Funcionalidad y marcha en pacientes con linfedema de miembro inferior tratados mediante un programa de ejercicio terapéutico: serie de casos

Abstract

IntroductionPhysical exercise is a fundamental part of the conservative treatment of lymphoedema. However exercise therapy programmes that focus on improving functionality are not usually undertaken. ObjectiveTo analyse changes in the functionality and gait of patients with lower limb lymphoedema through a supervised progressive therapeutic exercise programme. Materials and methodadult patients with lower limb lymphedema underwent a progressive, aerobic and resistance exercise programme for 8 weeks. Sociodemographic, clinical and anthropometric data, lower limb functionality, gait, isometric leg strength and grip strength were recorded at the beginning and end of the programme. T-test and Wilcoxon were used for data analysis. Results17 women and 5 men were recruited, the average age was 45.5 years old (23-68), 12 participants presented unilateral and 10 bilateral lymphoedema, 20 were in clinical stages i or ii, and 16 had secondary lymphoedema. Post intervention, lower limb functionality according to the Lower Extremity Functional Scale improved by an average of 11 points (P<.005), the average distance walked by the group increased from 474 meters to 503 meters, with P<.005 only in the women, the improvement in isometric leg strength and grip strength did not show statistical significance. A reduction of body weight and reduction of affected limb volume (P<.005) were also observed. ConclusionThe protocol of progressive and supervised exercise therapy applied, showed positive effects in all the variables studied, mainly functionality of lower limb and gait, and may be recommended and safe in this population.