Overview
Trauma results in inflammatory reactions accompanied by high protein edema. Trauma can also reduce the carrying capacity of the lymphatic system below normal lymphatic load, leading to exposure of lymphedema. Cellular wastes accumulated in interstitial fields and prolonged exudation period create a physiological problem. It causes the recovery time of tissues to be completed late and the functional gains to be delayed.
The aim of the study is to investigate the effect of Complex decongestive therapy on traumatic edema, pain and functionality.
Description
Patients are composed of patients who are referred to the physical medicine and rehabilitation clinic. All patients eligible for the study were informed about treatment and possible risks, and a consent form was signed. Determined evaluations were made to the patients. After 3 weeks of treatment, patients will be invited to the controls and the long-term effects of the treatments will be investigated.
Patients with a diameter difference of more than 50 ml between two extremities and patients without Sudeck Atrophy will be included in the treatment.
The study was planned as a single blind with randomized control. The physiotherapist who performed the treatment received manual lymph drainage therapy training.
The patients were distributed to groups with a computer-based data distribution system. While the patients are sent for treatment, they are directed according to the first assessment. The person who performed the assessment and those who received treatment were planned differently.
The primary purpose of the study was to investigate the long-term effectiveness of complex decongestive therapy on traumatic edema, as well as to evaluate long-term hand functions. Other objectives are to investigate the long-term effects on range of motion, muscle strength, grip strength, pain, and daily living activities.
Eligibility
Inclusion Criteria:
- Over 45 years
- Unilateral distal radius fracture treated with plaster cast
- Begin treatment after (7-10) days after removing the plaster
- At least 50 mL of the volume difference between the upper extremities
- Having signed the consent form
Exclusion Criteria:
- Associated ulna fracture
- Pathological fracture
- polytrauma
- Bilateral fractures
- With chronic kidney disease
- The presence of infection