A novel non-pneumatic compression device results in reduced foot and ankle swelling in patients with venous and lymphatic edema.

IF 1 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular Pub Date : 2024-12-04 DOI:10.1177/17085381241305898

Abhishek Rao, Todd Berland, Amir Mullick, Thomas S Maldonado, Sheila N Blumberg

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引用次数: 0

Abstract

Objectives: Non-pneumatic compression devices (NPCDs) rely on shape-memory alloy technology that allows patients to ambulate and remain active during lymphedema treatment. This study examines the effect of the NPCD on foot and ankle swelling.

Methods: This was a prospective, non-randomized study of patients with phlebolymphedema (venous insufficiency-related lymphedema) treated with a novel NPCD for 4 weeks. Ankle and foot circumference (cm), and volume measurements (ml water displacement using immersion) of the foot and ankle were obtained at enrollment, 2-weeks, and 4-weeks, and ambulation was tracked with a wearable exercise monitoring device.

Results: This study included 13 patients (21 limbs). A significant reduction in circumference (ankle (-0.84 ± 0.22 cm, p < .01) and metatarsal bed (-0.55 ± 0.95, p < .01)) and volume (foot/ankle (-52 ± 22 mL, p = .032)) was observed. Patients reported a mean of 8100 steps per day (±6100).

Conclusions: NPCD results in significant reduction in edema in the foot and ankle despite garments lacking a foot piece. Patients remained mobile while adhering to therapy.

查看原文本刊更多论文

一种新型的非气动压缩装置可减少静脉和淋巴水肿患者的足部和踝关节肿胀。

目的：非气动压缩装置（NPCDs）依靠形状记忆合金技术，允许患者在淋巴水肿治疗期间走动并保持活动。本研究探讨了NPCD对足部和踝关节肿胀的影响。方法：这是一项前瞻性、非随机研究，研究对象是接受新型NPCD治疗4周的淋巴水肿（静脉功能不全相关淋巴水肿）患者。在入组时、第2周和第4周分别获得足部和踝关节周长（cm）和体积测量值（浸入式水量毫升），并使用可穿戴运动监测装置跟踪活动情况。结果：本研究纳入13例患者（21条肢体）。观察到围度(踝关节（-0.84±0.22 cm, p < 0.01）和跖骨床（-0.55±0.95,p < 0.01）和体积（足/踝关节（-52±22 mL, p = 0.032））显著减少。患者平均每天步行8100步（±6100步）。结论：NPCD可以显著减少足部和脚踝的水肿，尽管没有脚部的衣服。患者在坚持治疗的同时保持活动能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular 医学-外周血管病

CiteScore

2.30

自引率

9.10%

发文量

196

审稿时长

6-12 weeks

期刊介绍： Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.