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Effect of physiotherapy treatment on primary and secondary lymphedema
OBOŘILOVÁ, Vendula
This bachelor thesis discusses the treatment options for lymphoedema and the influence of individual regimens on the treatment of this disease. I have divided the theoretical part into four chapters. In the first chapter I explain the anatomy of the lymphatic system, the second chapter describes its physiological function and then its pathology. The third chapter is devoted to lymphoedema, I explain the principle of the different types of lymphoedema, how to prevent them, how to diagnose them and what complications can occur. The last chapter of the theoretical part discusses in detail the methods of treatment, the essential method is manual and instrumental lymphatic drainage, then I discuss bandaging, physical exercise, breathing excercises, selected types of physical therapy and last but not least I mention skin care, pharmacotherapy and spa treatment. The practical part of the research was carried out in the form of qualitative research. I worked with 4 patients, two of them are treated with primary lymphedema and two with secondary lymphedema. The patients practiced every day an agreed exercise unit, which was uniform for all of them, at the same time, based on the doctor's recommendation, they attended manual and instrumental lymphatic drainage at the outpatient clinic, while following the regimen, in which there were minor nuances for each patient. I evaluated the results by means of an entrance and exit kinesiological analysis, in which somatometry and goniometry played a major role, an entrance and exit interview and a comparison of photographs. I compared the objective results according to the results of somatometry and goniometry, where there was an improvement in reduction of swelling and increase in range of motion in 3 out of 4 cases. Subjective evaluation was provided by the patients based on semi-structured interviews, which I used to find out what lifestyle change the patients found most influential. Here the results were quite different, with the primary lymphoedema patient reporting feeling the greatest improvement after showering with cold water, and the secondary lymphoedema being most affected by bandages and regular exercise.
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Complex view on the problematics of the secondary lymphedema following mamma surgery
Strnadová, Dana ; Vránová, Hana (advisor) ; Šafářová, Marcela (referee)
The lymphedema is a chronic progressive disease connected with a great amount of complications of various severity. The secondary lymphedema occuring after a mamma ablation is one of the most frequent complication during the treatment of malign diseases of the mamma and it influences greatly the everyday activities of the patients. My intention was to describe the theme in its complexity and to depict the lymphedema in a bio- psycho- social context. The chapters of this work deal with the anatomy, physiology and patophysiology of the lymphatic system, the stages, complications and methods of assessing the lymphedema. Further chapters are addicted to possibilities of the treatment of the lymphedema. Emphasis is put on the physiotherapeutic methods, some of which are recently widely acknowledged and some of which are considered complementary, or there is still a necessity to verify their effectivity. I also described a pharmacological and surgery treatment of the lymphedema. In the work there are also mentioned psycho- social aspects of the secondary lymphedema. Keywords lymphatic system, secondary lymphedema after breast surgery, lymphedema therapy, physiotherapy, diagnostic, psychosocial aspects
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