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- W2800253243 abstract "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 <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:math>-test and Fisher’s exact test were used for statistical analysis with an alpha error of 5% (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mrow><mml:mi>p</mml:mi></mml:mrow></mml:math> value < 0.05) being considering acceptable. Secondary lymphedema was more prevalent in women (Fisher exact test <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mrow><mml:mi>p</mml:mi></mml:mrow></mml:math> value < 0.01). Results . The age of patients with secondary lymphedema was greater than those with primary lymphedema (unpaired <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M4><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:math>-test: <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M5><mml:mrow><mml:mi>p</mml:mi></mml:mrow></mml:math> value < 0.03). The mean volume losses were 64.62% and 48.35% for the patients with secondary and primary lymphedema, respectively (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M6><mml:mrow><mml:mi>p</mml:mi></mml:mrow></mml:math> 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." @default.
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- W2800253243 date "2018-01-01" @default.
- W2800253243 modified "2023-09-26" @default.
- W2800253243 title "Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas" @default.
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- W2800253243 doi "https://doi.org/10.1155/2018/6537253" @default.
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