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Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial
INTRODUCTION: Manual lymphatic drainage (MLD) is an adjunctive method of chronic venous disease (CVD) therapy. Evaluation of the change at the clinical stage, hemodynamic parameters and quality of life (QoL) following venous system surgery in CVD patients undergoing MLD preoperatively are the most i...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701980/ https://www.ncbi.nlm.nih.gov/pubmed/23847666 http://dx.doi.org/10.5114/aoms.2013.35343 |
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author | Molski, Pawel Kruczyński, Jacek Molski, Andrzej Molski, Stanislaw |
author_facet | Molski, Pawel Kruczyński, Jacek Molski, Andrzej Molski, Stanislaw |
author_sort | Molski, Pawel |
collection | PubMed |
description | INTRODUCTION: Manual lymphatic drainage (MLD) is an adjunctive method of chronic venous disease (CVD) therapy. Evaluation of the change at the clinical stage, hemodynamic parameters and quality of life (QoL) following venous system surgery in CVD patients undergoing MLD preoperatively are the most interesting aspects of the study. MATERIAL AND METHODS: The CVD patients qualified for elective surgery of the venous system were randomly divided into 2 groups: the MLD group (n = 38) and the control group (n = 32). In the preoperative period, the MLD group underwent a series of MLD through a period of 2 weeks. The control group did not undergo MLD preoperatively. Both groups were evaluated for CVD staging on the day of qualification for surgery and between 25 and 30 days post-operatively. Additionally, the MLD group was evaluated after the series of MLD. The CVD staging was evaluated in both groups with a QoL questionnaire (CIVIQ), CEAP classification, foot volumetry (FV) and venous refilling time (VRT). RESULTS: Parameter values obtained in the MLD group (before treatment/after MLD/after surgery): CEAP 2.23/2.15/2.10, VRT 15/13/15.6, FV 3625/3472/3418, CIVIQ-complaints: 54.4/43.8/38.2 and CIVIQ-meaning: 57.3/49.3/43.1. Parameter values obtained in control group (before surgery/after surgery): CEAP 2.4/2.12, VRT 13/14.9, FV 3581/3559, CIVIQ-complaints: 51.9/38.7 and CIVIQ-meaning: 53.7/40.6. The CVD patients statistically improved in CEAP staging, FV and QoL in both groups (p < 0.05). CONCLUSIONS: The MLD alone significantly reduced FV in patients with CVD, also improving their QoL. The MLD applied in CVD patients at the preoperative stage results in better surgical outcome, which is demonstrated by reduced disease progression, FV reduction and improvement in the QoL. |
format | Online Article Text |
id | pubmed-3701980 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-37019802013-07-11 Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial Molski, Pawel Kruczyński, Jacek Molski, Andrzej Molski, Stanislaw Arch Med Sci Clinical Research INTRODUCTION: Manual lymphatic drainage (MLD) is an adjunctive method of chronic venous disease (CVD) therapy. Evaluation of the change at the clinical stage, hemodynamic parameters and quality of life (QoL) following venous system surgery in CVD patients undergoing MLD preoperatively are the most interesting aspects of the study. MATERIAL AND METHODS: The CVD patients qualified for elective surgery of the venous system were randomly divided into 2 groups: the MLD group (n = 38) and the control group (n = 32). In the preoperative period, the MLD group underwent a series of MLD through a period of 2 weeks. The control group did not undergo MLD preoperatively. Both groups were evaluated for CVD staging on the day of qualification for surgery and between 25 and 30 days post-operatively. Additionally, the MLD group was evaluated after the series of MLD. The CVD staging was evaluated in both groups with a QoL questionnaire (CIVIQ), CEAP classification, foot volumetry (FV) and venous refilling time (VRT). RESULTS: Parameter values obtained in the MLD group (before treatment/after MLD/after surgery): CEAP 2.23/2.15/2.10, VRT 15/13/15.6, FV 3625/3472/3418, CIVIQ-complaints: 54.4/43.8/38.2 and CIVIQ-meaning: 57.3/49.3/43.1. Parameter values obtained in control group (before surgery/after surgery): CEAP 2.4/2.12, VRT 13/14.9, FV 3581/3559, CIVIQ-complaints: 51.9/38.7 and CIVIQ-meaning: 53.7/40.6. The CVD patients statistically improved in CEAP staging, FV and QoL in both groups (p < 0.05). CONCLUSIONS: The MLD alone significantly reduced FV in patients with CVD, also improving their QoL. The MLD applied in CVD patients at the preoperative stage results in better surgical outcome, which is demonstrated by reduced disease progression, FV reduction and improvement in the QoL. Termedia Publishing House 2013-05-27 2013-06-20 /pmc/articles/PMC3701980/ /pubmed/23847666 http://dx.doi.org/10.5114/aoms.2013.35343 Text en Copyright © 2013 Termedia & Banach http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Molski, Pawel Kruczyński, Jacek Molski, Andrzej Molski, Stanislaw Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial |
title | Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial |
title_full | Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial |
title_fullStr | Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial |
title_full_unstemmed | Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial |
title_short | Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial |
title_sort | manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701980/ https://www.ncbi.nlm.nih.gov/pubmed/23847666 http://dx.doi.org/10.5114/aoms.2013.35343 |
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