Page 34 - VOL 26 N. 72 - 2015

June 4, 2015 - Auditoire A. Yersin
MODERATED POSTER SESSION 1
MEASUREMENT OF LYMPHEDEMA: PYTHAGORAS VS ARCHIMEDES VS HIGH-TECH
PAPENDIECK C.M., BARBOSA L.
Angiopediatria Foundation, Buenos Aires, Argentine
Introduction: Congenital Syndromic Asymmetric Overgrowth is a frequent semiological finding in pediatrics. Many times, it is complex to interpret and in some cases it is a mere discrete semiological sign. To a certain degree, patients are orphan in clinical and therapeutic aspects, with asymmetric growth of some part of the body, with or without vascular anomalies and or not, lipomatous overgrowth. They are analyzed and grouped according to their etio-physiopathology, clinical signs and significance in pediatrics.
Material: Pediatric patients with this condition, can be grouped in:
1. Congenital asymmetric overgrowth , eg. Wiedemann Beckwith S. and others
2. Congenital asymmetric overgrowth because vascular anomalies, eg. Klippel Trenaunay S., and others
3. Congenital lipomatous overgrowth with vascular anomalies eg. Proteus S., CLOVEs S, Primary Lymphedema and others. 4. Congenital lipomatous overgrowth without vascular anomalies...
Conclusion: The patho- physiological, etiology and semiological aspects of pediatric patients with congenital syndromic overgrowth are analized.
THE EFFECTIVENESS OF COMPLEX DECONGESTIVE PHYSIOTHERAPY IMPLEMENTATIONS ON QUALİTY OF LİFE AND DEPRESSİON İN PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY
ÖZLEM ÇINAR ÖZDEMIR PT. PhD. Assist Prof., YEŞIM BAKAR PT. PhD. Assoc. Prof.
Abant Izzet Baysal University, School of Physical Therapy and Rehabilitation, Bolu, Turkey
Introduction: The aim of the study was to evaulate the effect of complex decongestive physiotherapy implementations on quality of life and depression in patients with chronic venous insufficiency.
Materials & Methods: 14 individuals ,mean age 56.43±11.68, included in the study with phase 2 chronic venous insufficiency. Edema quantities were measured by Leg Q Meter using limb circumference, and pain assessment was done with “Visual Analogue Scale”. General quality of life was measured by “Nottingham Health Profile”, disease specific quality of life was determined by using “Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms” and depression state assessment was done by using “Beck Depression Scale”. Individuals were applied the complex decongestive physiotherapy program (CDP) consisting of manual lymphatic drainage, skin care, compression bandage and exercise. Participants taken in treatment 5 days per week along 4 weeks. At the end of the 4th week, protection phase was started and fabrication under knee compression stocking were given each individuals. Individuals were assessed pre-treatment, post-treatment and 4 weeks later after treatment.
Results: There was seen significant difference of all measurements on Pre-treatment-(Pre-t) Post-Treatment(Post-t) and Pre-t- Protection values when comparison of circumference measurements. (p<0.05). By the same way, there was seen significant difference in comparison of pain, quality of life and depression level Pre-t-Post-t and Pre-t-Protection values. (p<0.05)
Discussion: Results have revealed the CDP is quite effective method about decreasing edema and quality of life increasing related decreasing edema. It is suggested that individuals with chronic venous insufficiency needed to being awared about using compression socks and consulting physiotherapy for decreasing status related venous symptoms due to results long term stocking using effected quality of life.
THE EUROPEAN JOURNAL OF LYMPHOLOGY - Vol. XXVI - Nr. 72 - 2015
31