![]() Expression of adipose differentiation genes. Regulation of adipogenesis by lymphatic fluid stasis: Part II. doi: 10.1002/cncr.10976.Īschen S., Zampell J.C., Elhadad S., Weitman E., De Brot M., Mehrara B.J. A randomized, prospective study of a role for adjunctive intermittent pneumatic compression. Decongestive lymphatic therapy for patients with breast carcinoma-associated lymphedema. Lower extremity lymphedema update: Pathophysiology, diagnosis, and treatment guidelines. Kerchner K., Fleischer A., Yosipovitch G. Recent advances in breast cancer-related lymphedema of the arm: Lymphatic pump failure and predisposing factors. Stanton A.W., Modi S., Mellor R.H., Levick J.R., Mortimer P.S. ![]() The effectiveness of intermittent pneumatic compression in long-term therapy of lymphedema of lower limbs. Home therapy intermittent pneumatic compression (IPC) lymphedema quality of life self-management. This study demonstrated that a home-based IPC device with an MLD-mimicking program is a useful option for maintaining the volume of limbs and improving the QOL of patients with stage 3 chronic leg lymphedema during the maintenance phase. All participants were satisfied with the 4-week intervention. All scores of QOL decreased significantly after the intervention without subgroup difference. In a subgroup analysis, participants who used the home-based IPC device and maintained their routine self-maintenance program of short-stretch bandages (group B, n = 21) showed a more significant decline in V ratio than those who did not maintained their routine care (group A, n = 9). The garment is intermittently inflated and deflated with cycle times and pressures that vary between devices. ![]() There were no significant time-dependent interactions in the inter-limb volume difference ratio (V ratio). Pneumatic compression devices consist of an inflatable garment for the arm or leg and an electrical pneumatic pump that fills the garment with compressed air. We assessed the patients' limb-volume measurement, quality of life (QOL), and satisfaction four times. The participants were guided to use 1 h course (30 min of MLD-mimicking mode and 30 min of conventional mode) of IPC device twice a day for 4 weeks. Thirty patients with stage 3 chronic secondary unilateral leg lymphedema in the maintenance phase underwent IPC and conventional compression therapy for 4 weeks at home. This device has a unique mode designed to mimic the manual lymphatic drainage (MLD) technique and thereby gently facilitate lymphatic draining of proximal extremities. We conducted a prospective study of cancer patients to investigate the efficacy, quality of life, satisfaction, and safety of a home-based intermittent pneumatic compression (IPC) device during the maintenance phase of lower extremity lymphedema.
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