AI Article Synopsis
- Indocyanine green (ICG) lymphography was used to assess lymphatic function in 19 patients with upper lymphedema after receiving complex physical therapy.
- The study found that after treatment, 45% of patients showed tracer retention in the affected limb, which was linked to how long they had lymphedema.
- Overall, 60% of the patients improved in their lymphatic patterns, with many moving from severe to milder cases, indicating that the therapy had a positive effect on their condition.
Article Abstract
Indocyanine green (ICG) lymphography is used to evaluate the lymphatic function before and after pneumatic compression or post-manual lymphatic drainage. The aim of this study was to ascertain the changes in the fluoroscopic pattern produced by the provision of complex physical therapy. This prospective analytic (pretest-posttest) study was conducted in 19 patients with upper lymphedema secondary to breast cancer. Nine patients were excluded due to ICG found after 3 weeks. The ICG patterns were analyzed under basal conditions and after three weeks of treatment. After the treatment, 45% of the patients presented tracer remains in the affected limb, and this finding was significantly related to time of the lymphedema development. In one subject, the patterns remain unchanged or cannot be defined. Three of the ten patients observed present the worsening of at least 1 of the patterns and in the rest of the subjects, six cases, the improvement of the patterns is observed. In 60% of the cases, the most severe pattern reversed towards slight (splash) cases, and moderate cases reversed towards a slight case in 70% of cases. Therefore, after treatment with complex physical therapy, the pathological patterns observed in the pretest, which evolved positively, reverted their severity toward milder disease patterns or towards normality.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073737 | PMC |
| http://dx.doi.org/10.3390/jcm9020306 | DOI Listing |
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