The effect of mechanical lymph drainage accompanied with heat on lymphedema.

BACKGROUND: Thermotherapy has been indicated by some researchers as a treatment for lymphedema. A study comparing temperatures demonstrated that a temperature of 40ºC significantly increased the transportation of lymph compared to other temperatures assessed. The aim of this study was to evaluate th...

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Publicado en:Journal of Research in Medical Sciences Vol. 16; no. 11; pp. 1448 - 1452
Autores principales: Mariana, Valente Flavia, de Fatima, Guerreiro Godoy Maria, Maria, Pereira de Godoy Jose
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Nov2011
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The effect of mechanical lymph drainage accompanied with heat on lymphedema.
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        au:
          Mariana, Valente Flavia
          de Fatima, Guerreiro Godoy Maria
          Maria, Pereira de Godoy Jose
        affil: Associate Professor, Godoy Clinic, Paulista University, São Jose do Rio Preto, Brazil.
      sug:
        subj:
          Heat
          Lymphedema Therapy
          Manual Therapy
          Adolescence
          Adult
          Aged
          Brazil
          Coefficient alpha
          Crossover Design
          Data Analysis Software
          Descriptive Statistics
          Human
          Leg Pathology
          Middle Age
          Paired T-Tests
          Plethysmography
          Randomized Controlled Trials
          T-Tests
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
      ab: BACKGROUND: Thermotherapy has been indicated by some researchers as a treatment for lymphedema. A study comparing temperatures demonstrated that a temperature of 40ºC significantly increased the transportation of lymph compared to other temperatures assessed. The aim of this study was to evaluate the possible benefits of mechanical lymph drainage accompanied with heat in the treatment of lymphedema of the lower limbs. METHODS: In a cross-over randomized study, the effect of heat on lymph drainage was evaluated in the treatment of leg lymphedema. The study, performed in the Godoy Clinic in São Jose do Rio Preto, Brazil, involved seven patients (two males and five females) with leg lymphedema. The patients' ages ranged from 18 to 79 years old with a mean of 48.5 years. The subjects underwent a total of 38 assessments including 19 evaluations of mechanical lymph drainage alone and 19 combined with thermotherapy. Heat was applied using an electric blanket which was wrapped around the legs of the patients. The volume of legs was evaluated by water plethysmography before and after treatment sessions. The paired t-test was used for statistical analysis with an alpha error of p = 0.05 being considered as acceptable. RESULTS: No statistically significant differences were evidenced between mechanical lymph drainage alone and lymph drainage combined with thermotherapy. CONCLUSIONS: There was no obvious synergic effect in the immediate post-treatment period when heat was combined with mechanical lymph drainage in the treatment of lymphedema.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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