eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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4/2021
vol. 38
 
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abstract:
Original paper

Comparative analysis of the effectiveness of the comprehensive antioedema therapy versus multilayer bandaging in lower limbs lymphoedema treatment

Paulina Kamińska
1
,
Marcin Gabriel
2
,
Piotr Kostrzębski
3
,
Maria Naglak
4
,
Karolina Piskorz-Kryk
4
,
Alicja Hazy
4
,
Maria Kleczewska
4
,
Klaudia Majorczyk
4
,
Katarzyna Pawlaczyk-Gabriel
5

  1. University of Physical Education, Poznan, Poland
  2. Department of Vascular and Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Poznan, Poland
  3. OsteoMedical Piotr Kostrzębski, Poznan, Poland
  4. University Hospital of Lord’s Transfiguration, Poznan University of Medical Sciences, Poznan, Poland
  5. Department of Hypertensiology, Angiology, and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland
Adv Dermatol Allergol 2021; XXXVIII (4): 644–649
DOI: https://doi.org/10.5114/ada.2021.108912
Online publish date: 2021/09/17
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Introduction
Treatment of patients with lymphoedema is time-consuming, labour-intensive, and is frequently associated with considerable costs. In Poland, patients with lower limb lymphoedema encounter major problems with access to the comprehensive antioedema therapy. In many cases treatment is limited only to the compression therapy alone or various forms of lymphatic drainage without compression support. This situation makes it difficult to obtain satisfactory treatment results. Aim: To compare the effects of lower limb lymphoedema treatment by means of the multilayer compression therapy alone and the comprehensive antioedema therapy.

Material and methods
Thirty-four women aged 50–80 years with stage 2 primary lymphoedema of the lower limbs were treated. The therapy was carried out at the Daily Rehabilitation Centre of the Palium Hospice in Poznan. The patients were treated for 2 weeks with the application of the multilayer compression therapy alone (group 1) or the comprehensive antioedema therapy (group 2).

Results
After 2 weeks, the volume of treated limbs decreased by 652.9 ±712.2 ml (15.9%) in group 1 and by 523.1 ±448.1 ml (11.2%) in group 2. The range of observed changes was comparable (p = 0.77).

Conclusions
Although the oedema reduction was significant in both groups, no differences in the degree of the reduction were observed, which depends on the application of both therapeutic techniques. In the short-term treatment, no beneficial effect of the manual lymphatic drainage on the increase of the volume reduction of lower limbs affected by lymphoedema was observed.

keywords:

compression therapy, comprehensive antioedema therapy, manual lymphatic drainage, multilayer compression therapy
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