Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas

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 ly...

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Bibliographic Details
Published in:TheScientificWorld Vol. 2018; no. 2018; pp. 1 - 4
Main Authors: Spessoto, Luis Cesar, Gracino de Marqui, Thatiany, Pereira de Godoy, Henrique Jose, Pereira de Godoy, José Maria, Guerreiro de Godoy, Maria de Fátima
Format: Journal Article
Language:English
Published: Cairo, Egypt Hindawi Publishing Corporation 2018
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects:
Age
Cancer therapies
Clinical Study
Compression
Compression tests
Compression therapy
Edema
Error analysis
Family medical history
Fluids
Gynecology
Knee
Lymphatic system
Lymphedema
Macromolecules
Medical materials
Medicine
Patients
Plantar flexion
Quality of life
Statistical analysis
Therapy
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Summary: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.
Bibliography:Academic Editor: Francesco Giallauria
ISSN:2356-6140
1537-744X
1537-744X
DOI:10.1155/2018/6537253