ID 112103
タイトル別表記
リンパ浮腫に対する複合的理学療法
Evaluation of complex physical therapy for lymphedema of the unilateral lower limbs
著者
小川, 佳宏 徳島大学|徳島リハビリテーション病院
堀, 隆樹 徳島大学
増田, 裕 徳島大学
脇坂, 佳成 徳島大学
渡辺, 美恵 徳島大学
安田, 理 徳島大学
加納, 正志 徳島大学
富永, 崇 徳島大学
斎藤, 勝彦 徳島リハビリテーション病院
加藤, 逸夫 徳島大学
キーワード
lymphedema
complex physical therapy
manual lymph drainage
資料タイプ
学術雑誌論文
抄録
We evaluated the effectiveness of the complex physical therapy (CPT) for lymphedema of the unilateral lower limbs of eleven patients who had been admitted to Tokushima Rehabilitation Hospital. Ten patients were of secondary lymphedema, nine of which were after treatment of uterine cancer and one was of primary lymphedema. Our CPT consited of skin care, manual lymph drainage (MLD), compression therapy with elastic bandages or elastic stockings, and exercise therapy under compression.
MLD functionally operates to enhance the lymph drainage more proximally in both contralateral and ipsilateral truncal quadrants of the torso, then in the proximal limb, and only thereafter from the distal to proximal portion of the edematous extremity. Swelling ratio of all patients on admission was 26.9± 11.8% and that at discharge was 16.8±9.4%. Edema reduction ratio (ERR) of the entire patients was 41.5± 16.5%, and 81.8% of cases were recognized as effective, in which ERR showed more than 30% at discharge.
In a consensus document about the diagnosis and treatment of peripheral lymphedema in 1995, the International Society of Lymphology Executive Committee reported that most operations designed to alleviate peripheral lymphedema have not as yet been perfected or usually are still inferior to combined physiotherapy. At present lymphedema should be accurately diagnosed in the early stage and be treated with CPT correctly by clinicians who understand lymphedema thoroughly and are well trained.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
54
6
開始ページ
386
終了ページ
392
並び順
386
発行日
1998-12-25
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系