Tag: obrzęk

Medical massage as a rational treatment following facial skeleton surgery

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka, Marek Kiljański

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka, Marek Kiljański – Medical massage as a rational treatment following facial skeleton surgery. Fizjoterapia Polska 2007; 7(1); 87-92

Abstract

The main aim of postoperative management following surgery of the facial skeleton is to prevent potential postoperative complications. As a result of disruption of the continuity of tissue, there is swelling within the operated area, as well as subcutaneous extravasation of blood and hyperaesthesia of facial skin. The authors have developed an approach to reduce or completely eliminate those inconveniences and thus shorten convalescence time using medical massage. Initially, normal superficial sensitivity of facial skin is restored by stroking from the medial line of the face towards the ear concha, starting from the lower jaw line and ending in the forehead. Next, the peristaltic movement in lymphatic vessels diverting lymph within the head and neck is stimulated by moving the skin over deeper lying tissues within the physiological range of skin mobility. Circular movements are made with a brush for 2-4 min., and slight pressure is applied to the skin over the haematoma area in order to accelerate the resorption of subcutaneous discoloration ensuing from extravasation of blood. The last stage of the treatment is aimed at reducing pain and tenderness in the operated area. We use vibration of < 1 mm amplitude and frequency of 50-100 Hz, which guarantees analgesia for 2-3 hours. The treatment reduces postoperative discomfort afflicting patients already during the first 24 hours after surgery.

Key words:
massage therapy, oedema, hypersensitivity
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Efficacy of medical massage after facial skeleton surgery

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka – Efficacy of medical massage after facial skeleton surgery. Fizjoterapia Polska 2007; 7(4); 425-430

Abstract
Background. Appropriate physical therapy procedures, including medical massage, can be used as a therapeutic adjunct inpatients after facial skeleton surgery. Material and methods. 18 patients hospitalised for facial skeleton surgery participated in the study. The age range was 19-52 years. All patients had lymphoedema and dysaesthesia with hyperaesthesia. Blood extravasations were noted in two patients. The mean extent of oedema on the operated side was 120% compared to the healthy side and the mean intensity of pain was 5.6 degrees. Massage was performed every day (on average 4-5 procedures, 15 min. each), beginning during the first 24 hours after surgery and continuing until discharge. Changes in the size of oedema and haematoma were assessed together with any changes in the intensity of pain. The assessments were based on photographic documentation and an 11-degree scale of pain intensity. Changes in the size of swelling were measured with two scales: absolute (measured from the base of the nose to the point of maximum oedema, before and after the procedure) and relative (only the change in swelling was measured). Results. Mean oedema size after the rehabilitation programme was 103%, corresponding to an absolute reduction of 17.8%. The relative change in lymphatic swelling was 88.5%. Pain and tenderness were reduced by 4.9 degrees (87%) to 0.75 degrees. The haematomas were completely absorbed. Conclusions. Medical massage had a positive effect on the convalescence of facial skeleton surgery patients.
Key words:
massage therapy, oedema, hypersensitivity
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The Influence of Photobiomodulation on Pain and Knee Swelling in Patients Post Knee Arthroplasty

Ahmed Mahmoud Nasr Tolba, Rania N. Karkousha, Fatma Seddek Amin, Adham ARE Elgeidi

Ahmed Mahmoud Nasr Tolba, Rania N. Karkousha, Fatma Seddek Amin, Adham ARE Elgeidi – The Influence of Photobiomodulation on Pain and Knee Swelling in Patients Post Knee Arthroplasty. Fizjoterapia Polska 2021; 21(1); 114-118

Abstract
Purpose. This study aimed to investigate the effect of Photobiomodulation on pain and immediate swelling after knee arthroplasty. Materials and Methods. 40 patients with knee arthroplasty participated in this study. Their ages ranged from 50-70 years. They were assigned randomly into two equal groups; control and study groups. Control group received intensive functional rehabilitation program only. Study group received a laser dose of 6 J/cm2 at the surgical incision, medial and lateral femoral condyle, patellar up and down, and popliteal space with 650 nm continuous wave, 60 seconds/point with total dose of 48J each session and intensive functional rehabilitation program. All patients received 12 treatment sessions in six weeks. The pain was measured by pressure algometer and level of knee swelling was measured by tape measurement. Results. Both groups showed significant difference in all variables between pre and post treatment (P < 0.05). Regarding between groups pretreatment statistics, no significant difference was found in level of knee swelling (P > 0.05) and significant difference in level of pain intensity (P < 0.05). While post treatment statistics showed significant difference in pain and knee swelling (P < 0.05). Conclusion. Photobiomodulation is effective in improving pain and knee swelling after knee arthroplasty. Also, it can be concluded that adding photobiomodulation to rehabilitation program after knee arthroplasty gives more improvement in level of pain and knee swelling.
Key words:
photobiomodulation, pain, swelling, knee arthroplasty
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Lymphatic kinesiology taping technique as the method of treatment against the swelling of a face after surgeries in the craniofacial area – preliminary report

Marta Tyndorf, Marcin Kozakiewicz, Jakub Winerowicz

M. Tyndorf, M. Kozakiewicz, J. Winerowicz – Lymphatic kinesiology taping technique as the method of treatment against the swelling of a face after surgeries in the craniofacial area – preliminary report. FP 2016;16(1);88-98

Abstract
The contemporary maxillofacial surgery aims not only to restore the functions of the stomatognathic system and the face, but also to restore their harmony and to improve aesthetics. Constantly increasing pace of life and the desire of patients to regain the full fitness as quickly as possible, make the therapeutic teams to always look for the new ways to reduce the time of rehabilitation, and this includes the ways to reduce the swelling. There are a number of methods to fight the lymphedema, but often not only they are not efficient enough, but also they raise the risk of several serious side effects. Therefore, the new methods for reducing the swelling are being searched for constantly, and one of them is the lymphatic kinesiology taping technique.
Objective. Evaluation of the impact of the lymphatic kinesiology taping technique on the dynamics of the facial swelling, in patients after surgeries due to injuries and defects of the craniofacial area.
Materials and Methods. In the study participated the patients of the Maxillofacial Surgery Clinic of the University Clinical Hospital of WAM-CSW in Łódź, who had been treated due to injuries and gnathic defects, during the period from 31.08.2013 to 30.06.2014. Based on randomization, there had been formed the test group of 22 persons and the control group of 19 persons. In the test group the lymphatic kinesiology taping technique had been applied, and then in both groups the facial swelling measurements were taken – on the 1st, 2nd, 5th and the 10th day after the surgery. The statistical analysis of the results had been made.
Results. The group of patients was predominantly male (68%), with the mean age of 34.2 years. A significant impact of the kinesiotaping on the dynamics of the postoperative edema formation had been demonstrated. The kinesiotaping resulted in the gradual reduction of the swelling, up to the 75% of improvement on the 10th day after the surgery, while in the control group the swelling initially escalated and its reduction was much less pronounced in the final phase of the research.
Conclusions. Lymphatic kinesiology taping technique has a positive impact on the reduction of the postoperative edema of the face, and it seems advisable to further study the effects of this treatment method on the rehabilitation of the patients, who have undergone a surgery in the craniofacial area.

Key words:
swelling, maxillofacial surgery, kinesiology taping, fracture, orthognathic surgery

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