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手法淋巴引流与超声疗法对穿高跟鞋所致腿部肿胀的比较

The comparison of manual lymph drainage and ultrasound therapy on the leg swelling caused by wearing high heels.

作者信息

Lee Dong-Yeop, Han Ji-Su, Jang Eun-Ji, Seo Dong-Kwon, Hong Ji-Heon, Lee Sang-Sook, Lee Dong-Geol, Yu Lee Jae-Ho

机构信息

Department of Physical Therapy, SunMoon University, Asan, Korea.

Long-term Care Center, Seoul Seniors Tower Hanam, Seoul, Korea.

出版信息

Technol Health Care. 2014;22(3):309-15. doi: 10.3233/THC-140785.

Abstract

One of the major symptoms when women are wearing high heels for a long time is leg swelling. The purpose of this study was to compare the effect of manual lymph drainage with ultrasound therapy. The forty-five healthy women of twenties were participated in this study and divided randomly into three groups; manual lymph drainage group (n=15), ultrasound therapy group (n=15) and control group (n=15). Swelling was measured before wearing the high heels (10 cm-height), after one-hour of wearing the high heels, wearing the high heels of one-hour after the intervention of 15 minutes. Also swelling was calculated by using a tape measure, volumeter and body composition analyzer. Statistical analysis of the comparison between the three groups was performed by one-way ANOVA. Also comparison to the mean value in swelling according to the time was performed by repeated measure ANOVA. As the result of this study, a significant changes have emerged within each of manual lymph drainage, ultrasound therapy and control group (p< 0.05). However, there were no significant differences between each group (p> 0.05). But the mean value of manual lymph drainage group showed the tendency of fast recovering before causing swelling. Therefore, we consider that the clinical treatment of manual lymph drainage and ongoing studies will be made since manual lymph drainage is very effective in releasing the leg swelling caused by wearing high heels and standing for a long time at work.

摘要

女性长时间穿高跟鞋的主要症状之一是腿部肿胀。本研究的目的是比较手法淋巴引流与超声治疗的效果。45名20多岁的健康女性参与了本研究,并随机分为三组:手法淋巴引流组(n = 15)、超声治疗组(n = 15)和对照组(n = 15)。在穿高跟鞋(10厘米高)前、穿高跟鞋1小时后、干预15分钟后再穿1小时高跟鞋后测量肿胀情况。还使用卷尺、体积计和身体成分分析仪计算肿胀情况。三组之间的比较采用单因素方差分析进行统计分析。根据时间对肿胀平均值的比较采用重复测量方差分析进行。作为本研究的结果,手法淋巴引流组、超声治疗组和对照组各自内部均出现了显著变化(p < 0.05)。然而,各组之间没有显著差异(p > 0.05)。但手法淋巴引流组的平均值显示出在引起肿胀之前快速恢复的趋势。因此,我们认为由于手法淋巴引流在缓解因穿高跟鞋和长时间站立工作引起的腿部肿胀方面非常有效,将对手法淋巴引流进行临床治疗并开展进一步研究。

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