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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(1):78-82.
Predicting the Effect of Complex Physical Therapy: Utility of Manual Lymph Drainage Performed on Lymphoscintigraphy.
Jung, June Yong , Hwang, Ji Hye , Kim, Doo Hwan , Kim, Hyeon Sook , Jung, Seung Hyun , Lee, Peter KW , Choi, June Young , Lee, Byung Boong , Kim, Dong Ik
1Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. hwanglee@smc.samsung.co.kr
2Department of Nuclear Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
3Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
4Department of Physical Medicine and Rehabilitation, Masan Samsung Hospital, Korea.
임파부종 환자에서 복합적 임파물리치료의 효과 예측: 림프신티그라프 검사 중 시행한 임파마사지의 유용성
정준용, 황지혜, 김두환, 김현숙, 정승현3, 이강우, 최준영1, 이병붕2, 김동익2
성균관대학교 의과대학 재활의학교실, 1핵의학교실 및 2외과학교실, 3마산삼성병원 재활의학과
To evaluate the utility of manual lymph drainage (MLD) during lymphoscintigraphy (LS) in predicting the effect of complex physical therapy (CPT).
Forty seven patients were included in this study. MLD was done for 30 minutes after one hour LS image was obtained. 24 patients were followed up for 3∼6 months. According to one hour LS image, patients were assigned to visible lymph node or lymphatic vessel group (Either group) and invisible lymph node and lymphatic vessel group (Neither group), and also according to LS changes after MLD, good and poor response group. The limb volume was checked before, and immediately after CPT, and at 1 month and 3∼6 months after CPT. The treatment response was evaluated by percent volume reduction (PVR).
There were no significant differences in volume reduction between Either group and Neither group. Otherwise, good response group showed significantly greater volume reduction after CPT than poor response group. Mean PVR in the good response group was 37.02% immediately after CPT, 41.2% at 1 month after CPT, and 47.4% at 3∼6 months after CPT. Mean PVR in the poor response group was 19.22% immediately after CPT, 13.0% at 1 month after CPT, and 5.21% at 3∼6 months after CPT.
LS changes after MLD reflected the effects of CPT more accurately than one hour LS image. (J Korean Acad Rehab Med 2004; 28: 78-82)
Key Words: Lymphedema, Lymphoscintigraphy, Complex decongestive physical therapy, Manual lymph drainage
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