| Project/Area Number |
18500421
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Rehabilitation science/Welfare engineering
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| Research Institution | Keio University |
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Principal Investigator |
TSUJI Testuya Keio University, School of Medicine, Assistant professor (90245639)
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| Co-Investigator(Kenkyū-buntansha) |
LIU Meigen Keio University, School of Medicine, Professor (60146701)
ISHIKAWA Aiko Keio University, School of Medicine, Instructor (10348774)
村岡 香織 慶應義塾大学, 医学部, 助手 (40327648)
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| Project Period (FY) |
2006 – 2007
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| Project Status |
Completed (Fiscal Year 2007)
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| Budget Amount *help |
¥3,110,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥210,000)
Fiscal Year 2007: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2006: ¥2,200,000 (Direct Cost: ¥2,200,000)
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| Keywords | malignant tumor / Lympheclema / breast cancer / Uterine Cancer / Complex decongestive physiotherapy(CDP) / lymph node dissection / ultrasound echo / lymph drainage therapy / 婦人科癌 / バンデージ |
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| Research Abstract |
PURPOSE:
Multilayered, low stretch compression bandaging (MLB) combined with exercises, skin care, and manual lymphatic drainage therapy are recommended as an intensive phase of treatment for lymphedema patients. The relative efficacy of each of the components of this comprehensive treatment program have not been determined.
The purpose of this study is to compare the effect of MLB and hosiery (elastic stocking or sleeve).
METHODS :
A retrospective case- control study was undertaken in the setting of the lymphedema Clinic, the Keio University Hospital, Tokyo. Fifty- one women with lymphedema of the upper or lower limbs were enrolled. The interventions consisted of 30 days of MLB alone. MLB followed by hosiery, or hosiery alone. The main outcome measure was the reduction in circumference of limb.
RESULTS :
The circumference of upper limb tended to decrease in MLB alone (N=4) but had no change in hosiery alone (N=2). The circumference of lower limb significantly decreased in MLB alone (N=14) and MLB followed by hosiery (N=17), but there was no significant change in hosiery alone (N=14).
CONCLUSIONS :
MLB alone and MLB followed by hosiery as an initial phase of treatment for lymphedema patients achieves greater and more sustained limb volume reduction than hosiery alone.
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