Development of a framework for pneumatic device selection for lymphedema treatment

作     者：Maul, Sonja M. Devine, Julie A. Wincer, Carolyn R. 

作者机构：St Lukes Idaho Elks Rehabilitat Serv Boise ID USA Butler Mem Hosp Ctr Wound Care Butler PA USA Ctr Rehabil Serv Gibsonia PA USA 

出 版 物：《MEDICAL DEVICES-EVIDENCE AND RESEARCH》 (医疗器械：证据和研究)

年 卷 期：2009年第2卷第default期

页      面：57-65页

核心收录：

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：lymphedema swelling pneumatic compression flexitouch lympha press 

摘      要：The results of three patients with difficult to manage leg and trunk lymphedema are reported. Patients were treated with the current standard of care: combined decongestive therapy. All three patients met obstacles in achieving independent self-care, which impeded their discharge to home care. The use of two currently available programmable pneumatic compression devices (PCDs) was investigated to determine if these devices could enable these difficult-to-manage patients to meet their discharge goals. Results indicate that programmable PCDs can be effective in managing complicated cases of leg and trunk lymphedema, and that differences may exist between devices. In this trial, the device with lower applied pressures and smaller pneumatic chambers provided better tolerated treatment and overall better patient outcomes. These three case reports show that in-home use of an appropriate PCD can help patients with stage 3 and advanced stage 2 lymphedema achieve stable limb volumes with no exacerbation of lymphedema-related symptoms. Results also demonstrate the ability of patients to consistently use programmable PCDs in a home environment. The results are presented in a structured decision-making framework to aid the therapist and physician in selecting appropriate patients for home PCD lymphedema therapy, and in the selection of an appropriate PCD.