Efficacy of complex decongestive therapy for lymphedema of the lower limbs: a systematic review.

Autor: Brandão ML; Pontifícia Universidade Católica de Goiás - PUC-GO, Goiânia, GO, Brasil., Soares HPDS; Faculdade Araguaia - FA, Goiânia, GO, Brasil., Andrade MDA; Universidade Federal de Pernambuco - UFPE, Recife, PE, Brasil., Faria ALSC; Pontifícia Universidade Católica de Goiás - PUC-GO, Goiânia, GO, Brasil., Pires RS; Pontifícia Universidade Católica de Goiás - PUC-GO, Goiânia, GO, Brasil.
Jazyk: angličtina
Zdroj: Jornal vascular brasileiro [J Vasc Bras] 2020 May 29; Vol. 19, pp. e20190074. Date of Electronic Publication: 2020 May 29.
DOI: 10.1590/1677-5449.190074
Abstrakt: Lymphedema is a chronic condition that negatively affects function and quality of life. There is currently no definitive treatment. However, some options have been proposed to mitigate its consequences. Complex Decongestive Therapy (CDT) stands out as one of the main treatment methods of choice. This systematic review aimed to evaluate the effectiveness of this technique for treating lower extremity lymphedema. The results revealed that CDT was effective in reducing the volume of affected limbs. However, some questions have not yet been answered, such as: How long do patients benefit from using CDT? and How to maintain the gains obtained? It was not possible to perform a meta-analysis because of heterogeneity, unsatisfactory methodological quality of the available studies, and the lack of a gold-standard protocol for administration of the technique. Further studies are needed to advance lymphedema research and therapy.
Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article.
Databáze: MEDLINE