Development of a framework for pneumatic device selection for lymphedema treatment

Sonja M Maul1, Julie A Devine2, Carolyn R Wincer31St. Luke&rsquo;s Idaho Elks Rehabilitative Services, Boise, ID, USA; 2Center for Wound Care, Butler Memorial Hospital, Butler, PA, USA; 3Centers for Rehabilitation Services, Gibsonia, PA, USAAbstract: The results of three patients with diffic...

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Autores principales:	Sonja M Maul, Julie A Devine, Carolyn R Wincer
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2009
Materias:	Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/d330bba045234b7a8f97448f0786957a
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spelling	oai:doaj.org-article:d330bba045234b7a8f97448f0786957a2021-12-02T09:00:27ZDevelopment of a framework for pneumatic device selection for lymphedema treatment1179-1470https://doaj.org/article/d330bba045234b7a8f97448f0786957a2009-12-01T00:00:00Zhttp://www.dovepress.com/development-of-a-framework-for-pneumatic-device-selection-for-lymphede-a3802https://doaj.org/toc/1179-1470Sonja M Maul1, Julie A Devine2, Carolyn R Wincer31St. Luke&rsquo;s Idaho Elks Rehabilitative Services, Boise, ID, USA; 2Center for Wound Care, Butler Memorial Hospital, Butler, PA, USA; 3Centers for Rehabilitation Services, Gibsonia, PA, USAAbstract: The results of three patients with difficult to manage leg and trunk lymphedema are reported. Patients were treated with the current standard of care: combined decongestive therapy. All three patients met obstacles in achieving independent self-care, which impeded their discharge to home care. The use of two currently available programmable pneumatic compression devices (PCDs) was investigated to determine if these devices could enable these difficult-to-manage patients to meet their discharge goals. Results indicate that programmable PCDs can be effective in managing complicated cases of leg and trunk lymphedema, and that differences may exist between devices. In this trial, the device with lower applied pressures and smaller pneumatic chambers provided better tolerated treatment and overall better patient outcomes. These three case reports show that in-home use of an appropriate PCD can help patients with stage 3 and advanced stage 2 lymphedema achieve stable limb volumes with no exacerbation of lymphedema-related symptoms. Results also demonstrate the ability of patients to consistently use programmable PCDs in a home environment. The results are presented in a structured decision-making framework to aid the therapist and physician in selecting appropriate patients for home PCD lymphedema therapy, and in the selection of an appropriate PCD.Keywords: lymphedema, swelling, pneumatic, compression, flexitouch, lympha press. Sonja M MaulJulie A DevineCarolyn R WincerDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2009, Iss default, Pp 57-65 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical technology R855-855.5
spellingShingle	Medical technology R855-855.5 Sonja M Maul Julie A Devine Carolyn R Wincer Development of a framework for pneumatic device selection for lymphedema treatment
description	Sonja M Maul1, Julie A Devine2, Carolyn R Wincer31St. Luke&rsquo;s Idaho Elks Rehabilitative Services, Boise, ID, USA; 2Center for Wound Care, Butler Memorial Hospital, Butler, PA, USA; 3Centers for Rehabilitation Services, Gibsonia, PA, USAAbstract: The results of three patients with difficult to manage leg and trunk lymphedema are reported. Patients were treated with the current standard of care: combined decongestive therapy. All three patients met obstacles in achieving independent self-care, which impeded their discharge to home care. The use of two currently available programmable pneumatic compression devices (PCDs) was investigated to determine if these devices could enable these difficult-to-manage patients to meet their discharge goals. Results indicate that programmable PCDs can be effective in managing complicated cases of leg and trunk lymphedema, and that differences may exist between devices. In this trial, the device with lower applied pressures and smaller pneumatic chambers provided better tolerated treatment and overall better patient outcomes. These three case reports show that in-home use of an appropriate PCD can help patients with stage 3 and advanced stage 2 lymphedema achieve stable limb volumes with no exacerbation of lymphedema-related symptoms. Results also demonstrate the ability of patients to consistently use programmable PCDs in a home environment. The results are presented in a structured decision-making framework to aid the therapist and physician in selecting appropriate patients for home PCD lymphedema therapy, and in the selection of an appropriate PCD.Keywords: lymphedema, swelling, pneumatic, compression, flexitouch, lympha press.
format	article
author	Sonja M Maul Julie A Devine Carolyn R Wincer
author_facet	Sonja M Maul Julie A Devine Carolyn R Wincer
author_sort	Sonja M Maul
title	Development of a framework for pneumatic device selection for lymphedema treatment
title_short	Development of a framework for pneumatic device selection for lymphedema treatment
title_full	Development of a framework for pneumatic device selection for lymphedema treatment
title_fullStr	Development of a framework for pneumatic device selection for lymphedema treatment
title_full_unstemmed	Development of a framework for pneumatic device selection for lymphedema treatment
title_sort	development of a framework for pneumatic device selection for lymphedema treatment
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/d330bba045234b7a8f97448f0786957a
work_keys_str_mv	AT sonjammaul developmentofaframeworkforpneumaticdeviceselectionforlymphedematreatment AT julieadevine developmentofaframeworkforpneumaticdeviceselectionforlymphedematreatment AT carolynrwincer developmentofaframeworkforpneumaticdeviceselectionforlymphedematreatment
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Development of a framework for pneumatic device selection for lymphedema treatment

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