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Identification and Impact of Standard Treatment Protocols on the Impairments and Activity Limitations Related to Lower Extremity Lymphedema

Kevin Robert Kunkel

出版	University of Miami, 2010
URL	http://books.google.com.hk/books?id=Lpe0AQAACAAJ&hl=&source=gbs_api

註釋

In Chapter 5, we discussed the clinical and health care policy implications of this research. It was determined that the standard CDT treatment protocol was not sufficient to address impairments and activity limitations other than edema in subjects with lower limb lymphedema. A comprehensive evaluation of these patients requires a traditional physical therapy examination in addition to the volume evaluation to assess the associated impairments and activity limitations. Third party payer coverage guidelines require that the patient be educated to maintain the reduction in limb volume achieved by CDT. This study found a worsening of the edema occurred 4 weeks after termination of the CDT. Policy guidelines were originally developed for individuals with upper extremity lymphedema and may need to be modified for subjects with lower limb edema because of substantial differences in the types of impairments and limitations in mobility and function that occur when the lower limb is involved.