Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/12257 |
Resumo: | Recently, the manual lymphatic drainage (MLD) is an important resource in the treatment of edemas, lymphedemas, and other unaesthetic conditions. However, problems caused by the incorrect application of this therapy have been observed in the clinical practice. The aims of this case report were to describe sequelae resulting from the negligent application of MLD on a young patient, and to determine the effects of physical therapy on the treatment of sequelae. A 27-year-old Caucasian woman presented with a large ecchymosis (28 x 9.5 cm) on the outer side of the left thigh, telangiectasias, micro varicose veins, and petechiae on the legs and thighs, intense pain, and edema, after undergoing an incorrect manual procedure for aesthetic purposes two days earlier. Physical therapy consisted of ultrasound application (3 MHz, pulsed mode, 20% duty cycle, SATP intensity of 0.4 W/cm²) to the ecchymosis site and MLD (Leduc method) for 20 minutes on the left thigh. The patient underwent nine physical therapy sessions until discharge from the hospital 16 days after injury. The effectiveness of physiotherapy intervention was verified in only some of the consequences caused by iatrogenic, without disregarding that the spontaneous remission of signs symptoms can have contributed to such fact. The study emphasizes the importance of awareness among physical therapists who work with this procedure to apply it appropriately in order to avoid such conditions. |
id |
USP-9_94b8bb04be86158d0e95d927f769fe03 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/12257 |
network_acronym_str |
USP-9 |
network_name_str |
Fisioterapia e Pesquisa |
repository_id_str |
|
spelling |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report Intervenção fisioterapêutica nas sequelas de drenagem linfática manual iatrogênica: relato de caso sistema linfáticomassagemdoença iatrogênicaterapia por ultrassomestéticaLymphatic systemmassageiatrogenic diseaseultrasonic therapyesthetics Recently, the manual lymphatic drainage (MLD) is an important resource in the treatment of edemas, lymphedemas, and other unaesthetic conditions. However, problems caused by the incorrect application of this therapy have been observed in the clinical practice. The aims of this case report were to describe sequelae resulting from the negligent application of MLD on a young patient, and to determine the effects of physical therapy on the treatment of sequelae. A 27-year-old Caucasian woman presented with a large ecchymosis (28 x 9.5 cm) on the outer side of the left thigh, telangiectasias, micro varicose veins, and petechiae on the legs and thighs, intense pain, and edema, after undergoing an incorrect manual procedure for aesthetic purposes two days earlier. Physical therapy consisted of ultrasound application (3 MHz, pulsed mode, 20% duty cycle, SATP intensity of 0.4 W/cm²) to the ecchymosis site and MLD (Leduc method) for 20 minutes on the left thigh. The patient underwent nine physical therapy sessions until discharge from the hospital 16 days after injury. The effectiveness of physiotherapy intervention was verified in only some of the consequences caused by iatrogenic, without disregarding that the spontaneous remission of signs symptoms can have contributed to such fact. The study emphasizes the importance of awareness among physical therapists who work with this procedure to apply it appropriately in order to avoid such conditions. Atualmente, a drenagem linfática manual (DLM) é um dos recursos de grande destaque no tratamento de edemas, linfedemas e condições inestéticas, porém, na prática clínica têm-se observado sua aplicação de forma iatrogênica. Os objetivos deste relato de caso foram apontar as sequelas da aplicação iatrogênica da DLM, em uma jovem caucasiana, e verificar os efeitos da intervenção fisioterapêutica no tratamento dessas. Voluntária de 27 anos, apresentava-se com uma equimose importante na região lateral da coxa esquerda (28 x 9,5 cm), telangiectasias, microvaricosidades e petéquias em ambas as coxas e pernas, dor de forte intensidade e edema, após ter se submetido a um procedimento manual iatrogênico com finalidade estética há dois dias. As condutas fisioterapêuticas adotadas foram: Ultrassom 3 MHz, pulsado (2 ms on, 8 ms off), 0,4 W/cm² SATP na região da equimose e DLM (Método Leduc) durante 20 minutos, na coxa esquerda. Foram realizadas nove sessões até a alta no 16º dia pós-lesão, observando-se apenas a redução gradativa da dor e da equimose. Verificou-se