title: Mobilization of fluids in large volumetric reductions during intensive treatment of leg lymphedema.
abstract: OBJECTIVE
  The aim of the current study was to evaluate fluid mobilization during the intensive treatment of leg lymphedema.
  
  
  METHODS
  The mobilization of intracellular and extracellular fluids in the lower and upper extremities and trunk was evaluated with the intensive treatment of leg lymphedema in a prospective study. Mobilization of fluids was assessed by bioelectrical impedance using the InBody S10 device in ten patients with leg lymphedema, regardless of the cause. Treatment consisted of six to eight hours per day of Manual Lymphatic Therapy (Godoy & Godoy technique), Mechanical Lymphatic Therapy (RAGodoy device®) and a non-elastic cotton-polyester stocking.
  
  
  CONCLUSIONS
  A significant reduction in total water was observed for the lymphedematous limb, but with an increase in intracellular water of from 59% to 61%. Additionally, total water increases were observed in the limbs without lymphedema and in the trunk. There was an increase in total intracellular water of the extremities and trunk, but without any change in the extracellular water. In high-volume reductions during lymphedema treatment, fluids are displaced from the lymphedematous limb to extremities without lymphedema and to the trunk.
authors.affiliation: Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto FAMERP, Brazil. godoyjmp@gmail.com
authors.forename: J M
authors.initials: JM
authors.lastname: Pereira De Godoy
authors.forename: P A
authors.initials: PA
authors.lastname: Franco Brigidio
authors.forename: S X
authors.initials: SX
authors.lastname: Salles Cunha
authors.forename: F
authors.initials: F
authors.lastname: Batigália
authors.forename: M
authors.initials: M
authors.lastname: De Fatima Guerreiro Godoy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001823:Body Composition; D001834:Body Water / Q000378:metabolism*; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D017097:Electric Impedance; D005260:Female; D018495:Fluid Shifts; D006801:Humans; D035002:Lower Extremity; D008209:Lymphedema / Q000175:diagnosis / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D012720:Severity of Illness Index; D053828:Stockings, Compression; D013997:Time Factors; D016896:Treatment Outcome; D034941:Upper Extremity; D055815:Young Adult