Abstract
Aim: The aim of the present study was to evaluate grosgrain c stockings in the reduction and maintenance of the results of treatment for lymphedema. Method: A prospective clinical trial was performed with 45 patients who made use of grosgrain stockings as monotherapy for the treatment of lower limb lymphedema with the analysis of the volumetric reduction using bioimpedance at the Clinica Godoy-Brazil. These stockings are hand-crafted and adapted to each patient, with adjustments made as necessary. Results: The mean reduction in volume was from 7.1 to 6.0 L (standard deviation: 1.56 L). This reduction was statistically significant (p-value < 0.0001, paired t-test). A total of 17 (18.8%) of the 90 limbs did not undergo reductions, but rather had discrete numerical increases. However, these increases were not statistically significant in this group of patients (p-value = 0.08, paired t-test). Conclusion: Grosgrain stockings are effective for the treatment of primary congenital lymphedema when used in accordance with the recommended instructions.
Highlights
Lymphedema is a clinical condition stemming from a failure of the lymphatic system in the formation or drainage of lymph
A prospective clinical trial was performed with 45 patients who made use of grosgrain stockings as monotherapy for the treatment of lower limb lymphedema with the analysis of the volumetric reduction using bioimpedance
A certain degree of flexibility can be allowed in some cases, but more frequent reevaluations lead to the normalization of the limb within a shorter period of time. Another aspect is the combination with elastic stockings after the normalization or near normalization of the edema
Summary
Lymphedema is a clinical condition stemming from a failure of the lymphatic system in the formation or drainage of lymph. The combination of therapies is recommended, such as compression mechanisms (stockings and bandages), manual and mechanical lymphatic drainage, exercises and activities of daily living [2]. Circular elastic stockings or a flat fabric are the most indicated [3,4]. Godoy & Godoy have developed a novel concept involving hand-crafted stockings made of grosgrain fabric. These stockings develop both working and resting pressure and meet the criteria for the compression mechanism [5,6,7,8,9]
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