Complex decongestive physiotherapy decreases capillary fragility in lipedema

Gyözö Szolnoky, N. Nagy, R. K. Kovács, É Dósa-Rácz, A. Szabó, K. Bársony, M. Balogh, L. Kemény

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Lipedema is a disproportional obesity featuring frequent hematoma formation due to even minor traumatic injuries. On the basis of clinical observations, complete decongestive physiotherapy diminishes the incidence of hematomas due to minor injuries beyond leg volume reduction. Hematoma development may be caused by altered capillary resistance (CR) or altered capillary fragility (CF). We measured capillary fragility (CF) before and after complex decongestive physiotherapy (CDP) to examine, whether CDP could reduce CF. 38 women with lipedema were included in the study. Twenty-one (21) patients were treated with CDP and 17 using exclusively moisturizers as the control group. CDP comprised once daily manual lymph drainage, intermittent pneumatic compression and multilayered short-stretch bandaging performed throughout a 5-day-course. CF was evaluated with the vacuum suction method (VSM) using Parrot's angiosterrometer in both groups. Decongestive therapy resulted in a significant reduction of the number of petechiae while no change was detected within the control group. Complete decongestive physiotherapy significantly reduced CF in patients with lipedema and this reduction may lead to reduced hematoma formation.

Original languageEnglish
Pages (from-to)161-166
Number of pages6
JournalLymphology
Volume41
Issue number4
Publication statusPublished - Dec 2008

Fingerprint

Capillary Fragility
Hematoma
Leg Injuries
Capillary Resistance
Parrots
Control Groups
Purpura
Suction
Lymph
Vacuum
Drainage
Obesity
Lipedema
Incidence
Wounds and Injuries

Keywords

  • Angiosterrometry
  • Capillary fragility
  • Capillary resistance
  • Complex decongestive physiotherapy
  • Lipedema

ASJC Scopus subject areas

  • Immunology and Allergy
  • Hematology

Cite this

Szolnoky, G., Nagy, N., Kovács, R. K., Dósa-Rácz, É., Szabó, A., Bársony, K., ... Kemény, L. (2008). Complex decongestive physiotherapy decreases capillary fragility in lipedema. Lymphology, 41(4), 161-166.

Complex decongestive physiotherapy decreases capillary fragility in lipedema. / Szolnoky, Gyözö; Nagy, N.; Kovács, R. K.; Dósa-Rácz, É; Szabó, A.; Bársony, K.; Balogh, M.; Kemény, L.

In: Lymphology, Vol. 41, No. 4, 12.2008, p. 161-166.

Research output: Contribution to journalArticle

Szolnoky, G, Nagy, N, Kovács, RK, Dósa-Rácz, É, Szabó, A, Bársony, K, Balogh, M & Kemény, L 2008, 'Complex decongestive physiotherapy decreases capillary fragility in lipedema', Lymphology, vol. 41, no. 4, pp. 161-166.
Szolnoky G, Nagy N, Kovács RK, Dósa-Rácz É, Szabó A, Bársony K et al. Complex decongestive physiotherapy decreases capillary fragility in lipedema. Lymphology. 2008 Dec;41(4):161-166.
Szolnoky, Gyözö ; Nagy, N. ; Kovács, R. K. ; Dósa-Rácz, É ; Szabó, A. ; Bársony, K. ; Balogh, M. ; Kemény, L. / Complex decongestive physiotherapy decreases capillary fragility in lipedema. In: Lymphology. 2008 ; Vol. 41, No. 4. pp. 161-166.
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