Intermittent Pneumatic Compression Dosage for Adults and Children with Lymphedema: A Systematic Review

Phillips, Jacqueline; Gordon, Susan

doi:10.1089/lrb.2018.0034

Cited by 26 publications

(27 citation statements)

References 44 publications

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“…However, this study provided low-level evidence of moderate quality. [ 22 ] In patients with chronic venous edema, a dose-dependent relationship was reported between high pressure and leg edema. [ 24 ] However, when comparing groups receiving a high pressure intervention (120 mm Hg) and a low pressure intervention (60 mm Hg) as well as a control group without IPC among patients with chronic venous insufficiency and primary lymphedema, swelling was reduced most significantly in the high pressure group.…”

Section: Discussionmentioning

confidence: 99%

Intermittent pneumatic compression for prolonged standing workers with leg edema and pain

Won

Kim

2021

Medicine

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Even healthy individuals often encounter leg venous symptoms such as heaviness, pain, and swelling especially after prolonged standing work. Intermittent pneumatic compression (IPC) is a widely used simple therapy for preventing deep vein thrombosis and for treating lymphedema and chronic venous insufficiency. However, IPC has not been evaluated for its effect in relieving venous symptoms of healthy people. This was single center, cross-over study to investigate the effect of IPC for 20 healthy volunteers who usually stand on duty and complain of leg pain and swelling. The primary outcome was pain (measured using a visual analogue scale) and secondary outcomes were leg circumference and volume. Three different interventions included natural rest, sequential mode of IPC, and circular mode of IPC. Outcomes were measured before work and immediately after work (T1), after 30 minutes of intervention (T2), and 30 minutes of rest after intervention (T3). Pain and leg circumferences were significantly improved at T2 and T3 compared with those at T1. Sequential and circular IPC led to significantly greater improvement in pain and leg circumferences than just natural rest, but there was no difference in its effect according to the 2 modes of IPC. Leg volume was reduced significantly at T2 and T3 as compared with T1 in all 3 interventions, but effects did not differ among 3 intervention groups. IPC is effective for reducing leg pain and circumferences more than natural rest in healthy adults with prolonged standing work, without causing adverse events.

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Section: Discussionmentioning

confidence: 99%

Intermittent pneumatic compression for prolonged standing workers with leg edema and pain

Won

Kim

2021

Medicine

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“…In addition, Praxitelis et al reported that different types of IPC devices significantly increased the venous return [30]. In a systematic review by Philips and Gordon, it was reported that IPC for 45 min with a pressure between 30 and 60 mmHg had significant positive effects in adults and children with lymphedema [31]. Zuj et al also demonstrated that IPC applied to the lower limb enhanced the actions of the muscle pump by increasing blood flow [32].…”

Section: Discussionmentioning

confidence: 99%

A Better Way to Decrease Knee Swelling in Patients with Knee Osteoarthritis: A Single-Blind Randomised Controlled Trial

Sarı

Aydoğdu

Demırbüken

et al. 2019

Pain Research and Management

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Objective. In this study, we compared the effects of intermittent pneumatic compression along with conventional treatment with cold-pack treatment along with conventional treatment on clinical outcomes in patients with knee osteoarthritis. Methods. Eighty-nine patients with knee osteoarthritis participated in this study. One group received ultrasound, transcutaneous electrical nerve stimulation, electrical stimulation, exercise, and cold packs. The second group received ultrasound, transcutaneous electrical nerve stimulation, electrical stimulation, exercise, and intermittent pneumatic compression. Range of motion, muscle strength, knee swelling, pain intensity, and functional status were measured at baseline and 4th week. Results. We found significant improvements in range of motion, muscle strength, pain intensity, and functional status after the treatment in both groups (p<0.05). When comparing the effects of these two treatment programs, it was observed that the intermittent pneumatic compression treatment group had a better outcome in terms of knee swelling (p=0.028). Conclusions. According to the results, we could report that intermittent pneumatic compression therapy in addition to conventional treatment has significant positive effects on clinical outcomes in patients with knee osteoarthritis. We could also report that intermittent pneumatic compression therapy along with conventional treatment is superior to cold-pack therapy along with conventional treatment in terms of knee swelling in patients with knee osteoarthritis. This trial is registered with NCT03806322.

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“…There is limited low-to-moderate quality evidence for application of 45-60 minutes of 30-60mmHg using multicell, sequential IPC programs for management of upper and lower limb lymphedema. 78,79 A previous systematic review indicated that IPC devices are well-tolerated in low-to-moderate pressure ranges. Moreover, devices enable application of compression in the patient's home.…”

Section: Intermittent Pneumatic Compression (Ipc)mentioning

confidence: 99%

Conservative treatment of lymphedema: the state of the art

Bergmann

Baiocchi²,

Andrade

2021

J. vasc. bras.

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This article aims to discuss the possibilities of conservative and non-pharmacological treatments for lymphedema. A non-systematic review of the literature was carried out, including studies involving human subjects with different types of lymphedema. Several approaches to lymphedema treatment have been reported and Complex Decongestive Therapy (CDT) has been considered the most effective treatment for limb lymphedema. Other conservative treatments have been proposed such as Taping, Extracorporeal Shock Wave Therapy, Acupuncture, Photobiomodulation Therapy, Endermologie, Intermittent Pneumatic Compression, and Low-frequency, Low-intensity Electrotherapy. The choice of the therapeutic approach to be employed should consider lymphedema characteristics, the therapist's experience, and the patient's wishes. In addition, since this is a chronic condition, the patient must adhere to the treatment. To this end, the therapeutic proposal may be the key to better control of limb volume.

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Intermittent Pneumatic Compression Dosage for Adults and Children with Lymphedema: A Systematic Review

Cited by 26 publications

References 44 publications

Intermittent pneumatic compression for prolonged standing workers with leg edema and pain

Intermittent pneumatic compression for prolonged standing workers with leg edema and pain

A Better Way to Decrease Knee Swelling in Patients with Knee Osteoarthritis: A Single-Blind Randomised Controlled Trial

Conservative treatment of lymphedema: the state of the art

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