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Query: UMLS:C0235886 (leg edema)
 674 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Because electromagnetic diathermia (ED) has been reported to reduce lymphedema, we opted to examine the effects of ED on leg venous and lymph dynamics in healthy subjects. To examine lymph flow, we performed lymphangioscintigraphy (LAS) in 10 subjects without leg edema and used static images at the injection site and at the inguinal region for "control data." Later, we applied ED (2450 MHz, 200W) and then repeated the LAS using the same dosage and volume. Differences between the first and second sessions were examined using two way ANOVA and the differences between the scores with or without ED were analyzed by a Student's t-test. To examine venous flow, we first tested the left lower leg of 15 healthy subjects on two occasions using light reflection rheography (LRR). Venous refill time was recorded after each individual performed 10 dorsiflexions with the left foot on three occasions with an interval of 3 minutes between each recording. Thereafter, 20 minutes ED (2450 MHz, 200 W) was applied and using the same protocol venous refill time was recorded and repeated after an interval of one week. The 20% level and the declination angle of the refill time was determined and differences between the experimental and control groups analyzed by ANOVA. The results between the first and second sessions were consistent and reproducible with or without the electromagnetic application, with no change of radiotracer transport from the injection site or arrival at the inguinal nodes. There was also a high correlation between the scores for the 50% level and declination angle (r = 0.97) after LRR. Thus, after ED there was an accelerated venous refill time. In conclusion, after ED there was no increase in lymph flow but there was accelerated venous return.
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PMID:Electromagnetic diathermia: a lymphoscintigraphic and light reflection rheographic study of leg lymphatic and venous dynamics in healthy subjects. 1076 11

Ultrasound therapy can be utilized to manage chronic wounds, including venous leg ulcers (VLUs). A randomized, controlled clinical study was conducted to compare the effectiveness of standard treatment and standard treatment plus either high-frequency ultrasound (HFU) or noncontact low-frequency ultrasound (NCLFU) on VLU outcomes. Ninety (90) outpatients (47 men, 43 women, average age 38.3 [SD 11.5] years) were randomized into the standard care (n = 30), HFU (n = 30), or NCLFU group (n = 30). Standard care included multilayered compression bandaging (40 mm Hg of pressure at the ankle graduated to 17 mm Hg to 20 mm Hg below the knee), nonadherent dressing, and regular debridement. Standard care dressing changes and ultrasound therapy were provided three times per week for 3 months or until healed. HFU delivers high-intensity (0.5-1 W/cm2), high-frequency (1-3 MHz) ultrasound for 5 to 10 minutes; and NCLFU delivers low-intensity (0.1-0.8 W/cm2), low-frequency (40 kHz) ultrasound for 4-10 minutes. After 3 months, patients continued to be followed until healed. Wound size, wound pain, and lower leg edema were assessed at baseline and after 2 and 4 months. Data were analyzed using Student's t-test, ANOVA, chi-square, or Fisher's exact test. P <0.05 was considered significant. Initial wound measurements were 9.60 cm2 (SD 5.54), 9.86 cm2 (SD 3.95), and 10.01 cm2 (SD 4.58) for the standard treatment, HFU, and NCLFU groups, respectively; after 4 months, measurements were 4.28 cm2 (SD 2.80), 3.23 cm2 (SD 2.39), and 2.72 cm2 (SD 2.16), a statically significant difference (P = 0.04). All wounds were healed after an average of 8.50 (SD 2.17), 6.86 (SD 2.04), and 6.65 (SD 1.59) months in the standard treatment, HFU, and NCLFU groups, respectively (P = 0.001). Differences in the amount of edema and pain rating scores were also significant at the 4-month, follow-up visit (P <0.05). Outcomes of both methods of ultrasound therapy were better than standard care alone, and some differences between the two ultrasound therapy groups were observed, but they were not statistically significant.
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PMID:High-frequency and noncontact low-frequency ultrasound therapy for venous leg ulcer treatment: a randomized, controlled study. 2393 72