![]() ![]() The inclusion criterion was the presence of any type of Grade II leg lymphedema diagnosed clinically or by lymphoscintigraphy. The group was made up of 14 women and three men with ages between 21 and 68 years and a mean age of 45.68 years. All initial diagnoses were performed more than five years ago and patients were selected in a cross-over study where all patients already participated in the rehabilitation group and were selected on a first-come basis at the Clinica Godoy-São José do Rio Preto-Brazil. Seventeen patients presented with a diagnosis of lower limb bilateral below the knee, congenital primary bilateral, and early primary lymphedema. ![]() The aim of this study was to evaluate the effect of adjustments to a compression stocking on reductions in leg volume during walking in patients with lymphedema. A pilot study of the Godoy & Godoy poster presented at the 24th World Congress of Lymphology, Italy, September 2013, suggested that when compared the volume before and after walking for one hour with the well-adjusted cotton-polyester compression stocking show reductions in the volume of leg lymphedema. Walking is a type of muscle activity that can be transformed into a type of daily exercise when you are guided by how it is going to be performed. Several studies, both ongoing and in press, show that the association of these activities with compression garments maintains losses achieved during lymph drainage . Myolymphokinetic activities are day-to-day activities that involve the mobility of the limb and can be transformed into a form of treatment. ![]() Recently, other options such as mechanical lymph drainage with devices that use both passive and active muscle movements, psychological support , and myolymphokinetic activities have improved the treatment in these patients. There is no consensus on a single therapy to treat lymphedema however, manual lymph drainage , compression therapy , exercising , and hygienic care constitute the cornerstones of treatment. This situation is aggravated in low-income countries where a lack of government resources and specialized health workers has led to the marginalization of the disease . Lymphedema affects many populations, there is no cure, and there are few therapeutic prospects involving, in general, the private sector. The exercise, in this study specifically, walking, with a strict control of speed and time of realization using a compression mechanism is well adjusted to the volume of the limb and surely effective in reducing edema. On walking with the compression stocking badly adjusted, there was a mean increase in the volume of 31.6 mL ± 46.9 mL (p-value < 0.14).Ĭonclusion: Walking is a type of muscle activity that can be transformed into a type of daily exercise when you are guided by how it is going to be performed. In the one-hour session of walking without any compression, the volume of the leg increased by 74.4 mL ± 99.75 mL (p-value < 0.007). Results: On comparing the volume before and after walking for one hour with the well-adjusted cotton-polyester compression stocking, there was a mean reduction of 46.2 mL ± 66.95 mL (p-value < 0.02) in the volume of the lymphedema. The Kruskal-Wallis test was used for statistical analysis. For the first session, the patients used a well-adjusted cotton-polyester compression stocking, for the second they used a badly adjusted compression stocking made of the same fabric, and for the third, no compression garment was used. Patients were subjected to three one-hour sessions of walking slowly on the flat ground monitored by a professional. ![]() Evaluations were made by volumetry before and after each session of controlled walking. Method: Fourteen women and three men suffering from leg lymphedema with ages between 21 and 68 years old (mean 45.68 years) were randomly enrolled in this study. Aim: The aim of this study was to evaluate the effect of adjustments to a compression stocking on reductions in leg volume during walking in patients with lymphedema. ![]()
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