Godoy &amp; Godoy Compression Sleeve in the Treatment of Arm Lymphedema: New Concepts for Materials

Godoy, José María Pereira de; Godoy, Ana Carolina Pereira de

doi:10.1590/s1516-89132015060286

Cited by 10 publications

(5 citation statements)

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“…Foi avaliada pela bioimpedância (InBody S10 body composition analyzer -BioSpace, Seoul, Korea) e volumetria (técnica de deslocamento de água). Foi proposto um tratamento intensivo de três dias consecutivos durante 6 horas diárias com o uso de braçadeira de gorgorão, 3 Terapia Linfática Manual(TLM) 6 e Terapia Linfática Mecânica para membro superior -TLM-MS( RA Godoy) e Terapia Linfática Cervical: (estímulos cervicais). 7 No primeiro dia de tratamento, teve redução da parestesia, que permaneceu só na mão de forma contínua; no segundo dia, a dor havia diminuído para a intensidade sete (Escala de Dor) e, no terceiro dia, a dor diminuiu para intensidade cinco (Escala de Dor).…”

Section: Apresentação Do Casounclassified

“…Autores observaram que esses procedimentos lesam o sistema linfático e prejudicam a drenagem de proteínas e macromoléculas no interstício celular, acarretando o aumento do volume do membro. 3 Nos últimos anos, novas opções como a Terapia Linfática Mecânica (RAGodoy), com dispositivos que utilizam a atividade muscular passivo, exercícios miolinfocinéticos, Terapia Linfática Manual, mecanismos de compressão (braçadeiras e bandagens), cuidados higiênicos, nutricionais e psicológicos são sugeridos no tratamento de linfedema. 4,5 O objetivo do presente estudo é relatar o tratamento intensivo do linfedema, após câncer de mama, em paciente com perda da força muscular do membro.…”

Section: Introductionunclassified

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Intensive treatment of breast cancer-related lymphedema in patients with neurological injuries

Godoy¹,

Libanor²,

Pinto

et al. 2013

Acta Fisiátrica

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O objetivo do presente estudo é relatar o tratamento intensivo do linfedema, após câncer de mama, em paciente com perda da força muscular do membro. Relata-se o caso de uma paciente de 51 anos de idade, que evoluiu com linfedema pós-tratamento do câncer de mama, com mastectomia + esvaziamento axilar + quimioterapia e radioterapia. Após procurar a Clínica Godoy para tratamento em agosto de 2012, foi avaliada com a bioimpedância e volumetria inicial e diária. Realizou tratamento intensivo durante três dias consecutivos, por um período de 6 horas, com Terapia Linfática Manual, Terapia Linfática Mecânica (RA Godoy®) e uso de braçadeira de gorgorão, sendo feitos ajustes diários. Na avaliação inicial, apresentava dor de intensidade 10 (Escala de Dor), parestesia em todo o braço e uma diferença de volume total do edema de 577g em relação ao membro contra-lateral. No primeiro dia de tratamento obteve redução da parestesia com o uso da braçadeira de gorgorão e Terapia Linfática Mecânica; no segundo dia, a dor havia diminuído para a intensidade sete (Escala de Dor); no terceiro dia, a dor diminuiu para intensidade cinco (Escala de Dor) e a diferença de volume total do edema passou a ser de 193g. A paciente retornou para sua casa mantendo as mesmas recomendações e tratamento propostos na clínica. O acompanhamento é feito com avaliações de rotina e orientações sobre a importância do uso da braçadeira de gorgorão e drenagem linfática mecânica.

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Section: Apresentação Do Casounclassified

Section: Introductionunclassified

Intensive treatment of breast cancer-related lymphedema in patients with neurological injuries

Godoy¹,

Libanor²,

Pinto

et al. 2013

Acta Fisiátrica

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“…The researchers have developed novel manual and mechanical lymphatic drainage methods that enable the significant mobilization of macromolecules, thereby affecting the physiopathology of lymphedema [4, 5]. Another novel concept was compression stockings and braces made of grosgrain fabric, which allow a reduction in volume and the maintenance of the results [6]. Intensive, multidisciplinary treatments (eight hours per day) are other accomplishments that enable an approximately 50% reduction in volume in the first five days of treatments [3].…”

Section: Introductionmentioning

confidence: 99%

Elephantiasis and Directed Occupational Rehabilitation

Godoy

Godoy³

et al. 2019

Case Reports in Vascular Medicine

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The aim of the present study was to demonstrate the cure of elephantiasis over a ten-year follow-up period and novel discoveries with directed occupational rehabilitation. A 66-year-old female patient with a history of bilateral lower limb lymphedema reported the aggravation of the condition over the years, reaching stage III (elephantiasis). The physical examination confirmed elephantiasis. The circumference of the left lower limb was 106 cm. Her body weight was 106 kilograms, height was 160 cm, and the body mass index (BMI) was 41.6 kg/m2. The patient was submitted to intensive treatment for three weeks, which led to a 21-kg reduction in weight and 66 cm reduction in leg circumference. Ten years after treatment, the patient has maintained the results with the compression stockings. Elephantiasis can be cured, although lymphedema cannot. The cure of elephantiasis depends on maintaining the treatment of lymphedema after normalization or near normalization. Directed occupational therapy stimulates the search for new activities and a life closer to normality.

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“…Another contribution is the development of a stocking made of grosgrain fabric that can be used for upper and lower limbs. Grosgrain is inelastic but generates a significant resting pressure [ 7 ]. An intensive form of outpatient therapy (6–8 hours/day) has been proposed that can reduce about 50% of the lymphedema volume within five days [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas

Godoy

Marqui

et al. 2018

The Scientific World Journal

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Background Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids. Aim The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary lymphedemas. Method Thirty-three patients with severe leg lymphedema who underwent intensive treatment for five consecutive days in 2013 and 2014 at the Clínica Godoy were evaluated in a prospective clinical trial. Diagnosis was based on the patient's history and physical examination. Treatment consisted of eight hours/day of Mechanical Lymphatic Therapy using an electromechanical device (RAGodoy®) that performs plantar flexion and extension associated with 15 minutes of Cervical Lymphatic Therapy, a technique developed by Godoy and Godoy that involves stimulation in the cervical region and a grosgrain compression stocking alternated with elastic bandages. The unpaired t-test and Fisher's exact test were used for statistical analysis with an alpha error of 5% (p value < 0.05) being considering acceptable. Secondary lymphedema was more prevalent in women (Fisher exact test p value < 0.01). Results The age of patients with secondary lymphedema was greater than those with primary lymphedema (unpaired t-test: p value < 0.03). The mean volume losses were 64.62% and 48.35% for the patients with secondary and primary lymphedema, respectively (p value < 0.03). Conclusion Women are more prevalent and older in the secondary lymphedema group. Volumetric reductions below the knee are faster with intensive treatment for secondary rather than for primary lymphedema.

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Godoy & Godoy Compression Sleeve in the Treatment of Arm Lymphedema: New Concepts for Materials

Abstract: The aim of this work was to study on a new low-elastic textile that fulfilled the criteria of fabrics for the

Cited by 10 publications

References 14 publications

Intensive treatment of breast cancer-related lymphedema in patients with neurological injuries

Intensive treatment of breast cancer-related lymphedema in patients with neurological injuries

Elephantiasis and Directed Occupational Rehabilitation

Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas

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