Lymphoedema management with the LymphFlow Advance pneumatic compression pump

Lee, Natalie; Wigg, Jane; Pugh, Stacy; Barclay, Janet; Moore, Hayley

doi:10.12968/bjcn.2016.21.sup10.s13

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…Such regimens incorporate multichamber garments, which inflate and deflate in various patterns and pressures and apply compression in a proximal to distal cycle. 10 However, there are few studies to support the efficacy of such regimens. 7 , 11 …”

Section: Introductionmentioning

confidence: 99%

Intermittent Pneumatic Compression for the Treatment of Lower Limb Lymphedema: A Pilot Trial of Sequencing to Mimic Manual Lymphatic Drainage Versus Traditional Graduated Sequential Compression

Dunn

Williams

Dolan

et al. 2021

Lymphatic Research and Biology

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Background: Recent advances in technology have allowed intermittent pneumatic compression (IPC) devices to develop so that their function mimics the process and principles of manual lymphatic drainage (MLD); however, research into the effectiveness of such devices is lacking. This study aimed to investigate the effectiveness of a patented IPC technique designed to mimic MLD (the LymphAssist), compared with a typical sequential IPC regimen. Methods and Results: Forty patients with a confirmed diagnosis of lower limb ISL (International Society of Lymphology) stage II or III lymphedema were recruited into this three-phased study. A bilateral leg volume assessment and quality-of-life assessment were completed at four clinic visits across the course of the study. The LymphAssist IPC regimen was significantly more effective in reducing distal leg volume than the sequential mode (mean volume reduction: 230 ± 135 mL vs. 140 ± 84 mL, respectively, p = 0.01). Improvements in leg volume were transient as both groups demonstrated a rebound or increase in volume during the washout period (LymphAssist: 238 ± 168 mL, sequential: 276 ± 158 mL, p = 0.3). Overall, IPC was effective in improving quality-of-life scores (mean reduction: 10 ± 11, p < 0.001). Conclusion: IPC is effective in reducing limb volume and improving quality of life for patients with lower limb lymphedema. IPC that mimics the MLD process has been shown to be more effective in reducing leg volume compared with traditional sequential IPC in the distal aspect of the leg. The increase in leg volume observed after discontinuation of IPC suggests that regular treatment is required to maintain its associated effects. Clinical Trial Registration Number: NTC 03856281.

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Section: Introductionmentioning

confidence: 99%

Intermittent Pneumatic Compression for the Treatment of Lower Limb Lymphedema: A Pilot Trial of Sequencing to Mimic Manual Lymphatic Drainage Versus Traditional Graduated Sequential Compression

Dunn

Williams

Dolan

et al. 2021

Lymphatic Research and Biology

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“…Historically, IPC pumps have used sequential cycles to provide a peristaltic massaging effect along the limb towards its root. This, however, does not mimic the MLD process, which starts with the unaffected lymph nodes and region of the body and moves proximally to distally [10]. MLD is a specialised massage technique that helps stimulate the lymphatic system and encourages the flow of lymph fluid.…”

Section: Introductionmentioning

confidence: 99%

Home management of lower limb lymphoedema with an intermittent pneumatic compression device: a feasibility study

Dunn

Williams

Fishbourne

et al. 2019

Pilot Feasibility Stud

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Background Lymphoedema is a chronic condition that causes swelling in the body tissues. Presently, there is no cure for lymphoedema; instead, current treatment is aimed at lifelong management to help control symptoms. Intermittent pneumatic compression (IPC) therapy can be considered as an adjunct to standard lymphoedema care; however, research regarding the efficacy of this treatment modality is limited. Methods Twenty participants were recruited from an outpatient lymphoedema clinic (South Wales, UK) to a feasibility randomised control trial designed to evaluate the efficacy of an IPC device (LymphAssist, Huntleigh Healthcare) in reducing lower limb volume. The primary objective was to assess feasibility in terms of (1) study feasibility, including recruitment, retention and assessment of outcome measures, and (2) intervention feasibility, including intervention fidelity and acceptability to participants. Participants were randomly assigned to a control group (n = 10) or intervention group (n = 10). The control group received their standard lymphoedema care only for a 6-month period, whereas the intervention group received their standard lymphoedema care plus an IPC device to use for 6 months. A bilateral lower limb assessment and quality of life survey were undertaken at baseline and 3- and 6-month time points. Results The study recruited to target within the planned time frame with a retention rate of 80%. Issues relating to potential recruitment bias and study attrition were identified and possible solutions explored. In addition, supplementary primary outcome measures that are important to the study population were identified and will be incorporated into the design of future studies. Conclusion This feasibility study identified that a larger randomised controlled trial investigating the efficacy of home use IPC devices is feasible with modifications to the study protocol. Trial registration This trial is registered with clinicaltrials.gov (NCT03825263).

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“…All respondents reported that the process of monitoring contributed to a sense of accountability. Evidence is lacking in the field of consumer perceptions of preventative lymphoedema programs, however selfmanagement strategies for established lymphoedema are encouraged in conjunction with specialist reviews (International Lymphoedema Framework, 2006;Lee et al, 2016), and have been found to enhance QoL. Every participant in this study, regardless of their initial motivations for agreeing to participate, conducted the daily preventative strategies for 6months.…”

Section: Experiences Of Lll Preventative Strategiesmentioning

confidence: 99%

The experiences, occupational performance impacts and needs of people who are at risk of, or have developed lymphoedema following groin or pelvic node dissection for Metastatic Melanoma: an interpretive descriptive study

Brown¹

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Publications during candidature No publications. Publications included in this thesis No publications included. Manuscripts included in this thesis No manuscripts included. Contributions by others to the thesis The MPhil candidate was responsible for the project design; gaining ethical approval; conception and design of all intervention materials; choice of qualitative framework; participant recruitment; data collection, analysis and interpretation; and manuscript preparation. However, significant contributions have been made by the following people to the thesis as a whole. Associate professor Sally Bennett had substantial input into the revision and critical review of written work and was the second coder for the qualitative analysis. Associate professor, Louise Gustafsson also contributed significantly to critically revising the manuscript and was consulted as the third coder in any instance there may have been uncertainty regarding thematic analysis. Statement of parts of the thesis submitted to qualify for the award of another degree None. Research involving human or animal subjects Ethical approvals for this study were granted by Human Ethics Unit, University of Queensland (approval number 2014000983), and the Mater Human Research Committee

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Lymphoedema management with the LymphFlow Advance pneumatic compression pump

Cited by 6 publications

References 21 publications

Intermittent Pneumatic Compression for the Treatment of Lower Limb Lymphedema: A Pilot Trial of Sequencing to Mimic Manual Lymphatic Drainage Versus Traditional Graduated Sequential Compression

Intermittent Pneumatic Compression for the Treatment of Lower Limb Lymphedema: A Pilot Trial of Sequencing to Mimic Manual Lymphatic Drainage Versus Traditional Graduated Sequential Compression

Home management of lower limb lymphoedema with an intermittent pneumatic compression device: a feasibility study

The experiences, occupational performance impacts and needs of people who are at risk of, or have developed lymphoedema following groin or pelvic node dissection for Metastatic Melanoma: an interpretive descriptive study

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