 2012; 125 (2): 134-140
  5. Jensen MR, Simonsen L, Karlsmark T, Bülow J. Lymphoedema of the lower extremities background, pathophysiology and diagnostic considerations. Clinical Physiology and Functional Imaging 2010; 30 (6): 389-398
  6. International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology. Lymphology 2013; 46 (1): 1-11
  7. Fu MR, Kang Y. Psychosocial impact of living with cancerrelated lymphedema. Semin Oncol Nurs 2013; 29: 50-60
  8. Oremus M, Dayes I, Walker K, Raina P. Systematic review: conservative treatments for secondary lymphedema. BMC Cancer 2012; 12 (1): 6
  9. McNeely ML, Peddle CJ, Yurick JL, Dayes IS, Mackey JR. Conservative and dietary interventions for cancer-related lymphedema. Cancer 2011; 117 (6): 1136-1148
  10. Kim SJ, Park YD. Effects of complex decongestive physiotherapy on the oedema and the quality of life of lower unilateral lymphoedema following treatment for gynecological cancer. European Journal of Cancer Care 2008; 17 (5): 463-468
  11. Liao SF, Li SH, Huang HY. The efficacy of complex decongestive physiotherapy (CDT) and predictive factors of response to CDT in lower limb lymphedema (LLL) after pelvic cancer treatment. Gynecologic Oncology 2012; 125 (3): 712-715
  12. Földi E. Treatment of lymphedema and patient rehabilitation. Anticancer Research 1998; 18 (3C): 2211-2212
  13. Andersen L, Højris I, Erlandsen M, Andersen, J. Treatment of breast-cancer related lymphedema with or without manual lymphatic drainage: a randomized study. Acta Oncologica 2000; 39 (3): 399-405
  14. Mosti G, Partsch H. Bandages or double stockings for the initial therapy of venous oedema? A randomized, controlled pilot study. European Journal of Vascular and Endovascular Surgery 2013; 46 (1): 142-148
  15. Kuhnke E. Volumenbestimmung au