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Alis Kostanoğlu, Meltem Ramoğlu, Ethem Güneren

    Turkish Journal of Medical Sciences
    |April 19, 2019
    PubMed
    Summary

    Modified combined decongestive therapy (CDT) effectively reduces lower extremity lymphedema (LEL) edema. Home-based CDT proved more effective for secondary LEL, offering a viable self-management option for all stages.

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    Area of Science:

    • Medical Science
    • Clinical Research
    • Lymphedema Management

    Background:

    • Lower extremity lymphedema (LEL) poses a significant clinical challenge.
    • Effective management strategies for LEL are crucial for patient quality of life.

    Purpose of the Study:

    • To evaluate the efficacy of a modified combined decongestive therapy (CDT) for lower extremity lymphedema (LEL).
    • To assess the impact of home-based CDT on edema reduction in LEL patients.

    Main Methods:

    • Retrospective review of 95 LEL patients treated with modified CDT over 4 weeks.
    • Modified CDT included self-manual lymphatic drainage, self-bandaging, exercises, and skin care.
    • Edema volume and excess extremity volume (EEV) were measured before and after treatment.

    Main Results:

    • Significant reduction in edema volume across all LEL stages (1, 2, and 3) post-treatment (P = 0.001).
    • Significant differences in EEV were observed at all stages post-treatment (P = 0.001).
    • Secondary LEL showed higher EEV percentages than primary LEL (P = 0.04); no BMI correlation.

    Conclusions:

    • Home-based modified CDT is effective in reducing extremity edema in LEL patients.
    • Modified CDT demonstrated greater efficacy in secondary LEL compared to primary LEL.
    • This therapy is a viable self-management option for LEL across all disease stages.
    Keywords:
    Lower extremity lymphedemaself-managementcomplex decongestive therapy

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