Douglass, Jan, Hailekiros, Fikre, Martindale, Sarah, Mableson, Hayley, Seife, Fikre, Bishaw, Tesfahun, Nigussie, Mekdes, Meribo, Kadu, Tamiru, Mossie, Agidew, Getnet et al (show 4 more authors)
(2020)
Addition of Lymphatic Stimulating Self-Care Practices Reduces Acute Attacks among People Affected by Moderate and Severe Lower-Limb Lymphedema in Ethiopia, a Cluster Randomized Controlled Trial.
JOURNAL OF CLINICAL MEDICINE, 9 (12).
E4077-.
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Addition of Lymphatic Stimulating Self-Care Practices Reduces Acute Attacks among People Affected by Moderate and Severe Low.pdf - Published version Download (4MB) | Preview |
Abstract
Lymphedema causes disability and exacerbates poverty in many countries. The management of lymphatic filariasis (LF) and podoconiosis-related lymphedema involves daily hygiene to reduce secondary infections, but self-massage and deep-breathing, which have proven beneficial in cancer-related lymphedema, are not included. A cluster randomized trial in northern Ethiopia investigated the effects of lymphatic stimulation for people affected by moderate to severe lymphedema. Participants were allocated to either standard (control <i>n</i> = 59) or enhanced (intervention <i>n</i> = 67) self-care groups. Primary outcomes were lymphedema stage, mid-calf circumference, and tissue compressibility. Secondary outcomes were the frequency and duration of acute attacks. After 24 weeks, fewer patients were assessed as severe (control -37.8%, intervention -42.4%, <i>p</i> = 0.15) and there were clinically relevant changes in mid-calf tissue compressibility but not circumference. There was a significant between-group difference in patients who reported any acute attacks over the study period (control <i>n</i> = 22 (38%), intervention <i>n</i> = 7 (12%), <i>p</i> = 0.014). Daily lymphedema self-care resulted in meaningful benefits for all participants with a greater reduction in acute episodes among people performing lymphatic stimulation. Observations of a change in lymphedema status support earlier findings in Bangladesh and extend the demonstrated benefits of enhanced self-care to people affected by podoconiosis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | lymphedema, lower limb, filariasis, podoconiosis, self-care, breathing, exercise, skin mobilisation, lymphatic massage |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 09 Jun 2022 13:52 |
| Last Modified: | 03 Feb 2024 09:35 |
| DOI: | 10.3390/jcm9124077 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3156119 |
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