Fiaschi E, Francesconi G, Fiumicelli S, Nicolini A, Camici M
Rehabilitation and Physical Therapy Unit S. Chiara Hospital, Pisa University, Italy.
Panminerva Med. 1998 Mar;40(1):48-50.
The authors evaluated the chronic post-mastectomy lymphoedematous tissue and the effects of manual lymphatic drainage (Leduc method) with and without compressive bandage.
The arms were measured before and after physical therapy and the results were expressed as a percentage decrease. Physical therapy was performed first by manual lymphatic drainage only and after by manual lymphatic drainage plus compressive bandage.
We observed that during manual lymphatic drainage plus compressive bandage the total percentage decrease of whole limb was the highest: 41.1 +/- 12.2% versus 30.4 +/- 15.8% (p < 0.05). Clinical and physiopathological implication are discussed.
作者评估了乳房切除术后慢性淋巴水肿组织以及采用和不采用压迫绷带的手动淋巴引流(勒迪克方法)的效果。
在物理治疗前后测量手臂,并将结果表示为减少的百分比。物理治疗首先仅通过手动淋巴引流进行,之后通过手动淋巴引流加压迫绷带进行。
我们观察到,在手动淋巴引流加压迫绷带期间,整个肢体的总减少百分比最高:41.1±12.2%,而仅手动淋巴引流时为30.4±15.8%(p<0.05)。讨论了临床和生理病理学意义。