Document Detail

Lymph drainage in patients with joint immobility due to chronic ulcerated lesions.
MedLine Citation:
PMID:  18361267     Owner:  NLM     Status:  MEDLINE    
The fibrous process of chronic ulcerated lesions of lower limbs can impair the mobility of the affected limb. The aim of this work was to assess the benefits of lymph drainage in patients who suffer from this disease. Twenty female and five male patients with ages ranging from 53 to 69 years (mean age 60.6 years) were evaluated. All had a history of at least 10 years of varicose veins and/or ulcerated lesions of the lower limbs with initial dermatofibrosis, with the positive Godet sign during the physical examination of the limb. Patients with intermittent claudication, diabetes and trauma were excluded from the study, as well as patients with chronic dermatofibrosis, and in whom positive Godet sign was not seen. Patients with immobility or very limited movement of the ankle and with some limitation in the toe joints were selected. The patients were randomly divided into group A comprising 15 individuals, and group B 10. All the individual treatments were established before the start of the evaluation period. Lymph drainage was performed on the patients of group A four or five times per week. Group B was subjected to a type of massage for the same period and at the same frequency. The mobility of the ankle joints was evaluated using goniometry before the start and after 30 days of treatment. In all the patients who underwent lymph drainage, an improvement of the joint mobility was seen, whereas in the control, group B, there was no obvious change. In conclusion, lymph drainage gave an improvement in the mobility of the ankle joint after impairment due to initial dermatofibrosis in patients with chronic ulcerated lesions.
J M Pereira de Godoy; D M Braile; M de Fátima Guerreiro Godoy
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Phlebology / Venous Forum of the Royal Society of Medicine     Volume:  23     ISSN:  0268-3555     ISO Abbreviation:  Phlebology     Publication Date:  2008  
Date Detail:
Created Date:  2008-03-25     Completed Date:  2008-04-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9012921     Medline TA:  Phlebology     Country:  England    
Other Details:
Languages:  eng     Pagination:  32-4     Citation Subset:  IM    
Department of Cardiology and Vascular Surgery, São José do Rio Preto University School of Medicine, São Paulo, Brazil.
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MeSH Terms
Ankle Joint / physiopathology*
Chronic Disease
Drainage / methods
Joint Diseases / etiology*,  physiopathology,  therapy
Middle Aged
Pilot Projects
Range of Motion, Articular
Treatment Outcome
Varicose Ulcer / complications,  physiopathology,  therapy*

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