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Evaluation of Taping in the Lymphatic System through Lymphoscintigraphy of Upper and Lower Limbs: A Case Study

Health 2019年第5期11卷 527-534页

作者： maria da glória karan marquetti Anny Chi Cristiano Ferrari Siqueira Ian Fidelis Santos IUNIR AR Ponta Grossa Brasil The Physical Therapy Course CESUFOZ Foz do Igua&#231 u Brasil Medicine UNILA Foz do Igua&#231 u Brasil Faculty of Medicine Americas Sao Paulo Brazil

Introduction: Lymphatic taping has been used extensively in several areas of physical therapy, and has been prominent in the treatment of edema. Its results are considered empirical and no study reports its effect observed by a lymphocyte count study. Purpose: To verify the performance of lymphatic taping in the lymphatic system using lymphoscintigraphy examination. Methods: A 44-year-old male patient with no clinical signs of lymphatic alteration underwent lymphoscintigraphy examination prior to and after application of lymphatic taping in the upper and lower limbs on different days of placement to verify if the use of lymphatic taping may influence the lymph flow. Results: The result was an improvement in the lymphatic flow with application of lymphatic taping only in the lower limbs, where the taping acted only for 24 hours. There was a greater amount of radiopharmaceutical extracted in the feet of the patient, comparing pre- and post-application of taping. At the foot of the left lower limb, the absorption ratio doubled. There was also improvement in the right limb, but on a smaller scale. Conclusion: Through the evaluation of the lymphatic system by lymphoscintigraphy it can be observed that the values analyzed are relatively higher when the patient has lymphatic taping applied with both 10% and 20% of tension in the lower limbs.

关键词： Taping Lymphatic System Lymphoscintigraphy

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Photodynamic Therapy in the Healing of the Areolo-Papillary Complex after Mastectomy—Case Report

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Health 2018年第3期10卷 326-333页

作者： maria da glória karan marquetti marquetti Marcus Vinícius de Mello Pinto Aline Ronis Lamara Laguardia Valente Rocha Julio Guilherme Silva Anny Chi daniel Almeida Costa Higher Education Center of Foz do Iguacu—CESUFOZ Paraná Brazil Biomedical Studies by Italian University Institute of Rosario—IUNIR Santa Fe de la Vera Cruz Argentina Celulare Institute in Itaipava Petropólis Rio de Janeiro Brazil University of Caratinga UNEC Caratinga Brazil The Master’s and PhD Program in Rehabilitation Sciences at University Center Augusto Motta—UNISUAM Rio de Janeiro Brazil Marcos Thomé Institute Ponta Grossa Paraná Brazil Center Medicine School of Higher Education of Valenca—CESVA/FAA Rio de Janeiro Brazil

Some breast reconstruction surgeries after mastectomy, or even reductive mammoplasty, may evolve unexpectedly when the areolopapillary complex heals and develop dehiscences, necrosis and delayed healing. The purpose of this case report was to verify the efficacy of photodynamic therapy in wound healing of the areolopapillary complex. This was a case report of a female patient with diabetes, fibromyalgia and diagnosed with breast cancer, with necrotic areolopapillary complex, after debridement, photodynamic therapy started with clobetasol propionate associated with methylene blue and low power laser application. At the beginning of the treatment with photodynamic therapy, the wound had 6 centimeters of diameter, and after 19 sessions, the wound was closed completely with normalization of the color of the nipple. The photodynamic therapy is advancing a lot in healing of infected wounds and complex wounds. It can be said that in this case report, photodynamic therapy was fundamental for the complete healing, being considered a promising treatment and another alternative for dermatofunctional physiotherapists.

关键词： Photodynamic Therapy Wound Healing Photomedicine

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