effectiveness of occupational therapy interventions to treat edema asot 2014 vision in action...
TRANSCRIPT
Effect iveness Of Occupat ional Therapy Intervent ions To Treat Edema
ASOT 2014 VISION IN ACTION CONFERENCE
Lauren Ehal t , OTS
January 24 t h , 2014
Objectives
What is edema?How edema limits occupational performance?Interventions used to treat edemaWhat does the evidence say?Practicality of interventionsFieldwork experienceOverall implicationQuestions?
Edema
Edema is swelling caused by fluid retention trapped in the body’s tissue.
Swelling caused by edema commonly occurs in the hands, arms, ankles, legs, and feet.
Classified using edema pitting scale
How it is measured?
How edema affect occupational performance?
Edema can affect ROM, pain tolerance , and overall mobility/function
This can limit a persons ability to complete their own ADL’s and everyday tasks such as kitchen tasks and pet responsibilities
This can impede a person’s ability to return to work
Interventions to Treat Edema
Traditional Elevation Light Retrograde
Massage Compression
Garments (tubi-grip and compression glove/sleeve)
ROM Program Splints
Untraditional Manual Lymph
Drainage Modified Manual
Edema Mobilization (MEM)
Continuous Passive Motion Device
High Voltage Pulsed Current (TENS)
Intermittent Pneumatic Compression
Kinesiotape
What does the evidence show?
Consensus among Occupational therapists Jackson, T., Van
Teijlingen, & Bruce, J. (2012).
Decrease in edema Noted with all articles
but data not significant Could be from small
sample size or duration of treatment/intervention
What does the evidence show?
Decrease in pain Knygsand-Roenhoej,
K., & Maribo, T. (2011)
Priganc, V., & Ito, M. (2008).
Overall perception of disability and quality of life Bongi, S. M., Del Rosso,
A., Passalacqua, M., Miccio, S. and Cerinic, M. M. (2011)
Symptom severity and function Schmid, A. B., Elliott, J.
M., Strudwick, M. W., Little, M., & Coppieters, M. W. (2012)
What does the evidence say?
Traditional and untraditional interventions show decrease in edema, but data not significant
All evidence showed edema secondary to stroke, surgery, trauma, etc.
Small sample sizesLength of treatment and durationVolumetric vs. Circumferential measurementsComparison between interventionsPracticality of interventions
Fieldwork Experience
St. Vincents Patient education, compression garments,
elevation, and manual lymph drainage
Southern Indiana Rehab Hospital Compression glove, tubi-grip, kinesiotape,
elevation and positioning, patient education
Overall Implications
Arrangement/Collaboration of interventions to treat edema
Preparatory activities leading to occupation based
Change research criteriaContinued research
Kinesiotape?
