Inspiratory and Calf Muscles Training in Patients With Leg Lymphedema

Lymphedema results in the accumulation of protein-rich fluid in the subcutaneous tissue as a result of the failure of the lymphatic system, which returns water and protein in the interstitial spaces to the bloodstream. The aim of its treatment is to return this fluid accumulated in the interstitial space to the venous system. Early diagnosis and subsequent treatment of lymphedema, which is a chronic and progressive problem, is important to improve symptoms and prevent complications. Exercises recommended by specialist physiotherapists increase lymph flow and improve protein resorption. Exercises applied with compression bandages or compression garments provide significant improvement in patients with lymphedema.The aim of this study is to provide inspiratory muscle training and leg compression therapy together with compression therapy in patients with lower extremity lymphedema.To evaluate the effectiveness of these exercises on the patient's extremity volume and fullness, tissue water content, edema status, walking capacity, functionality and quality of life by comparing the effectiveness of muscle exercise training. In addition, researchers aim to determine the more effective exercise method for these patients.

Inclusion Criteria:Having been diagnosed with lymphedemaNo visual or hearing impairmentBeing literate in Turkish18- 75 years oldExclusion Criteria:Acute infectionAardiac edemaPeripheral arterial diseasesCongestive advanced heart failureMalignant lymphedemaHaving a psychiatric disorder requiring prior vessel ablation and/or prescription medicationHaving a neurological, orthopedic or rheumatological disease