title: [Conservative lymphedema therapy - lymphological rehabilitation treatment].
abstract: The most important column in the conservative lymphedema therapy still represents the complex decongestive physical therapy/KPE.This is a multimodal therapy, which consists of four components. (1) skin restoration and/or skin care, (2) manual lymphatic drainage, (3) compression therapy and (4) decongestive exercises. The KPE is also divided into two phases. Phase 1-the decongestion-serves primarily the mobilization and transporting away the banked protein-rich oedema fluid and seamless transition into the Phase 2-the maintenance phase, which serves to preserve the achieved treatment success. The implementation of the KPE should be stage-adjusted, but depends also on the location (genital, head, face), and on co-existing comorbidities (congestive heart failure, diabetes mellitus, obesity, muscular-skeletal disorders, mental illness, etc.). It should be modified for children, elderly persons and for patients with malignant lymphedema.
authors: FA f. physikalische Medizin und allgemeine Rehabilitation, LKH Wolfsberg, Zentrum für Lymphologie - Physikalische Medizin und allgemeine Rehabilitation, Paul Hackhoferstrasse 9, 9400 Wolfsberg, Österreich. gert.apich@lkh-wo.at
authors: Gert
authors: G
authors: Apich
mesh_terms: D000359:Aftercare; D000553:Ambulatory Care; D003131:Combined Modality Therapy; D058128:Compression Bandages; D004322:Drainage / Q000379:methods; D006801:Humans; D008209:Lymphedema / Q000209:etiology / Q000534:rehabilitation*; D026201:Musculoskeletal Manipulations / Q000379:methods; D010343:Patient Admission; D026741:Physical Therapy Modalities; D017592:Skin Care / Q000379:methods
references: Dermatol Surg. 2008 May;34(5):600-9
references: 18261106