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Published 14 April 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.06.2008.0050]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Novel treatment (new drug/intervention; established drug/procedure in new situation)

Use of an inelastic bandage as an adaptation of the lymphatic drainage technique in lower limbs

Guilherme Fregonezi1,2, Vanessa Resqueti1, Socorro Ferreira1, Ana Paula Lima1

1 Universidade Federal do Rio Grande do Norte, Physical Therapy Department, Caixa Postal 1524 - Campus Universitário Lagoa Nova, Natal, 1524, Brazil
2 Master Program in Physical Therapy, Universidade Federal do Rio Grande do Norte

Correspondence to:
Guilherme Fregonezi, fregonezi{at}ufrnet.br

SUMMARY

The inelastic bandage is an adaptation of the manual lymphatic drainage, which substitutes the circular movements of the fingers. A patient with lymphoedema underwent 20 sessions using the modified lymphatic drainage technique. Perimetric measurements were taken before and after each session, and volumetric measurements at the first, 10th, and 20th sessions. Limb circumference was significantly reduced at three points on the perimeter (10, 15 and 25 cm): 2.5 cm (7.3%), 2.5 cm (6.5%) and 1.5 cm (5%), respectively. Volumetry decrease of 26.4% from initial limb volume was observed. The use of the inelastic bandage proved to be an effective adaptation when compared with the results using other techniques described.


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