Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas.
Background: Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids.Aim: The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary lym...
| Publicado en: | Scientific World Journal pp. 1 - 5 |
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| Autores principales: | , , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Wiley-Blackwell
5/10/2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129539259&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129539259 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1537744X 1BX5 jtl: Scientific World Journal issn: 1537744X maglogo: N pubinfo: dt: 5/10/2018 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 129539259 129539259 NLM29861666 129539259 10.1155/2018/6537253 NLM29861666 129539259 ppf: 1 ppct: 4 formats: tig: atl: Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas. aug: au: Godoy, Jose Maria Pereira de Pereira de Godoy, Henrique Jose Gracino de Marqui, Thatiany Spessoto, Luis Cesar Godoy, Maria de Fatima Guerreiro de Godoy, Jose Maria Pereira affil: Cardiology and Cardiovascular Surgery Department, The Medicine School in São José do Rio Preto (FAMERP), CNPq (National Council for Research and Development), São José do Rio Preto, SP, Brazil sug: subj: Lymphedema Therapy Middle Age Female Human Male Clinical Trials Comparative Studies Multicenter Studies Evaluation Research Validation Studies Scales Middle Aged: 45-64 years Female Male ab: Background: Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids.Aim: The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary lymphedemas.Method: Thirty-three patients with severe leg lymphedema who underwent intensive treatment for five consecutive days in 2013 and 2014 at the Clínica Godoy were evaluated in a prospective clinical trial. Diagnosis was based on the patient's history and physical examination. Treatment consisted of eight hours/day of Mechanical Lymphatic Therapy using an electromechanical device (RAGodoy®) that performs plantar flexion and extension associated with 15 minutes of Cervical Lymphatic Therapy, a technique developed by Godoy and Godoy that involves stimulation in the cervical region and a grosgrain compression stocking alternated with elastic bandages. The unpaired t-test and Fisher's exact test were used for statistical analysis with an alpha error of 5% (p value < 0.05) being considering acceptable. Secondary lymphedema was more prevalent in women (Fisher exact test p value < 0.01).Results: The age of patients with secondary lymphedema was greater than those with primary lymphedema (unpaired t-test: p value < 0.03). The mean volume losses were 64.62% and 48.35% for the patients with secondary and primary lymphedema, respectively (p value < 0.03).Conclusion: Women are more prevalent and older in the secondary lymphedema group. Volumetric reductions below the knee are faster with intensive treatment for secondary rather than for primary lymphedema. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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