Influence of complex descongestive physical therapy associated with intake of medium-chain triglycerides for treating upper-limb lymphedema

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dc.contributor.authorde Oliveira, Jussara
dc.contributor.authorCésar, T. B. [UNESP]
dc.contributor.institutionCentro Universitário de Araraquara
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2022-04-28T20:40:06Z
dc.date.available2022-04-28T20:40:06Z
dc.date.issued2008-01-01
dc.description.abstractObjective: To investigate the influence of complex decongestive physical therapy (CDP) in association with diet therapy using medium-chain triglycerides (MCT), as an intervention in cases of upper-limb lymphedema. Methods: The lymphedema was evaluated by measuring circumferences, volumes, skin folds and whole-body water content. Feelings of discomfort, pain and heaviness in the arms were evaluated using a visual analog scale. Ten women who had undergone mastectomy and presented upper-limb lymphedema homolateral to the surgery participated in this study. Their mean age was 65.9 ± 10.4 years and their mean body mass index (BMI) was 28.8 ± 3.0kg/m2. After nutritional evaluation, they were randomly divided into two groups: the Control Group (n= 5), which underwent physical therapy treatment consisting of CDP (classical massage, manual lymphatic drainage, compression taping and skincare) three times a week, for four weeks; and the MCT Group (n= 5), which underwent the same physical therapy protocol with the addition of daily diet therapy consisting of intake of MCT, for four weeks. Results: At the end of the intervention, analysis of the circumference and volume measurements showed significant differences between the groups (p≤0.05), with a greater reduction in lymphedema in the MCT Group. There were no significant differences in the skin fold measurements or whole-body water content. The feeling of heaviness in the arms after the intervention was significantly less in the MCT Group (p≤ 0.05), compared with before the intervention. Conclusion: Physical therapy treatment together with diet therapy with intake of MCT in women with upper-limb lymphedema following surgery and breast cancer treatment was effective in reverting this condition.en
dc.description.affiliationPhysical Therapy Course Centro Universitário de Araraquara, Araraquara, SP
dc.description.affiliationDepartment of Food and Nutrition School of Pharmaceutical Sciences Universidade Estadual Paulista (UNESP), Araraquara, SP
dc.description.affiliationUnespDepartment of Food and Nutrition School of Pharmaceutical Sciences Universidade Estadual Paulista (UNESP), Araraquara, SP
dc.format.extent31-36
dc.identifier.citationRevista Brasileira de Fisioterapia, v. 12, n. 1, p. 31-36, 2008.
dc.identifier.issn1413-3555
dc.identifier.issn1809-9246
dc.identifier.scopus2-s2.0-42349090021
dc.identifier.urihttp://hdl.handle.net/11449/225112
dc.language.isoeng
dc.relation.ispartofRevista Brasileira de Fisioterapia
dc.sourceScopus
dc.subjectComplex decongestive physical therapy
dc.subjectDiet therapy
dc.subjectLymphedema
dc.subjectMedium-chain triglycerides
dc.titleInfluence of complex descongestive physical therapy associated with intake of medium-chain triglycerides for treating upper-limb lymphedemaen
dc.typeArtigo
unesp.departmentAlimentos e Nutrição - FCFpt

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Araraquara - FCF - Faculdade de Ciências Farmacêuticas