Aphanova T.V.1, Sapelkin S.V.2, Kulchickaya D.B.1
1 National Medical Research Center for Rehabilitation and Balneology, Moscow
2 National Medical Research Center of Surgery named after. A.V. Vishnevsky, Moscow
Based on the 10-year experience of using the Method of Complete Decongestive Therapy (CPT), we identified negative side effects of the CPT Method, significantly reducing the Quality of life of patients, as well patients’ compliance to treatment. The aim of the study was to study the effect of the CPT method on the Quality of life (QoL) scores of patients with lymphedema of the lower extremities of the I–III stages. The study included 60 patients with lymphedema of the lower extremities of the I–III stages, 51 of whom were women, the average age of the patients was 48.5±5.4 years. All patients were randomly divided into the following groups: group 1 (n = 30) received CPT, including sequentially: Manual Lymphatic Drainage, skin care, short-stretch elastic Bandaging of limbs and physical exercises; group 2 (n = 30) received basic therapy with oral flavonoid (combination of diosmin and hesperidin) 1000 mg per day for 3 weeks, as well as elastic compression using a standard elastic stocking of the 3rd compression class (comparison group). As a result of the treatment carried out in patients of the 1st group, along with a pronounced decongestive effect, a positive dynamics of QoL score on pain, physical and social scales (CIVIQ2). However, the application of the CPT Method in patients of group 1 was also accompanied by psychological discomfort, leading to a decrease in the QoL score on the psychological scale, caused by the “burden” of short-stretch elastic bandaging of limbs.
Keywords: lymphedema, lower limbs, manual lymphatic drainage, limb bandaging, quality of life.
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