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Online Complex Decongestive Therapy (CDT) Initiation for Lymphoedema - A Case Study.
Anandhi Ramachandran1,2, Shashi Gogia1,2,3, Arun Rekha2,3
1Society for Administration of Telemedicine and Healthcare Informatics, New Delhi, India.
Online lymphoedema care using Complex Decongestive Therapy (CDT) is possible, but challenges remain. This approach offers a potential solution for remote patient management and continued self-care, even post-pandemic.
Area of Science:
- Medicine
- Rehabilitation
- Telehealth
Background:
- Lymphoedema is a chronic condition impacting millions globally.
- Standard treatment, Complex Decongestive Therapy (CDT), requires in-person therapist interaction.
- The COVID-19 pandemic necessitated exploration of remote healthcare solutions.
Purpose of the Study:
- To investigate the feasibility of delivering Complex Decongestive Therapy (CDT) entirely online.
- To assess the effectiveness and challenges of remote lymphoedema management.
- To evaluate telehealth as a sustainable model for lymphoedema care.
Main Methods:
- A case study approach was employed to initiate CDT remotely.
- The study involved online consultations and guided self-care training for patients.
- Data was collected on patient progress and experienced challenges.
Main Results:
- Successfully initiated Complex Decongestive Therapy (CDT) through an online platform.
- Identified specific hurdles and limitations in providing completely remote lymphoedema care.
- Demonstrated the potential for online CDT as a viable supplementary or alternative treatment.
Conclusions:
- Online lymphoedema care via CDT is achievable, offering increased accessibility.
- Addressing identified challenges is crucial for optimizing remote CDT delivery.
- Telehealth lymphoedema management presents a valuable option for long-term self-care and post-pandemic accessibility.
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Development of the Lymphatic System
The first lymph sacs to form are the paired jugular lymph sacs located at the junction of the internal jugular and subclavian veins. From these sacs, lymphatic capillary plexuses extend to the thorax, upper limbs, neck, and head, eventually forming lymphatic vessels. Each jugular lymph sac maintains a...

