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ACTA PHLEBOLOGICA

A Journal on Phlebology


Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2017 December;18(3):97-101

DOI: 10.23736/S1593-232X.17.00391-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Synergistic effect of edema reduction by frequent adjustment of non-elastic stockings

José M. PEREIRA de GODOY 1 , Ana C. PEREIRA de GODOY 2, 3, Maria de FATIMA GUERREIRO GODOY 3, 4

1 Department of Cardiology and Cardiovascular Surgery, Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil; 2 Department of Pediatrics, Faculty of Medical Sciences of Santa Casa de São Paulo, São José do Rio Preto, Brazil; 3 Godoy Clinic, São José do Rio Preto, Brazil; 4 Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil


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BACKGROUND: The objective of the current study was to evaluate the importance of frequent adjustments of grosgrain (non-elastic) stockings for constant reductions in the volume of lymphedematous limbs.
METHODS: Five male and ten female patients with lower limb lymphedema of any etiology treated in the Godoy Clinic were enrolled in this study. The ages of the participants ranged from 16 to 69 years (mean: 42.5 years). Changes in edema were assessed by bioelectrical impedance. Patients were randomly allocated to one of three groups: the compression stocking was checked and adjusted every week (Group I), every fortnight (Group II) or every month (Group III). Patients with infections, limited joint mobility or allergies to the stockings were excluded.
RESULTS: A significant volume reduction was detected with weekly and fortnightly adjustments (P=0.01 and P=0.02, respectively) but not with monthly adjustments. Although, there was no significant difference on comparing sequential mean reductions between the three groups (the first measurement for each group), on comparing the treatment time, the reduction was greater over one month with weekly adjustments than with monthly reductions.
CONCLUSIONS: More frequent adjustments of the stockings increase their synergistic effect in reducing edema, but stockings are more comfortable with less frequent adjustments.


KEY WORDS: Compression stockings - Lymphedema - Treatment outcome

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Publication History

Issue published online: March 19, 2018
Manuscript accepted: November 30, 2017
Manuscript received: July 8, 2017

Cite this article as

Pereira de Godoy JM, Pereira de Godoy AC, de Fatima Guerreiro Godoy M. Synergistic effect of edema reduction by frequent adjustment of non-elastic stockings. Acta Phlebol 2017;18:97-101. DOI: 10.23736/S1593-232X.17.00391-5

Corresponding author e-mail

godoyjmp@gmail.com