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Abstract
Methods to reduce increased fluid volume, or swelling, were evaluated as short- and
long-term interventions. Forearm and hand volumes were measured in 45 fit and healthy
subjects using a water displacement device with previously established reliability.
Volumes were measured before and after 2 hours of recumbency and before and after
overnight sleep under different conditions of arm elevation or head-up tilt. No arms-at-side
lying-down position, whether after 2 hours awake or after overnight sleep or with
bed-head elevated or not, resulted in significant changes in forearm and hand volume.
Only 2 hours in a supine lying-down position with 30° of arm elevation caused a significant
effect, with an average decrease of 51 ml in forearm and hand volume.
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References
- Treatment of lymphedema of the arms and legs with 5,6-benzo-[α]-pyrone.New Engl J Med. 1993; 329: 1158-1163
- The effects of intermittent pneumatic compression on the hand after fasciectomy.Hand. 1979; 11: 309-314
- The effect of mechanical compression on chronic hand edema after burn injury: a preliminary report.J Burn Care Rehabil. 1994; 15: 29-33
- The healing process at a cellular level: a review.Physiotherapy. 1980; 66: 256-259
- The psychological morbidity of breast cancer-related arm swelling: psychological morbidity of lymphoedema.Cancer. 1993; 72: 3248-3252
- Reduction of chronic posttraumatic hand edema: a comparison of high-voltage pulsed current, intermittent pneumatic compression, and placebo treatments.Phys Ther. 1990; 70: 279-286
- Voluminometric estimation of the degree of lymphedema and its therapy by pneumatic compression.Scand J Rehabil Med. 1977; 9: 131-135
- Lymphedema reduction by noninvasive complex lymphedema therapy.Oncology. 1994; 8: 95-106
- Complex physical therapy for the lymphoedematous arm.J Hand Surg. 1992; 17B: 437-441
- The swollen hand.Physiotherapy. 1977; 63: 285-286
- The possible role of venous congestion in carpal tunnel syndrome.J Bone Joint Surg. 1998; 13B: 397-399
- Cardiopulmonary readjustments in passive tilt.J Appl Physiol. 1979; 47: 503-507
- Limb exsanguination, I. The arm: effect of angle of elevation and arterial compression.Ann R Coll Surg Engl. 1992; 74: 320-322
- Effects of ankle positioning on ankle edema.J Orthop Sports Phys Ther. 1986; 8: 30-33
- Limb exsanguination, II. The leg: effect of angle of elevation.Ann R Coll Surg Engl. 1992; 74: 323-325
- Oxford University Press, New York1973 Circulation.
- Deep venous contribution to blood volume change in the human leg.Am J Cardiol. 1988; 62: 449-453
- Regulation of arterial blood flow, pressure and resistance in the systemic circulation.in: Schwartz CJ Weithessen NT Wolf SW Structure and Function of the Circulation. Plenum Press, New York1980: 587-630
- Development and evaluation of a precision forearm and hand volumeter and measuring cylinder.J Hand Ther. 1996; 9: 349-358
- The effect of age on hemodynamic response to graded postural stress in normal men.J Gerontol. 1987; 42: 406-411
- Upright tilt testing in evaluating syncope: a comprehensive literature review.Am J Med. 1994; 97: 78-88
- WB Saunders, Philadelphia, Pa1976: 217-245 Cardiovascular Dynamics. 4th ed.
- Treatment of orthostatic hypotension with sleeping in the head up tilt position alone and in combination with fludrocortisone.J Intern Med. 1992; 232: 139-145
- Quantitative study of vasoconstriction induced by smoking.JAMAa. 1935; 104: 1963
- The effect of tourniquet ischaemia on intact tenotomized and motor nerve injured human hand muscles.Hand. 1980; 12: 235-240
- Upper extremity tourniquet tolerance.J Hand Surg. 1993; 18A: 206-210
- Butterworths, London1975: 166-189 Theory and practice of blood flow measurement.
- Effects of thermal stress and exercise on blood volume in humans.Physiol Rev. 1985; 65: 149-209
- McGraw-Hill, New York1971 Statistical Principles in Experimental Design. 2nd ed.
- Injury to the lateral ligaments of the ankle.Orthop Clin North Am. 1989; 20: 629-640
- Effects of tourniquet during total knee arthroplasty: a prospective randomised trial.J Bone Joint Surg. 1995; 77B: 250-253
- Humeral regulation of the orthostatic reaction.Int J Sports Med. 1988; 9: 103-112
- Night blood pressure and cigarette smoking: disparate association in healthy subjects and diabetic patients.Blood Press. 1994; 3: 381-388
- Circadian variation of blood pressure.Lancet. 1978; 1: 795-797
- Relation between diurnal variation of blood pressure and left ventricular mass in a Chinese population.Am J Cardiol. 1995; 75: 1239-1243
- Oxford University Press, New York1986: 137-173 Human Circulation Regulation During Physical Stress.
- Diurnal variation in nerve conduction, hand volume and grip strength in the carpal tunnel syndrome.Br Med J. 1984; 289: 1042
- Volumetric arm measurements: technique and results.Am Surg. 1962; 28: 465-468
- The difference in volume of dominant and non dominant hands.J Hand Ther. 1991; 4: 6-9
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© 1998 Hanley & Belfus, Inc. Published by Elsevier Inc. All rights reserved.