Narin Ayse Neriman, Alpozgen Ayse Zengin, Kulli Hilal Denizoglu
K.D. School of Physical Therapy and Rehabilitation, Abant Izzet Baysal University, Turkey.
Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University, Turkey.
J Phys Ther Sci. 2016 Aug;28(8):2418-21. doi: 10.1589/jpts.28.2418. Epub 2016 Aug 31.
[Purpose] Primary lymphedema occurs because of genetic predisposition and developmental insufficiency of the lymphatic system. Matrix Rhythm Therapy was developed as an external and dynamic method that supplies rhythmic mobilization of the fluids in tissues. The aim of the study was to investigate the effects of Matrix Rhythm Therapy in primary lymphedema. [Subject and Methods] A 36-year-old female with left lower limb lymphedema was evaluated. Leg circumference was measured before and at the end of treatment, and 1 and 3 months later. The circumferences were converted to volumetric values. Twenty sessions of Matrix Rhythm Therapy (5 days/week) were applied to the affected leg, spine, and abdominal regions. Patient satisfaction was assessed with the Global Rating of Change scale. [Results] Volumetric values were 1,573.28 ml before treatment, 1,573.13 ml at the end of treatment, 1,516.70 ml 1 month later, and 1,441.61 ml 3 months later. At the end of treatment, the volumetric reduction was not significant; however, when compared with baseline, measurements at 1 and 3 months decreased by 3.59% and 8.36%, respectively. The Global Rating of Change score was 2. [Conclusion] Matrix Rhythm Therapy could not reduce lymphedema when used alone, but long-term treatment may show positive effects.
[目的] 原发性淋巴水肿是由于遗传易感性和淋巴系统发育不足所致。基质节律疗法是一种外部动态方法，可对组织中的液体进行节律性移动。本研究旨在探讨基质节律疗法对原发性淋巴水肿的影响。[对象与方法] 对一名36岁左下肢淋巴水肿女性进行评估。在治疗前、治疗结束时以及治疗后1个月和3个月测量腿部周长，并将周长换算为体积值。对患侧腿部、脊柱和腹部区域进行20次基质节律疗法治疗（每周5天）。采用总体变化评分量表评估患者满意度。[结果] 治疗前体积值为1573.28 ml，治疗结束时为1573.13 ml，1个月后为1516.70 ml，3个月后为1441.61 ml。治疗结束时，体积减少不显著；然而，与基线相比，1个月和3个月时的测量值分别下降了3.59%和8.36%。总体变化评分得分为2分。[结论] 单独使用基质节律疗法不能减轻淋巴水肿，但长期治疗可能显示出积极效果。
