Lymphatic Disease, Venous Insufficiency, Venous Leg Ulcer
Conditions
Brief summary
In venous ulcer, venous insufficiency is accompanied by lymphatic insufficiency. Manual lymphatic drainage (mld) technique cause to increase contraction rate of lymphatic collector and venous flow. It is known that Manual lymphatic drainage accelerates microcirculation, enabling nutrients and oxygen to reach tissues and at the same time removing residual substances from the tissue. We hypothesis that if we inrease to lypmhatic activity with MLD, we could stimulate healing of ulcer. The aim of this study to investigate the effect of manual lymphatic drainage on venous ulcer healing.
Interventions
MLD vith vodder technique was applied to leg
OTHERSkin Care
Wound was cleaned with salin and covered by dressing without including active products
OTHERExercise
breathing and foot pump exercise was prescribed
OTHERShame Manual Lymphatic drainage
manual lymphatic drainage was applied with light touch instead of real mld techniques
Sponsors
Istanbul Health Sciences University
Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
prospective randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* with venous ulcer unhealing for at least 6 weeks * Without enfection * vascular surgery is not indicated * There is no obstruction to apply MLD and compression to lower extremty
Exclusion criteria
* with diabetic mellutus * with enfection * with ABI\<0,7 * Patients who have undergone venous vascular surgery * Patients undergoing active wound closure treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of wound healing | Change from baseline wound healing following the end of treatment (12. treatment session) and 1 month after the end of treatment. | Wound was assesed by analyzing photographes of wound with Tracker software. |
| Evaluation of range of motion of ankle | Change from baseline range of motion following the end of treatment (12. treatment session) and 1 month after the end of treatment. | range of motion of ankle was measured with goniometer |
| Evaluation of pain | Change from baseline pain following the end of treatment (12. treatment session) and 1 month after the end of treatment. | Pain was evaluated by Visual Analog Scale between 0 (no pain)-10 (extreme) pain. |
| evaluation of edema | Change from baseline edema following the end of treatment (12. treatment session) and 1 month after the end of treatment. | edema was measured by 3D scanner |
| evaluation of quality of life | Change from baseline quality of life following scores the end of treatment (12. treatment session) and 1 month after the end of treatment. | quality of life was evaluated by SF- 12 |
Countries
Turkey (Türkiye)
Outcome results
None listed