Transcript Presentation - My Spalding

Effectiveness Of Occupational Therapy
I n t e r v e n t i o n s To Tr e a t E d e m a
ASOT 2014 VISION IN ACTION
CONFERENCE
Lauren Ehalt, OTS
J a n u a r y 2 4 th, 2 0 1 4
Objectives
 What is edema?
 How edema limits occupational performance?
 Interventions used to treat edema
 What does the evidence say?
 Practicality of interventions
 Fieldwork experience
 Overall implication
 Questions?
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
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Elevation
Light Retrograde Massage
Compression Garments
(tubi-grip and
compression glove/sleeve)
ROM Program
Splints
 Untraditional
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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)
 Overall perception of
disability and quality of life

Priganc, V., & Ito, M. (2008).
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
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decrease in edema, but data not significant
All evidence showed edema secondary to stroke,
surgery, trauma, etc.
Small sample sizes
Length of treatment and duration
Volumetric vs. Circumferential measurements
Comparison between interventions
Practicality 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 criteria
 Continued research

Kinesiotape?
Questions
 Email: [email protected]