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Titre : | Effects of Inpatient Rehabilitation in Leg Lymphedema: A Naturalistic Prospective Cohort Study With Intra-individual Control of Effects (2023) |
Auteurs : | Felix Angst ; Thomas Benz ; Susanne Lehmann ; Peter S. Sándor ; Stephan Wagner |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 12, 2023) |
Article en page(s) : | p. 2035-2042 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.06.001 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Lymphoedeme ; Qualité de vie ; Réadaptation |
Mots-clés: | Thérapie décongestive complexe |
Résumé : | Objective To quantify therapy-attributable effects of a comprehensive inpatient rehabilitation program for lower limb lymphedema (LLL) and to compare the levels of health-related quality of life (HRQL) to population-based norms. Design Naturalistic prospective cohort study with intra-individual control of effects. Setting Rehabilitation hospital. Participants Patients with LLL (N=67; 46 women). Interventions Comprehensive, multidisciplinary inpatient rehabilitation with 45-60 hours of therapy. Main Outcome Measures Short Form 36 (SF-36) for HRQL, lymphedema-specific Freiburg Quality of Life Assessment for lymphatic disorders, Short Version (FLQA-lk), knee-specific Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), and Symptom Checklist-90Standard (SCL-90S). Observed pre/post rehabilitation effects were individually corrected by subtracting the home waiting-time effects and expressed as standardized effect sizes (ESs) and standardized response means (SRMs). Score differences to norms were quantified by standardized mean differences (SMDs). Results Participants were on average aged 60.5 years, not yet obese, and had 3 comorbidities (n=67). The greatest improvement was in HRQL on the FLQA-lk with ES=0.767/SRM=0.718, followed by improvements in pain and function with ES/SRM=0.430-0.495 on the SF-36, FLQA-lk, and KOS-ADL (all P<.001 vitality mental health emotional well-being and interpersonal sensitivity improved most by es on all measures p post rehabilitation scores were significantly higher than population norms sf-36 bodily pain general comparable the other scales. conclusions those affected lll stages ii iii benefited substantially from intervention attaining equal or levels of hrql expected compared with norms. multidisciplinary inpatient should be recommended for management.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323003519 |