The Effect of Complex Decongestive Therapy on Physical Performance, Balance, Muscle Strength and Mood in Patients with Lower Extremity Lymphedema

Öz

Purpose: We aimed to investigate the effects of complex decongestive therapy (CDT) on physical performance, balance, muscle strength and mood in patients with lower extremity lymphedema. Methods: Twenty female patients diagnosed with lower extremity lymphedema were included. Therapy was applied once a day, 5 days a week, for 4 weeks. Sessions lasted approximately 60 minutes. All measurements and evaluations were recorded before and after therapy. Results: A significant difference was found between healthy and affected circumferential measurements. Mean of timed up and go test 6.70±1.71 before the treatment and 6.15±1.56 after the treatment, the difference was significant. The mean of standing on one leg was 8.31±5.16 before treatment and 9.2±6.20 after treatment, difference was not significant. Before treatment, there was no significance between hip flexion, hip extension, knee flexion and plantar flexion muscle strength values in healthy extremities and in affected extremities. The number of participants classified as non-depressed was 4 before therapy but 8 after therapy. 9 people were mildly depressed before therapy, this number decreased to 7 after therapy. Before and after the therapy, 4 people were evaluated as moderately depressed. Number of patients with severe depression was 3 before therapy, but decreased to 1 after therapy. Conclusion: Complex decongestive therapy is a standard treatment method for lymphedema. We suggest that CDT had beneficial and curative effects on physical performance, balance, muscle strength and depression parameters in our patients.

Anahtar Kelimeler

• lymphedema
• CDT
• physical activity
• muscle strength
• balance
• mood

Etik Beyan

This study was approved and certified by Dicle University Faculty of Medicine Ethics Committee (14.04.2022/110).

Alt Ekstremite Lenfödemli Hastalarda Kompleks Dekonjestif Tedavinin Fiziksel Performans, Denge, Kas Gücü ve Duygudurum Üzerine Etkisi

Öz

Amaç: Alt ekstremite lenfödemli hastalarda kompleks dekonjestif tedavinin (KDT) fiziksel performans, denge, kas gücü ve ruh hali üzerine etkilerini araştırmayı amaçladık. Yöntemler: Alt ekstremite lenfödem tanısı alan 20 kadın hasta çalışmaya dahil edildi. Terapi 4 hafta boyunca haftada 5 gün, günde bir kez uygulandı. Oturumlar yaklaşık 60 dakika sürdü. Tedavi öncesinde ve sonrasında tüm ölçüm ve değerlendirmeler kaydedildi. Bulgular: Sağlıklı ve etkilenen çevresel ölçümler arasında anlamlı fark bulundu. Tedavi öncesinde 3 metre kalk ve yürü testi ortalaması 6,70±1,71 iken tedavi sonrasında 6,15±1,56 olup aradaki fark anlamlıydı. Tek ayak üzerinde durma ortalaması tedavi öncesinde 8,31±5,16 iken tedavi sonrasında 9,2±6,20 olup fark anlamlı değildi. Tedavi öncesi sağlıklı ekstremitelerde ve etkilenen ekstremitelerde kalça fleksiyon, kalça ekstansiyon, diz fleksiyon ve plantar fleksiyon kas kuvveti değerleri arasında anlamlılık yoktu. Terapiden önce depresyonda olmayan katılımcı sayısı 4 iken tedavi sonrasında 8'di. Tedavi öncesi 9 kişi hafif depresifti, tedavi sonrasında bu sayı 7'ye düştü. Terapi öncesi ve sonrasında 4 kişi orta derecede depresyonlu olarak değerlendirildi. Şiddetli depresyonu olan hasta sayısı tedavi öncesinde 3 iken tedavi sonrasında 1'e düştü. Sonuç: Kompleks dekonjestif tedavi lenfödem için standart bir tedavi yöntemidir. Hastalarımızda KDT'nin fiziksel performans, denge, kas gücü ve depresyon parametreleri üzerinde yararlı ve iyileştirici etkilerinin olduğunu düşünüyoruz

Anahtar Kelimeler

• Lenfödem
• KDT
• Fiziksel Aktivite
• Kas Gücü
• Denge
• Duygu Durum.

Kaynakça

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