{"title":"Biomechanical alterations in lower limb lymphedema: Implications for walking ability and rehabilitation.","authors":"Roberto Tedeschi","doi":"10.1177/02683555231188236","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Lymphedema is a chronic progressive disease that results in interstitial edema in the limbs, and to a lesser extent in the genitals and face, due to damage to the lymphatic system.</p><p><strong>Methods: </strong>Research was conducted between July 2022 and September 2022 in biomedical databases: PubMed, Cochrane Central Register of Controlled Trials (Cochrane Library), and PEDro.</p><p><strong>Results: </strong>Two studies showed that lymphedema alters gait parameters by affecting mainly kinematic parameters, although kinetic parameters were found to be significantly altered, especially in patients with severe lymphedema. In other studies, using methods such as videos and questionnaires, difficulties in walking were found in the presence of lymphedema. The most common abnormality was antalgic gait.</p><p><strong>Conclusions: </strong>Poor mobility can worsen the edema, which, in turn, can compromise joint range of motion. Gait analysis is an essential tool to evaluate and follow.</p>","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":" ","pages":"496-502"},"PeriodicalIF":1.6000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Phlebology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/02683555231188236","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/7/6 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Lymphedema is a chronic progressive disease that results in interstitial edema in the limbs, and to a lesser extent in the genitals and face, due to damage to the lymphatic system.
Methods: Research was conducted between July 2022 and September 2022 in biomedical databases: PubMed, Cochrane Central Register of Controlled Trials (Cochrane Library), and PEDro.
Results: Two studies showed that lymphedema alters gait parameters by affecting mainly kinematic parameters, although kinetic parameters were found to be significantly altered, especially in patients with severe lymphedema. In other studies, using methods such as videos and questionnaires, difficulties in walking were found in the presence of lymphedema. The most common abnormality was antalgic gait.
Conclusions: Poor mobility can worsen the edema, which, in turn, can compromise joint range of motion. Gait analysis is an essential tool to evaluate and follow.
背景：淋巴水肿是一种慢性进行性疾病，由于淋巴系统受损，会导致四肢间质水肿，生殖器和面部的间质水肿程度较低。方法：研究于2022年7月至2022年9月在生物医学数据库PubMed、Cochrane Central Register of Controlled Trials（Cochrane Library）和PEDro中进行。结果：两项研究表明，淋巴水肿主要通过影响运动学参数来改变步态参数，尽管动力学参数被发现显著改变，尤其是严重淋巴水肿的患者。在其他研究中，使用视频和问卷调查等方法，发现淋巴水肿存在行走困难。最常见的异常是步态不适。结论：活动能力差会加重水肿，进而影响关节的活动范围。步态分析是评估和跟踪的重要工具。
期刊介绍：
The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments.
Print ISSN: 0268-3555
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