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Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema
PURPOSE: Although regarded as an important treatment for lymphedema, the therapeutic effects of active exercise with compression therapy (AECT) are supported by little evidence. The purpose of this study was to determine the relative benefits of AECT with different postures for patients with lower l...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464559/ https://www.ncbi.nlm.nih.gov/pubmed/33928435 http://dx.doi.org/10.1007/s00520-020-05976-y |
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author | Abe, Kiriko Tsuji, Tetsuya Oka, Asako Shoji, Junichi Kamisako, Michiyo Hohri, Hiroka Ishikawa, Aiko Liu, Meigen |
author_facet | Abe, Kiriko Tsuji, Tetsuya Oka, Asako Shoji, Junichi Kamisako, Michiyo Hohri, Hiroka Ishikawa, Aiko Liu, Meigen |
author_sort | Abe, Kiriko |
collection | PubMed |
description | PURPOSE: Although regarded as an important treatment for lymphedema, the therapeutic effects of active exercise with compression therapy (AECT) are supported by little evidence. The purpose of this study was to determine the relative benefits of AECT with different postures for patients with lower limb lymphedema (LLL). METHODS: Eighteen women with LLL secondary to surgical treatment of gynecological cancer, completed (1) AECT in a seated position (seated AECT), (2) AECT in a supine position (supine AECT), and (3) compression-only therapy in a supine position (CT) in this randomized, controlled, crossover trial. AECT was performed on a bicycle ergometer while wearing elastic compression bandages. Each intervention was performed for 15 min, and the three conditions were separated by a 1-week washout period. Lower-limb volumes were evaluated using a Perometer(TM) sensor (Pero-system, Wuppertal, Germany), and symptom severity was assessed before and after each intervention using a visual analog scale (pain, heaviness) and palpation (pitting, stiffness). The effects of the interventions were estimated using linear mixed-effect models. RESULTS: The magnitude of limb volume decreases differed significantly among the interventions, with a greater decrease after supine AECT than after CT. Pre-intervention pitting severity and skin stiffness were significantly correlated with the magnitude of volume decrease after all interventions and after AECT in the supine position, respectively. CONCLUSIONS: Supine AECT using a bicycle ergometer has marked immediate effects to decrease the fluid volume of severe LLL. CLINICAL TRIAL REGISTRATION: UMIN clinical trial registry (UMIN-CTR; ID000020129) by CONSORT 2010, TRN R000023253, December 9, 2015 |
format | Online Article Text |
id | pubmed-8464559 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-84645592021-10-08 Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema Abe, Kiriko Tsuji, Tetsuya Oka, Asako Shoji, Junichi Kamisako, Michiyo Hohri, Hiroka Ishikawa, Aiko Liu, Meigen Support Care Cancer Original Article PURPOSE: Although regarded as an important treatment for lymphedema, the therapeutic effects of active exercise with compression therapy (AECT) are supported by little evidence. The purpose of this study was to determine the relative benefits of AECT with different postures for patients with lower limb lymphedema (LLL). METHODS: Eighteen women with LLL secondary to surgical treatment of gynecological cancer, completed (1) AECT in a seated position (seated AECT), (2) AECT in a supine position (supine AECT), and (3) compression-only therapy in a supine position (CT) in this randomized, controlled, crossover trial. AECT was performed on a bicycle ergometer while wearing elastic compression bandages. Each intervention was performed for 15 min, and the three conditions were separated by a 1-week washout period. Lower-limb volumes were evaluated using a Perometer(TM) sensor (Pero-system, Wuppertal, Germany), and symptom severity was assessed before and after each intervention using a visual analog scale (pain, heaviness) and palpation (pitting, stiffness). The effects of the interventions were estimated using linear mixed-effect models. RESULTS: The magnitude of limb volume decreases differed significantly among the interventions, with a greater decrease after supine AECT than after CT. Pre-intervention pitting severity and skin stiffness were significantly correlated with the magnitude of volume decrease after all interventions and after AECT in the supine position, respectively. CONCLUSIONS: Supine AECT using a bicycle ergometer has marked immediate effects to decrease the fluid volume of severe LLL. CLINICAL TRIAL REGISTRATION: UMIN clinical trial registry (UMIN-CTR; ID000020129) by CONSORT 2010, TRN R000023253, December 9, 2015 Springer Berlin Heidelberg 2021-04-29 2021 /pmc/articles/PMC8464559/ /pubmed/33928435 http://dx.doi.org/10.1007/s00520-020-05976-y Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Abe, Kiriko Tsuji, Tetsuya Oka, Asako Shoji, Junichi Kamisako, Michiyo Hohri, Hiroka Ishikawa, Aiko Liu, Meigen Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema |
title | Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema |
title_full | Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema |
title_fullStr | Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema |
title_full_unstemmed | Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema |
title_short | Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema |
title_sort | postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464559/ https://www.ncbi.nlm.nih.gov/pubmed/33928435 http://dx.doi.org/10.1007/s00520-020-05976-y |
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