Physiotherapy and rehabilitation applications in lipedema management: A literature review.

IF 0.7 4区医学 Q4 IMMUNOLOGY

Lymphology Pub Date : 2020-11-10 DOI:10.2458/lymph.4659

M. Esmer, F. Schingale, D. Unal, M. V. Yazici, N. Güzel

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引用次数: 1

Abstract

Lipedema is a chronic and progressive disease of adipose tissue caused by abnormal fat accumulation in subcutaneous tissue. Although there is no known cure for lipedema, possible complications can be prevented with conservative and surgical treatments. One of the conservative treatment options is physiotherapy and rehabilitation (PR). When the literature is examined, few studies focusing on the efficacy of PR were found for this patient group. The purpose of this review is to provide a better understanding of the effectiveness of PR applications by compiling existing studies. A bibliographic PubMed search was performed for published studies regarding PR in lipedema management in June 2019 including the last 58 years (1951-2019). Articles were chosen by reading the abstracts and subsequently data were analyzed by reading the entire text through full-text resources. A total of 15 studies met inclusion criteria. Results document how lipedema patients are benefited by PR and the effectiveness of different types of PR programs. The current review also showed that complex decongestive physiotherapy, gait training, hydrotherapy, aerobic exercise, and resistance exercise training each have value in the management of lipedema. The effects of PR for the treatment of lipedema are variable among studies, although overall PR seems to be effective in lipedema management. Although physiotherapy applications have a potentially important role in the management of lipedema, they should be used in combination with other treatment modalities. More studies with higher quality are needed to fully demonstrate the effect and efficacy of PR in lipedema patients.

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物理疗法和康复在脂水肿治疗中的应用：文献综述。

唇水肿是一种由皮下组织异常脂肪堆积引起的脂肪组织慢性进行性疾病。虽然目前还没有已知的治疗唇水肿的方法，但通过保守和手术治疗可以预防可能的并发症。其中一个保守的治疗选择是物理治疗和康复（PR）。当查阅文献时，很少有研究关注PR对该患者组的疗效。本次审查的目的是通过汇编现有研究，更好地了解PR申请的有效性。PubMed检索了2019年6月发表的关于脂水肿管理中PR的研究，包括过去58年（1951-2019）。通过阅读摘要来选择文章，随后通过全文资源阅读全文来分析数据。共有15项研究符合纳入标准。研究结果记录了脂水肿患者如何从PR中获益，以及不同类型PR计划的有效性。目前的综述还表明，复杂的缓解充血理疗、步态训练、水疗、有氧运动和阻力运动训练在治疗脂水肿方面都有价值。PR治疗脂水肿的效果在不同的研究中各不相同，尽管总体PR似乎对脂水肿的治疗有效。尽管理疗应用在治疗脂水肿方面具有潜在的重要作用，但应与其他治疗方式结合使用。需要更多更高质量的研究来充分证明PR在脂水肿患者中的作用和疗效。

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

Lymphology 医学-免疫学

CiteScore

5.20

自引率

8.00%

发文量

审稿时长

3 months

期刊介绍： The Journal contains original articles, special features (see below), and information regarding the International Society of Lymphology. It seeks original papers dealing with clinical and basic studies of the lymphatic system and its disorders including related fields. Articles are accepted for external review and publication on the condition that they are contributed to Lymphology only and that no substantial part has been or will be published elsewhere.