Effects of complex decongestive therapy on upper extremity lymphedema

Abstract

Keywords

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Üst ekstremite lenfödeminde kompleks dekonjestif tedavinin etkinliği

Abstract

Amaç: Bu çalışmanın amacı, üst ekstremite lenfödemi olan hastalarda kompleks dekonjestif fizyoterapinin etkinliğini değerlendirmekti. Gereç ve yöntem: Meme cerrahisi ve adjuvan radyoterapi sonrası üst ekstremite lenfödemi gelişen 102 kadın, çalışmaya dahil edildi. Olgular 31’i hafif, 34’ü orta ve 37’si şiddetli lenfödem olmak üzere üç gruba ayrıldı. Hastalara dört hafta süresince, haftada beş gün manuel lenf drenajı, çok katlı bandajlama, drenaj egzersizleri ve cilt bakımını içeren kompleks dekonjestif fizyoterapi programı uygulandı. Aynı zamanda kişisel tedaviden (kişisel lenf drenajı, lenfödem çorabı, kendi bakım aktiviteleri, egzersiz) oluşan koruyucu fizyoterapi programı verildi. Lenfödem, çevre ve volumetrik ölçüm yöntemleri ile tedavi öncesi ve sonrası değerlendirildi. Sonuçlar: Tedavi sonrası her üç grupta da lenfödem volümü anlamlı olarak azaldı (p

Keywords

• Lenfödem, Üst ekstremite, Kompleks dekonjestif tedavi, Lenf drenajı

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