Richmand DM, O`Donnell TF Jr, Zelikovski A.
Sequential pneumatic compression for lymphedema. A controlled trial.
Arch Surg 1985 Oct;120(10):1116-9
We examined prospectively the effect of a new compression device for lymphedema,
which utilizes a short duration and high-pressure cycle, that provides a
sequential milking pattern to the limb through multiple compartments. Twenty-five
patients (seven patients for upper-extremity and 18 for lower-extremity problems)
underwent 24 hours of treatment. All extremities showed a decrease in
circumferential measurements with the maximal reduction occurring at the wrist
(45%) for the upper extremities and at the mid-calf (47%) for the lower
extremities. Lower-extremity leg volume was reduced by 45%. Despite the high
pressures no elevation in serum muscle enzyme levels was noted. This device
reduced lymphedematous limbs rapidly and safely.