Trauma results in inflammatory reactions accompanied by high protein edema. Trauma can also reduce the carrying capacity of the lymphatic system below normal lymphatic load, leading to exposure of lymphedema. Cellular wastes accumulated in interstitial fields and prolonged exudation period create a physiological problem. It causes the recovery time of tissues to be completed late and the functional gains to be delayed. The aim of the study is to investigate the effect of Complex decongestive therapy on traumatic edema, pain and functionality.
Patients are composed of patients who are referred to the physical medicine and rehabilitation clinic. All patients eligible for the study were informed about treatment and possible risks, and a consent form was signed. Determined evaluations were made to the patients. After 3 weeks of treatment, patients will be invited to the controls and the long-term effects of the treatments will be investigated. Patients with a diameter difference of more than 50 ml between two extremities and patients without Sudeck Atrophy will be included in the treatment. The study was planned as a single blind with randomized control. The physiotherapist who performed the treatment received manual lymph drainage therapy training. The patients were distributed to groups with a computer-based data distribution system. While the patients are sent for treatment, they are directed according to the first assessment. The person who performed the assessment and those who received treatment were planned differently. The primary purpose of the study was to investigate the long-term effectiveness of complex decongestive therapy on traumatic edema, as well as to evaluate long-term hand functions. Other objectives are to investigate the long-term effects on range of motion, muscle strength, grip strength, pain, and daily living activities.
Study Type
OBSERVATIONAL
Enrollment
100
Manual lymphatic drainage Manuel lymphatic drainage therapeutic technique is used for reducing edema and symptoms related with edema by accelerating lymphatic drainage. The aim of massage along the extremity is to provide fluid drainage.Manuel lymphatic drainage stimulates the internal contraction of lymphatic channels. If interstitial space concentration of protein is reduced, it provides drainage of obstructed lymph fluid from local lymph nodes.
Bakirkoy Dr. Sadi konuk training and research hospital
Istanbul, Turkey (Türkiye)
Volumetric test measurement
Volumetric test measurement is more than 50 mL, edema is considered to be present.
Time frame: at baseline
Volumetric test measurement
Volumetric test measurement is more than 50 mL, edema is considered to be present.
Time frame: 4. week
Michigan Hand Outcomes Questionnarie
The raw scale score for each of the six scales is the sum of the responses of each scale item. The raw score is converted to a score ranging from 0-100. The MHQ is scored using a general algorithm. The response categories for one of the questions is reversed and re-coded. For the Pain scale, a higher score indicates more pain. For the other five scales, higher scores indicate better hand performance.
Time frame: at baseline
Michigan Hand Outcomes Questionnarie
The raw scale score for each of the six scales is the sum of the responses of each scale item. The raw score is converted to a score ranging from 0-100. The MHQ is scored using a general algorithm. The response categories for one of the questions is reversed and re-coded. For the Pain scale, a higher score indicates more pain. For the other five scales, higher scores indicate better hand performance.
Time frame: 4. week
Patient Rated Wrist Evaluation
The PRWE allows patients to rate their levels of wrist pain and disability from 0 to 10, and consists of 2 subscales: Pain subscale: contains 5 items each of which is further rated from 1-10. The maximum score in this section is 50 and minimum 0 Function subscale: contains total 10 items which are further divided into 2 sections i.e specific activities (having 6 items) and usual activities (having 4 items). The maximum score in this section is 50 and minimum 0.
Time frame: at baseline
Patient Rated Wrist Evaluation
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
The PRWE allows patients to rate their levels of wrist pain and disability from 0 to 10, and consists of 2 subscales: Pain subscale: contains 5 items each of which is further rated from 1-10. The maximum score in this section is 50 and minimum 0 Function subscale: contains total 10 items which are further divided into 2 sections i.e specific activities (having 6 items) and usual activities (having 4 items). The maximum score in this section is 50 and minimum 0.
Time frame: 4. week
Quick DASH
Quick DASH measures upper extremity functionality. Quick DASH score calculation is made as disability / symptom score: (\[n total score / n\] -1) x25. The options are 'no difficulty' 'mild difficulty' 'moderate difficulty' severe difficulty 'and' unable '. 'no difficulty' is zero points and 'unable' is four.
Time frame: at baseline
Quick DASH
Quick DASH measures upper extremity functionality. Quick DASH score calculation is made as disability / symptom score: (\[n total score / n\] -1) x25. The options are 'no difficulty' 'mild difficulty' 'moderate difficulty' severe difficulty 'and' unable '. 'no difficulty' is zero points and 'unable' is four.
Time frame: 4. week
Myometer test
Myometer test is an electronic device used to measure muscle strength. It is directly proportional to the result of muscle strength. and the result will increase according to the force. 3 evaluations are made and the average is recorded. According to the manufacturer's specifications, the myometer used has a measurement range of 0 to 30kg with an overload rating to 40kg and an accuracy of ± 0.3kg, and is calibrated to within 0.1kg.
Time frame: at baseline
Myometer test
Myometer test is an electronic device used to measure muscle strength. It is directly proportional to the result of muscle strength. and the result will increase according to the force. 3 evaluations are made and the average is recorded. According to the manufacturer's specifications, the myometer used has a measurement range of 0 to 30kg with an overload rating to 40kg and an accuracy of ± 0.3kg, and is calibrated to within 0.1kg.
Time frame: 4.week
Dynamometer test
A grip strength dynamometer is useful for testing your hand grip strength. for males (in kg): 45-49 \< 34.7 34.7-54.5 \> 54.5 50-54 \< 32.9 32.9-50.7 \> 50.7 55-59 \< 30.7 30.7-48.5 \> 48.5 60-64 \< 30.2 30.2-48.0 \> 48.0 65-69 \< 28.2 28.2-44.0 \> 44.0 70-99 \< 21.3 21.3-35.1 \> 35.1 for females(in kg): 45-49 \< 18.6 18.6-32.4 \> 32.4 50-54 \< 18.1 18.1-31.9 \> 31.9 55-59 \< 17.7 17.7-31.5 \> 31.5 60-64 \< 17.2 17.2-31.0 \> 31.0 65-69 \< 15.4 15.4-27.2 \> 27.2 70-99 \< 14.7 14.7-24.5 \> 24.5
Time frame: at baseline
Dynamometer test
A grip strength dynamometer is useful for testing your hand grip strength. for males (in kg): 45-49 \< 34.7 34.7-54.5 \> 54.5 50-54 \< 32.9 32.9-50.7 \> 50.7 55-59 \< 30.7 30.7-48.5 \> 48.5 60-64 \< 30.2 30.2-48.0 \> 48.0 65-69 \< 28.2 28.2-44.0 \> 44.0 70-99 \< 21.3 21.3-35.1 \> 35.1 for females(in kg): 45-49 \< 18.6 18.6-32.4 \> 32.4 50-54 \< 18.1 18.1-31.9 \> 31.9 55-59 \< 17.7 17.7-31.5 \> 31.5 60-64 \< 17.2 17.2-31.0 \> 31.0 65-69 \< 15.4 15.4-27.2 \> 27.2 70-99 \< 14.7 14.7-24.5 \> 24.5
Time frame: 4.week