Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly

Ewa Zasadzka,1 Tomasz Trzmiel,1 Maria Kleczewska,2 Mariola Pawlaczyk1 1Department of Geriatric Medicine and Gerontology, Karol Marcinkowski University of Medical Sciences, Poznan, Poland; 2Day Rehabilitation Center, Hospicjum Palium, Poznań, Poland Background: Lymphedema is a chronic condition whi...

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Autores principales:	Zasadzka E, Trzmiel T, Kleczewska M, Pawlaczyk M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	lymphedema elderly therapy compression bandaging Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/cbeef7021c714d238c0dd27eb4bb4a5d
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spelling	oai:doaj.org-article:cbeef7021c714d238c0dd27eb4bb4a5d2021-12-02T06:14:51ZComparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly1178-1998https://doaj.org/article/cbeef7021c714d238c0dd27eb4bb4a5d2018-05-01T00:00:00Zhttps://www.dovepress.com/comparison-of-the-effectiveness-of-complex-decongestive-therapy-and-co-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Ewa Zasadzka,1 Tomasz Trzmiel,1 Maria Kleczewska,2 Mariola Pawlaczyk1 1Department of Geriatric Medicine and Gerontology, Karol Marcinkowski University of Medical Sciences, Poznan, Poland; 2Day Rehabilitation Center, Hospicjum Palium, Poznań, Poland Background: Lymphedema is a chronic condition which significantly lowers the quality of patient life, particularly among elderly populations, whose mobility and physical function are often reduced. Objectives: The aim of the study was to compare the effectiveness of multi-layer compression bandaging (MCB) and complex decongestive therapy (CDT), and to show that MCB is a cheaper, more accessible and less labor intensive method of treating lymphedema in elderly patients. Patients and methods: The study included 103 patients (85 women and 18 men) aged ≥60 years, with unilateral lower limb lymphedema. The subjects were divided into two groups: 50 treated with CDT and 53 with MCB. Pre- and post-treatment BMI, and average and maximum circumference of the edematous extremities were analyzed. Results: Reduction in swelling in both groups was achieved after 15 interventions. Both therapies demonstrated similar efficacy in reducing limb volume and circumference, but MCB showed greater efficacy in reducing the maximum circumference. Conclusion: Compression bandaging is a vital component of CDT. Maximum lymphedema reduction during therapy and maintaining its effect cannot be achieved without it. It also demonstrates its effectiveness as an independent method, which can reduce therapy cost and accessibility. Keywords: lymphedema, elderly, therapy, compression bandagingZasadzka ETrzmiel TKleczewska MPawlaczyk MDove Medical Pressarticlelymphedemaelderlytherapycompression bandagingGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 929-934 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	lymphedema elderly therapy compression bandaging Geriatrics RC952-954.6
spellingShingle	lymphedema elderly therapy compression bandaging Geriatrics RC952-954.6 Zasadzka E Trzmiel T Kleczewska M Pawlaczyk M Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly
description	Ewa Zasadzka,1 Tomasz Trzmiel,1 Maria Kleczewska,2 Mariola Pawlaczyk1 1Department of Geriatric Medicine and Gerontology, Karol Marcinkowski University of Medical Sciences, Poznan, Poland; 2Day Rehabilitation Center, Hospicjum Palium, Poznań, Poland Background: Lymphedema is a chronic condition which significantly lowers the quality of patient life, particularly among elderly populations, whose mobility and physical function are often reduced. Objectives: The aim of the study was to compare the effectiveness of multi-layer compression bandaging (MCB) and complex decongestive therapy (CDT), and to show that MCB is a cheaper, more accessible and less labor intensive method of treating lymphedema in elderly patients. Patients and methods: The study included 103 patients (85 women and 18 men) aged ≥60 years, with unilateral lower limb lymphedema. The subjects were divided into two groups: 50 treated with CDT and 53 with MCB. Pre- and post-treatment BMI, and average and maximum circumference of the edematous extremities were analyzed. Results: Reduction in swelling in both groups was achieved after 15 interventions. Both therapies demonstrated similar efficacy in reducing limb volume and circumference, but MCB showed greater efficacy in reducing the maximum circumference. Conclusion: Compression bandaging is a vital component of CDT. Maximum lymphedema reduction during therapy and maintaining its effect cannot be achieved without it. It also demonstrates its effectiveness as an independent method, which can reduce therapy cost and accessibility. Keywords: lymphedema, elderly, therapy, compression bandaging
format	article
author	Zasadzka E Trzmiel T Kleczewska M Pawlaczyk M
author_facet	Zasadzka E Trzmiel T Kleczewska M Pawlaczyk M
author_sort	Zasadzka E
title	Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly
title_short	Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly
title_full	Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly
title_fullStr	Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly
title_full_unstemmed	Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly
title_sort	comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/cbeef7021c714d238c0dd27eb4bb4a5d
work_keys_str_mv	AT zasadzkae comparisonoftheeffectivenessofcomplexdecongestivetherapyandcompressionbandagingasamethodoftreatmentoflymphedemaintheelderly AT trzmielt comparisonoftheeffectivenessofcomplexdecongestivetherapyandcompressionbandagingasamethodoftreatmentoflymphedemaintheelderly AT kleczewskam comparisonoftheeffectivenessofcomplexdecongestivetherapyandcompressionbandagingasamethodoftreatmentoflymphedemaintheelderly AT pawlaczykm comparisonoftheeffectivenessofcomplexdecongestivetherapyandcompressionbandagingasamethodoftreatmentoflymphedemaintheelderly
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Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly

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