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Maria de Fátima, Guerreiro Godoy
- Different Therapeutic Responses to the Clinical Treatment of Elephantiasis
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Authors
Affiliations
1 Livre Docente of the Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto (FAMERP), Brazil: Professor of the Graduation and Post Graduation Courses of FAMERP, BR
2 Post Doctorate student of the Strictu Senso Post Graduation Course of the Medicine School in São José do Rio Preto and professor of the Lato-Sensu Post Graduation Course on Lymphovenous Rehabilitation of FAMERP, BR
1 Livre Docente of the Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto (FAMERP), Brazil: Professor of the Graduation and Post Graduation Courses of FAMERP, BR
2 Post Doctorate student of the Strictu Senso Post Graduation Course of the Medicine School in São José do Rio Preto and professor of the Lato-Sensu Post Graduation Course on Lymphovenous Rehabilitation of FAMERP, BR
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 1 (2009), Pagination: 24-26Abstract
The objective of the present study is to report on different responses to intensive clinical treatment of elephantiasis. The cases of three patients who were submitted to intensive clinical treatment for elephantiasis of the lower limbs are reported. The patients were treated for weekly periods with intervals between to permit the skin to adapt to the new size. The first, a 24-year-old patient who had suffered from lymphedema since the age of 12 and presented with an initial leg circumference of 89 cm, was submitted to intensive treatment for six to eight hours per day for one week. In the first week the patient lost 20 cm in circumference and 10 kg in weight. In the following sessions, the losses were smaller, but continuous and varied according to the treatment. The second, a 42-year-old patient who had also suffered from lymphedema since the age of 12, had been submitted to surgeries that led to the development of intense fibrosis of the limb. For this patient the reductions were smaller, varying around 2 cm per month, even so the improvement was progressive. The third patient was 42 years old and had suffered from lymphedema since the age of 12 and presented with an initial leg circumference of 94 cm. In the first week the patient lost 20 cm in circumference and 12 kg in weight. In the following sessions, the losses were smaller, but continuous and varied according to the treatment. In conclusion, in the clinical treatment of elephantiasis, the therapeutic responses are different with fibrotic lymphoedema being more difficult to treat than fibroedematous lymphoedema.Keywords
Elephantiasis, Lymphedema, Intensive Treatment, Evaluation
References
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- Assessment of Inelastic Sleeves in Patients with Upper Limb Lymphoedema
Abstract Views :288 |
PDF Views:0
Authors
Affiliations
1 Livre Docente of the Vascular Service of the Medicine School in São José do Rio Preto (FAMERP), Brazil and CNPq researcher, BR
2 Professor of the Lato Sensu Postgraduation Course in Lymphovenous Rehabilitation of FAMERP, BR
1 Livre Docente of the Vascular Service of the Medicine School in São José do Rio Preto (FAMERP), Brazil and CNPq researcher, BR
2 Professor of the Lato Sensu Postgraduation Course in Lymphovenous Rehabilitation of FAMERP, BR
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 1, No 4 (2007), Pagination: 3-5Abstract
Lymphoedema patients need mechanical help to complete removal of lymph from the tissues. The objectives of this study were to adapt and evaluate a fabric which would fill the basic requirements of compression, tolerability, easy to find and of a low cost. A new inelastic sleeve made from a type of polyester fabric called gorgurão was evaluated in six female patients with lymphoedema of the upper limbs. The sleeves always need to be well adjusted so that they act as a compartment limitation during exercises. A method to measure the pressure using a modified pressure apparatus was developed. This new fabric was compared with conventional dressings. The pressure variations during the flexion and extension of arm fluctuated from 20 to 60 mmHg with the sleeve dressings. The sleeves were very tolerable and reduced the measurement of the circumferences of the affected limbs 2 to 4 cms in three weeks of use. In conclusion, the sleeves made from this fabric with low elasticity are effective to reduce the circumferences of upper limbs with lymphoedema.Keywords
Lymphoedema, Development, Inelastic SleevesReferences
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