Publications by authors named "Gert Apich"

Article Synopsis
  • Lymphedema is caused by a malfunctioning lymphatic system, resulting in tissue swelling, and Complete Decongestive Therapy (CDT) aims to manage this condition over three weeks through techniques like manual lymphatic drainage (MLD).
  • The study measured hemodynamic parameters during a sit-to-stand test at various intervals of CDT to understand the impact of fluid shifts and MLD on blood pressure and heart rate.
  • Results showed that while resting blood pressure decreased, MLD significantly lowered heart rate during standing, suggesting some beneficial effects of MLD, but no increased risk of orthostatic intolerance was found in lymphedema patients.
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Lymphedema is manifested as a chronic swelling arising due to stasis in the lymphatic flow. No cure is currently available. A non-invasive treatment is a 3 week complete decongestive therapy (CDT), including manual lymphatic drainage and compression bandaging to control swelling.

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Complete decongestive therapy (CDT), a physical therapy including manual lymphatic drainage (MLD) and compression bandaging, is aimed at mobilizing fluid and reducing limb volume in lymphedema patients. Details of fluid shifts occurring in response to CDT are currently not well studied. Therefore, we investigated fluid shifts before, during and after CDT.

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The most important column in the conservative lymphedema therapy still represents the complex decongestive physical therapy/KPE.This is a multimodal therapy, which consists of four components. (1) skin restoration and/or skin care, (2) manual lymphatic drainage, (3) compression therapy and (4) decongestive exercises.

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