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http://dx.doi.org/10.15268/ksim.2022.10.3.073

Physical Therapy Approach and Management for Lymphedema : Expert Opinion  

Lee, Hwa-Gyeong (Yonsei University Health System, Severance Rehabilitation Hospital, Rehabilitation 1 team)
Kim, Seong-Yeol (Dept. of Physical Therapy, College of Health Sciences, Kyungnam University)
Choi, Kyoung-Wook (Yonsei University Health System, Severance Rehabilitation Hospital, Rehabilitation 1 team)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.10, no.3, 2022 , pp. 73-84 More about this Journal
Abstract
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.
Keywords
complete decongestive therapy; compression bandage manual lymph drainage; lymphedema; skin care;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
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