Kompleks boşaltıcı fizyoterapinin alt ekstremite lenfödemi üzerine etkisi: Pilot çalışma
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Tarih
2005
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı kompleks boşaltıcı fizyoterapinin (KBF), alt ekstremite lenfödemi üzerine etkisini araştırmaktı. Gereç ve yöntem: Çalışmaya jinekolojik kanser tedavisi sonrasında alt ekstremitesinde unilateral lenfödem gelişen 12 hasta dahil edildi. Hastalara 4 hafta süresince haftada 5 gün olmak üzere toplam 20 seans manuel lenf drenajı-cilt bakımı-kompresyon bandajı- egzersiz (ödemi azaltma fazı) ve takibinde kompresyon çorabından (koruyucu faz) oluşan KBF programı uygulandı. Lenfödem çevre ve volümetrik ölçüm yöntemleri kullanılarak değerlendirildi. Değerlendirmeler tedavi öncesi, 10.seans, tedavi sonrası ve tedavi bitiminden 1 ay sonra yapıldı. Sonuçlar: Değerlendirilen tüm parametrelerde tedavi sonrasında anlamlı fark bulundu (p<0.01). Ödemde en fazla azalma ortalama 751.2 mi (% 44.9) ile ilk 2 haftada oldu (p<0.01). Azalma diğer haftalarda da devam etti (p<0.01) ve toplam ortalama 1077.8 ml'ye (% 64.4) ulaştı. Tedavi sonrasında kompresyon çorabı uygulaması ile ödemdeki toplam azalma % 73.6 oranında (ort. 1231.2 mi) oldu. Tartışma: Çalışmamız KBF'nin lenfödemi azaltmada etkili bir yöntem olduğunu gösterdi.
Purpose: The aim of this study was to investigate the effect of Complex Decongestive Physiotherapy on lower extremity lymphedema. Material and methods: 12 patients with lower extremity lymphedema due to gynecologic cancer participated in this study. During 4 weeks, 5 days weekly, for a total of 20 sessions, a Complex Decongestive Physiotherapy program including manual lymphatic drainage-skin care- compression bandage-exercise (reduction phase) and compression garment (maintaining phase) was being applied. Patients were evaluated with circumferential and volumetric measurements. Results were evaluated before treatment, after tenth session, after treatment and one month after the treatment. Results: The difference in all the parameters that were evaluated, were significant (p<0.01). The maximum reduction of edema of approximately 751.2 ml (44.9%) was seen in the first two weeks (p<0.01). Later the reduction of edema continued (p<0.01) and the total reduction of edema was 1077.8 ml (64.4%). With the application of compression garments after the treatment, the total reduction of edema was 73.6% (1231.2 ml). Conclusion: Our study showed that complex decongestive physiotherapy is an effective method for reducing lymphedema.
Purpose: The aim of this study was to investigate the effect of Complex Decongestive Physiotherapy on lower extremity lymphedema. Material and methods: 12 patients with lower extremity lymphedema due to gynecologic cancer participated in this study. During 4 weeks, 5 days weekly, for a total of 20 sessions, a Complex Decongestive Physiotherapy program including manual lymphatic drainage-skin care- compression bandage-exercise (reduction phase) and compression garment (maintaining phase) was being applied. Patients were evaluated with circumferential and volumetric measurements. Results were evaluated before treatment, after tenth session, after treatment and one month after the treatment. Results: The difference in all the parameters that were evaluated, were significant (p<0.01). The maximum reduction of edema of approximately 751.2 ml (44.9%) was seen in the first two weeks (p<0.01). Later the reduction of edema continued (p<0.01) and the total reduction of edema was 1077.8 ml (64.4%). With the application of compression garments after the treatment, the total reduction of edema was 73.6% (1231.2 ml). Conclusion: Our study showed that complex decongestive physiotherapy is an effective method for reducing lymphedema.
Açıklama
Anahtar Kelimeler
Lenfödem, Manuel Lenf Drenajı, Kompleks Boşaltıcı Fizyoterapi, Volümetrik Ölçüm, Lymphedema, Manual Lymph Drainage, Complex Decongestive Physiotherapy, Volumetric Measurement
Kaynak
Fizyoterapi Rehabilitasyon
WoS Q Değeri
Scopus Q Değeri
Cilt
16
Sayı
3
