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Edema and lower leg perfusion in patients with post-traumatic dysfunction.

A Olavi1, P J Kolari, A Esa

  • 1Dept. of Physical Medicine and Rehabilitation, Kuopio University Central Hospital, Finland.

Acupuncture & Electro-Therapeutics Research
|January 1, 1991
PubMed
Summary

Intermittent pneumatic compression significantly reduced limb edema after trauma and immobilization. While initial limb blood flow was unchanged, compression therapy showed a slight improvement in impedancegraph blood flow.

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Area of Science:

  • Physiology
  • Medical Engineering
  • Vascular Biology

Background:

  • Post-traumatic immobilization can lead to limb edema, potentially affecting circulation.
  • Assessing limb circulation changes and the efficacy of treatments like intermittent pneumatic compression is crucial for recovery.

Purpose of the Study:

  • To investigate changes in limb circulation following post-traumatic immobilization and edema.
  • To evaluate the effectiveness of intermittent pneumatic compression in treating limb edema and its impact on circulation.

Main Methods:

  • Utilized impedancegraphy and laser Doppler flowmetry to measure limb circulation.
  • Employed intermittent pneumatic compression as a treatment for limb edema.
  • Compared measurements between the affected limb and the contralateral healthy limb.

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Main Results:

  • Limb blood flow in edematous limbs was comparable to the contralateral healthy limb.
  • Intermittent pneumatic compression significantly reduced edema (p < 0.001).
  • A slight but significant improvement in impedancegraph blood flow was observed post-treatment (p < 0.01), while laser Doppler skin blood flow showed a non-significant decrease.

Conclusions:

  • Intermittent pneumatic compression is highly effective in reducing post-traumatic limb edema.
  • While not significantly altering baseline blood flow, compression therapy may offer subtle improvements in vascular function as measured by impedancegraphy.