Effectiveness of Digital Physiotherapy in the Short and Long-Term Management of Lower Extremity Lymphedema

Effectiveness of Digital Physiotherapy in the Short and Long-Term Management of Lower Extremity Lymphedema

This study investigated the short- and long-term effects of digital physiotherapy in patients with unilateral and bilateral lower extremity lymphedema. Limb volume and quality of life were assessed at baseline, post-treatment, and 12-week follow-up.

This study evaluated the feasibility and effectiveness of a digital physiotherapy program based on combined decongestive therapy in patients with lower extremity lymphedema. After an initial face-to-face training session on self-bandaging, self-manual lymphatic drainage, breathing exercises, and skin care, patients followed a 4-week digital physiotherapy program with remote supervision. Compression stockings were used during the maintenance phase. Limb volume was measured using circumference method. Quality of life was assessed with the Lymphoedema functioning, disability and health questionnaire questionnaire. Assessments were repeated post-treatment and at 12-week follow-up.

Inclusion Criteria:

• Diagnosed with unilateral lower extremity lymphedema (either primary or secondary)
• Patients aged 18 years or older

Exclusion Criteria:

• Presence of metastatic disease
• History of coronary heart disease, pulmonary disease, or acute infection of any cause
• Presence of peripheral neuropathy