Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas
Background. Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids. Aim. The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary ly...
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Wiley
2018-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2018/6537253 |
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| author | Jose Maria Pereira de Godoy Henrique Jose Pereira de Godoy Thatiany Gracino de Marqui Luis Cesar Spessoto Maria de Fatima Guerreiro Godoy |
| author_facet | Jose Maria Pereira de Godoy Henrique Jose Pereira de Godoy Thatiany Gracino de Marqui Luis Cesar Spessoto Maria de Fatima Guerreiro Godoy |
| author_sort | Jose Maria Pereira de Godoy |
| collection | DOAJ |
| description | Background. Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids. Aim. The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary lymphedemas. Method. Thirty-three patients with severe leg lymphedema who underwent intensive treatment for five consecutive days in 2013 and 2014 at the Clínica Godoy were evaluated in a prospective clinical trial. Diagnosis was based on the patient’s history and physical examination. Treatment consisted of eight hours/day of Mechanical Lymphatic Therapy using an electromechanical device (RAGodoy®) that performs plantar flexion and extension associated with 15 minutes of Cervical Lymphatic Therapy, a technique developed by Godoy and Godoy that involves stimulation in the cervical region and a grosgrain compression stocking alternated with elastic bandages. The unpaired t-test and Fisher’s exact test were used for statistical analysis with an alpha error of 5% (p value < 0.05) being considering acceptable. Secondary lymphedema was more prevalent in women (Fisher exact test p value < 0.01). Results. The age of patients with secondary lymphedema was greater than those with primary lymphedema (unpaired t-test: p value < 0.03). The mean volume losses were 64.62% and 48.35% for the patients with secondary and primary lymphedema, respectively (p value < 0.03). Conclusion. Women are more prevalent and older in the secondary lymphedema group. Volumetric reductions below the knee are faster with intensive treatment for secondary rather than for primary lymphedema. |
| format | Article |
| id | doaj-art-93655123fae942b7b64da783ba2399ed |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-93655123fae942b7b64da783ba2399ed2025-02-03T06:06:23ZengWileyThe Scientific World Journal2356-61401537-744X2018-01-01201810.1155/2018/65372536537253Mobilization of Fluids in the Intensive Treatment of Primary and Secondary LymphedemasJose Maria Pereira de Godoy0Henrique Jose Pereira de Godoy1Thatiany Gracino de Marqui2Luis Cesar Spessoto3Maria de Fatima Guerreiro Godoy4Cardiology and Cardiovascular Surgery Department, The Medicine School in São José do Rio Preto (FAMERP), CNPq (National Council for Research and Development), São José do Rio Preto, SP, BrazilUniversidade Federal do Mato Grosso Cuiabá, MT and Researcher Group of the Clínica Godoy, São José do Rio Preto, SP, BrazilUniversidade Federal do Mato Grosso Cuiabá, MT and Researcher Group of the Clínica Godoy, São José do Rio Preto, SP, BrazilMedicine School of São Jose do Rio Preto (FAMERP), São José do Rio Preto, SP, BrazilMedicine School in São José do Rio Preto (FAMERP) and Researcher Group of the Clínica Godoy, São Jose do Rio Preto, SP, BrazilBackground. Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids. Aim. The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary lymphedemas. Method. Thirty-three patients with severe leg lymphedema who underwent intensive treatment for five consecutive days in 2013 and 2014 at the Clínica Godoy were evaluated in a prospective clinical trial. Diagnosis was based on the patient’s history and physical examination. Treatment consisted of eight hours/day of Mechanical Lymphatic Therapy using an electromechanical device (RAGodoy®) that performs plantar flexion and extension associated with 15 minutes of Cervical Lymphatic Therapy, a technique developed by Godoy and Godoy that involves stimulation in the cervical region and a grosgrain compression stocking alternated with elastic bandages. The unpaired t-test and Fisher’s exact test were used for statistical analysis with an alpha error of 5% (p value < 0.05) being considering acceptable. Secondary lymphedema was more prevalent in women (Fisher exact test p value < 0.01). Results. The age of patients with secondary lymphedema was greater than those with primary lymphedema (unpaired t-test: p value < 0.03). The mean volume losses were 64.62% and 48.35% for the patients with secondary and primary lymphedema, respectively (p value < 0.03). Conclusion. Women are more prevalent and older in the secondary lymphedema group. Volumetric reductions below the knee are faster with intensive treatment for secondary rather than for primary lymphedema.http://dx.doi.org/10.1155/2018/6537253 |
| spellingShingle | Jose Maria Pereira de Godoy Henrique Jose Pereira de Godoy Thatiany Gracino de Marqui Luis Cesar Spessoto Maria de Fatima Guerreiro Godoy Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas The Scientific World Journal |
| title | Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas |
| title_full | Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas |
| title_fullStr | Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas |
| title_full_unstemmed | Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas |
| title_short | Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas |
| title_sort | mobilization of fluids in the intensive treatment of primary and secondary lymphedemas |
| url | http://dx.doi.org/10.1155/2018/6537253 |
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