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A Murine Tail Lymphedema Model
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Lymphedema techniques to manage edema after SCI: a retrospective analysis.
Rebecca Hammad1, Catherine Furbish2, W Mark Sweatman2
1Crawford Research Institute, Shepherd Center, Atlanta, Georgia. Rebecca.Hammad@Shepherd.org.
Spinal Cord
|June 14, 2018
Summary
A modified decongestive therapy (mCDT) effectively reduced limb swelling in spinal cord injury (SCI) patients. This safe and feasible approach improved edema and is recommended for SCI edema management.
Area of Science:
- Rehabilitation Medicine
- Physiatry
- Lymphedema Therapy
Background:
- Lower extremity edema is a common complication in individuals with spinal cord injury (SCI).
- Standard lymphedema treatments may require modification to accommodate SCI-related impairments.
Purpose of the Study:
- To evaluate the safety, feasibility, and effectiveness of a modified complete decongestive therapy (mCDT) approach for managing chronic lower extremity edema in SCI patients.
Main Methods:
- A retrospective analysis of 59 adults with SCI and lower extremity edema treated with mCDT.
- Modified complete decongestive therapy (mCDT) techniques were adapted for SCI patients' sensory and motor impairments.
- Limb volume, pitting edema, and edema characteristics were measured before and after treatment.
Main Results:
- mCDT resulted in a significant mean limb volume reduction of 11% ± 7.6%.
- Significant decreases in pitting edema scores (from 3/4 to 1/4) and edema characteristics were observed.
- The intervention was safe and well-tolerated, with minor adverse events in a small number of patients.
Conclusions:
- The modified complete decongestive therapy (mCDT) approach is safe, feasible, and effective for reducing edema in individuals with SCI.
- This adapted lymphedema treatment can be successfully integrated into clinical settings for SCI rehabilitation.
- Continued vigilance regarding skin integrity is recommended during mCDT for SCI patients.
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