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KMID : 1035420220100030073
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Journal of The Korean Society of Integrative Medicine
2022 Volume.10 No. 3 p.73 ~ p.84
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Physical Therapy Approach and Management for Lymphedema : Expert Opinion
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Lee Hwa-Gyeong
Kim Seong-Yoel
Choi Kyoung-Wook
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Abstract
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Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care.
Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema.
Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: (1) The American Physical Therapy Association, (2) The Norton School of Lymphatic Therapy, and (3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients’ presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient.
Conclusion : Depending on the patients’ journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients’ needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.
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KEYWORD
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complete decongestive therapy, compression bandage manual lymph drainage, lymphedema, skin care
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