Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size
Objective. The aim of this study was to identify strategies to transfer responsibility of the maintenance of the results of lymphedema treatment to the patient. Methods. Maintenance of the reduction of edema was evaluated in a prospective clinical trial in patients with Stage II leg lymphedema. Twen...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/8515767 |
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| _version_ | 1849400042169827328 |
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| author | Jose Maria Pereira de Godoy Henrique Jose Pereira de Godoy Renata Lopes Pinto Fernando Nestor Facio Maria de Fatima Guerreiro Godoy |
| author_facet | Jose Maria Pereira de Godoy Henrique Jose Pereira de Godoy Renata Lopes Pinto Fernando Nestor Facio Maria de Fatima Guerreiro Godoy |
| author_sort | Jose Maria Pereira de Godoy |
| collection | DOAJ |
| description | Objective. The aim of this study was to identify strategies to transfer responsibility of the maintenance of the results of lymphedema treatment to the patient. Methods. Maintenance of the reduction of edema was evaluated in a prospective clinical trial in patients with Stage II leg lymphedema. Twenty-one lymphedematous lower limbs were evaluated in Clínica Godoy in 2014 and 2016. The evaluation was done by volumetry at baseline and weekly thereafter for volume control. Patients wore Venosan® cotton 20/30 and 30/40 mmHg elastic compression stockings followed by a custom-made inelastic stocking made of grosgrain fabric. The Friedman test for multiple comparisons and Conover post hoc test were used for statistical analysis with an alpha error of 5%. Results. On comparing leg volume changes using the different types of stockings, the 20/30 mmHg elastic compression stockings failed in the first week to maintain the volume reductions but the 30/40 mmHg compression stockings did not allow significant increases in volume (p value > 0.05). During one week, the grosgrain stocking reduced leg volumes to baseline values (p value = 0.24). Conclusion. Higher compression of elastic stockings is better than lower compression but the inelastic grosgrain stocking is even better than both to maintain the results. |
| format | Article |
| id | doaj-art-a044b93fbe0e4add8d3a27978877ad49 |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-a044b93fbe0e4add8d3a27978877ad492025-08-20T03:38:11ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322017-01-01201710.1155/2017/85157678515767Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg SizeJose Maria Pereira de Godoy0Henrique Jose Pereira de Godoy1Renata Lopes Pinto2Fernando Nestor Facio3Maria de Fatima Guerreiro Godoy4Cardiology and Cardiovascular Surgery Department, Faculty of Medicine of São José do Rio Preto (FAMERP), National Council for Research and Development (CNPq), São José do Rio Preto, SP, BrazilUniversidade Federal do Mato Grosso, Cuiabá, MT, BrazilFaculty of Medicine of São José do Rio Preto (FAMERP) and Research Group of Clínica Godoy, São José do Rio Preto, SP, BrazilFaculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, BrazilFaculty of Medicine of São José do Rio Preto (FAMERP) and Research Group of Clínica Godoy, São José do Rio Preto, SP, BrazilObjective. The aim of this study was to identify strategies to transfer responsibility of the maintenance of the results of lymphedema treatment to the patient. Methods. Maintenance of the reduction of edema was evaluated in a prospective clinical trial in patients with Stage II leg lymphedema. Twenty-one lymphedematous lower limbs were evaluated in Clínica Godoy in 2014 and 2016. The evaluation was done by volumetry at baseline and weekly thereafter for volume control. Patients wore Venosan® cotton 20/30 and 30/40 mmHg elastic compression stockings followed by a custom-made inelastic stocking made of grosgrain fabric. The Friedman test for multiple comparisons and Conover post hoc test were used for statistical analysis with an alpha error of 5%. Results. On comparing leg volume changes using the different types of stockings, the 20/30 mmHg elastic compression stockings failed in the first week to maintain the volume reductions but the 30/40 mmHg compression stockings did not allow significant increases in volume (p value > 0.05). During one week, the grosgrain stocking reduced leg volumes to baseline values (p value = 0.24). Conclusion. Higher compression of elastic stockings is better than lower compression but the inelastic grosgrain stocking is even better than both to maintain the results.http://dx.doi.org/10.1155/2017/8515767 |
| spellingShingle | Jose Maria Pereira de Godoy Henrique Jose Pereira de Godoy Renata Lopes Pinto Fernando Nestor Facio Maria de Fatima Guerreiro Godoy Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size International Journal of Vascular Medicine |
| title | Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size |
| title_full | Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size |
| title_fullStr | Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size |
| title_full_unstemmed | Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size |
| title_short | Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size |
| title_sort | maintenance of the results of stage ii lower limb lymphedema treatment after normalization of leg size |
| url | http://dx.doi.org/10.1155/2017/8515767 |
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