Pereira de Godoy Livia Maria, Pereira de Godoy Capeletto Paula, Pereira de Godoy José Maria, de Fátima Guerreiro Godoy Maria
Clínica Godoy Research Group, Lusiadas University Center (UNILUS), Santos, SP, Brazil.
Clínica Godoy Research Group, Votuporanga Medicine School, Votuporanga, SP, Brazil.
Case Rep Pediatr. 2017;2017:9724524. doi: 10.1155/2017/9724524. Epub 2017 Feb 28.
. The aim of this study is to report on the use of cervical stimulation as monotherapy to reduce swelling and normalize the size of limbs in two children with lymphedema of all four extremities. . One child also had hemifacial edema. In both cases, the mothers were trained to perform cervical stimulation under professional supervision. The cases of two girls, one of eight months and the other of six months, with primary congenital lymphedema are described. . After clinical diagnosis, the patients started treatment with cervical stimulation three times per week. The mothers were trained in cervical stimulation and, when the therapy team was confident about the mothers' ability to perform the technique, the children began to be treated at home. The Godoy & Godoy cervical stimulation technique consists of around 20 to 30 light stroking movements per minute in the cervical region which stimulate the lymphatics. Perimetric measurements were made of the feet, legs, and the hands. Only two points (3 and 6 cm) along the dorsum of the feet and hands and points at 5 cm intervals up the legs starting at the ankle were considered. Today, the children are 5 and 6 years of age, without edema and with a normal life, without limitations, except with respect to precautions against injuries to the limbs and against infections particularly erysipelas. . Cervical Lymphatic Therapy as monotherapy is an option in the treatment of primary congenital lymphedema.
本研究的目的是报告使用颈部刺激作为单一疗法，以减轻两名四肢淋巴水肿患儿的肿胀并使肢体尺寸恢复正常。其中一名患儿还伴有半侧面部水肿。在这两个病例中，母亲们均接受培训，以便在专业监督下进行颈部刺激。本文描述了两名原发性先天性淋巴水肿女童的病例，一名八个月大，另一名六个月大。临床诊断后，患者开始每周接受三次颈部刺激治疗。母亲们接受了颈部刺激的培训，当治疗团队对母亲们执行该技术的能力有信心时，孩子们开始在家接受治疗。戈多伊&戈多伊颈部刺激技术包括在颈部区域每分钟进行约20至30次轻拂动作，以刺激淋巴管。对足部、腿部和手部进行了周长测量。仅考虑沿足背和手背的两个点（3厘米和6厘米）以及从脚踝开始沿腿部每隔5厘米的点。如今，这两名儿童分别为5岁和6岁，没有水肿，生活正常，没有限制，只是需要注意预防肢体受伤和感染，尤其是丹毒。颈部淋巴治疗作为单一疗法是治疗原发性先天性淋巴水肿的一种选择。
