Department of Cardiopulmonary Physiotherapy and Rehabilitation, Gulhane Physiotherapy and Rehabilitation Faculty, University of Health Sciences, Ankara, Turkey
Department of Therapy and Rehabilitation, Vocational School of Health Sciences, Selcuk University, Konya, Turkey
Cir Cir. 2024;92(3):354-361. doi: 10.24875/CIRU.23000330.
This study aimed to investigate the effects of complex decongestive therapy (CDT) applied to the lower extremities of patients with lymphedema of different causes on the extremity volume, quality of life (QoL), and functionality.
The study included 90 patients, of whom 28 had primary lymphedema, 30 had secondary lymphedema, 18 had phlebolymphedema, and 14 had lipolymphedema. A total of 137 extremities were treated with CDT. The patients who received CDT for 5 days a week for 3 weeks (15 sessions in total) were included in the sample. Extremity volume was measured using a tape measure. The lymphedema QoL-Leg Questionnaire was used to evaluate QoL, and the lower extremity functional scale (LEFS) was administered to assess lower extremity functionality.
The changes in QoL before and after treatment significantly differed in the primary lymphedema, phlebolymphedema, and lipolymphedema groups (p < 0.05). The post-treatment LEFS scores indicated a significant decrease in the phlebolymphedema and lipolymphedema groups compared to the pre-treatment scores (p < 0.05).
The difference in appearance, which is one of the sub-parameters of QoL, significantly decreased in the comparisons performed between the groups, whereas the changes in the remaining parameters were not significant.
本研究旨在探讨针对不同病因的下肢淋巴水肿患者应用综合消肿疗法（CDT）对肢体体积、生活质量（QoL）和功能的影响。
该研究纳入了 90 例患者，其中 28 例为原发性淋巴水肿，30 例为继发性淋巴水肿，18 例为静脉淋巴水肿，14 例为脂肪淋巴水肿。共有 137 个肢体接受了 CDT 治疗。接受每周 5 天、共 3 周（共 15 次）CDT 的患者被纳入样本。使用卷尺测量肢体体积。使用淋巴水肿 QoL-腿部问卷评估 QoL，使用下肢功能量表（LEFS）评估下肢功能。
原发性淋巴水肿、静脉淋巴水肿和脂肪淋巴水肿组治疗前后 QoL 的变化差异有统计学意义（p<0.05）。静脉淋巴水肿和脂肪淋巴水肿组治疗后的 LEFS 评分与治疗前相比显著下降（p<0.05）。
在组间比较中，外观（QoL 的一个亚参数）的差异显著减小，而其余参数的变化则不显著。