a efetividade da intervenção fisioterapêutica em apenas algumas das sequelas provocadas pela iatrogenia, sem desconsiderar que a remissão espontânea dos sinais e sintomas também pode ter contribuído para tal. Destaca-se a importância de conscientizar os fisioterapeutas que atuam com este procedimento para que o aplique de forma adequada, evitando tais iatrogenias. Universidade de São Paulo. Faculdade de Medicina2011-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/1225710.1590/S1809-29502011000200015Fisioterapia e Pesquisa; Vol. 18 No. 2 (2011); 188-194 Fisioterapia e Pesquisa; Vol. 18 Núm. 2 (2011); 188-194 Fisioterapia e Pesquisa; v. 18 n. 2 (2011); 188-194 2316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/12257/14034Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessTacani, Rogério EduardoTacani, Pascale MuttiLiebano, Richard Eloin2012-05-13T16:06:37Zoai:revistas.usp.br:article/12257Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2012-05-13T16:06:37Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report Intervenção fisioterapêutica nas sequelas de drenagem linfática manual iatrogênica: relato de caso |
title |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report |
spellingShingle |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report Tacani, Rogério Eduardo sistema linfático massagem doença iatrogênica terapia por ultrassom estética Lymphatic system massage iatrogenic disease ultrasonic therapy esthetics |
title_short |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report |
title_full |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report |
title_fullStr |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report |
title_full_unstemmed |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report |
title_sort |
Physical therapy in sequelae of iatrogenic manual lymphatic drainage: a case report |
author |
Tacani, Rogério Eduardo |
author_facet |
Tacani, Rogério Eduardo Tacani, Pascale Mutti Liebano, Richard Eloin |
author_role |
author |
author2 |
Tacani, Pascale Mutti Liebano, Richard Eloin |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Tacani, Rogério Eduardo Tacani, Pascale Mutti Liebano, Richard Eloin |
dc.subject.por.fl_str_mv |
sistema linfático massagem doença iatrogênica terapia por ultrassom estética Lymphatic system massage iatrogenic disease ultrasonic therapy esthetics |
topic |
sistema linfático massagem doença iatrogênica terapia por ultrassom estética Lymphatic system massage iatrogenic disease ultrasonic therapy esthetics |
description |
Recently, the manual lymphatic drainage (MLD) is an important resource in the treatment of edemas, lymphedemas, and other unaesthetic conditions. However, problems caused by the incorrect application of this therapy have been observed in the clinical practice. The aims of this case report were to describe sequelae resulting from the negligent application of MLD on a young patient, and to determine the effects of physical therapy on the treatment of sequelae. A 27-year-old Caucasian woman presented with a large ecchymosis (28 x 9.5 cm) on the outer side of the left thigh, telangiectasias, micro varicose veins, and petechiae on the legs and thighs, intense pain, and edema, after undergoing an incorrect manual procedure for aesthetic purposes two days earlier. Physical therapy consisted of ultrasound application (3 MHz, pulsed mode, 20% duty cycle, SATP intensity of 0.4 W/cm²) to the ecchymosis site and MLD (Leduc method) for 20 minutes on the left thigh. The patient underwent nine physical therapy sessions until discharge from the hospital 16 days after injury. The effectiveness of physiotherapy intervention was verified in only some of the consequences caused by iatrogenic, without disregarding that the spontaneous remission of signs symptoms can have contributed to such fact. The study emphasizes the importance of awareness among physical therapists who work with this procedure to apply it appropriately in order to avoid such conditions. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12257 10.1590/S1809-29502011000200015 |
url |
https://www.revistas.usp.br/fpusp/article/view/12257 |
identifier_str_mv |
10.1590/S1809-29502011000200015 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12257/14034 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 18 No. 2 (2011); 188-194 Fisioterapia e Pesquisa; Vol. 18 Núm. 2 (2011); 188-194 Fisioterapia e Pesquisa; v. 18 n. 2 (2011); 188-194 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
_version_ |
1787713738312253440 |