LYMPHEDEMA AND THE CHI MACHINE
Our Home Page: Lymphedema People
http://www.lymphedemapeople.com
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The Chi Machine - Complimentary Treatment for Lymphedema, Edema
Discussion:
I am including a clinical study done on the effectiveness of the Chi Machine in helping treat lymphedema. This is not to be intended as either a recommendation nor an endorsement, but as an information resource for our visitors and members.
The chi machine, first created by De. Shizuo Inoue, a Japanese scientist now has FDA approval as a Class i Medical Device Regulation #890.5660. However, please understand that this does not mean it has been approved for or proven effective in lymphedema. As of this date, March 29, 2008, there still is no further evidence or verification that it helps either venous edema or lymphedema.
Professor Neil Piller of the Flinders Medical Centre - Lymphoedema Assessment Clinic in South Australia has been conducting trials on the Chi Machine. You can learn more about him and his work at:
http://www.flinders.sa.gov.au/lymphoedema/pages/overview/
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Introduction
Secondary lymphoedema of the legs effects 30% of people after surgery/radiotherapy
Venous Oedema effects 5% of the adult population
Both result in swelling, discomfort and can interfere with quality of life
Conventional treatment expensive, ongoing, with little patient control.
There is no good cure for either condition.
Where the study was conducted
This study was conducted at the Flinders Medical University in Adelaide, Australia. Which is part of Australia's Department of Health, Faculty of Health Sciences School of Medicine.
Who was in charge of the study
It was headed by Professor Neil Pillar, the Team leader of the Lymphoedema Clinic of Flinders Surgical Oncology Unit. The Chief Research Officer was Ms Amanda Moseley.
The Goal of the Study
To find and test the effectiveness of a treatment that would be:
convenient
affordable
effective
able to empower sufferers.
The Design of the Study
Patients were recruited through advertising & out -patient clinics
Included 20 normal participants
Machine taken home and used for 3 weeks using
the following regime:
- Days 1-2: 5 mins morning & night
- Days 3-7: 8 mins morning & night
- Days 8-21: 12 mins morning & night
Weekly objective measurements were taken
1 month follow up post treatment
What measurements were taken and how.
Questionnaires: assessed how the legs felt & impact on quality of life.
Tonometry: assessed tissue hardness
Perometry: assessed leg circumference and fluid volume.
Bioimpedence: assessed body composition and fluid within the legs.
Lymphoscintigraphy: assessed lymphatic system function.
Blood pressure, pulse, blood test, blood flow
Results for Control Group
20 ‘normal’ persons
9 Females and 11 males (aged 23 - 64 yrs).
Normals’ represented the general population and had no known leg problems.
Most found the machine relaxing.
Average Weight Loss in 3 weeks
1.32 pounds weight loss
steady decline during the 3 week period
Average fluid Loss in legs in 3 weeks
1.5 fluid oz.
Results for Secondary Lymphoedema Group
33 chronic Secondary Lymphoedema sufferers
28 females and 5 males (aged 39 - 88yrs)
Affected leg =
Both 45.5%
Left 36.5%
Right 18%
Condition predominantly caused through cancer
surgery - bowel, cervix, melanoma, prostate.
Average Weight Loss in 3 weeks
1.33 pounds weight loss
steady decline during the 3 week period
Average fluid Loss in legs in 3 weeks
11.16 fluid oz.
Steady fluid loss followed by some fluid return after treatment ceased.
Fluid loss is both clinically and statistically significant
Average circumference reduction in legs in 3 weeks
0.4 cms
Although small, there was a steady reduction
over 3 weeks of treatment.
Results of the Lymphoscintigraphy Scans
This scan involves injecting dye into the feet and scanning of the legs over 5 hours to assess lymphatic function.
8 Secondary Lymphoedema patients volunteered to under go this procedure before and after treatment.
In those who responded positively to the machine the scans showed a remarkable improvement in the lymphatic function of the effected leg.
Improvement in lymphatic function is linked with fluid loss, limb reduction and symptom improvement.
The scans also helped to determine why some patients didn’t respond to the machine as expected.
Improvements in Leg Symptoms
(smaller numbers are better)
|
Symptom |
Initial |
Final |
1 month |
|
Pain |
3.7 |
2.0 |
3.5 |
|
Tightness |
6.0 |
2.0 |
5.0 |
|
Heaviness |
5.0 |
2.0 |
5.0 |
|
Skin dryness |
4.0 |
2.0 |
1.0 |
|
Limb size |
7.0 |
5.0 |
5.0 |
|
Patients were asked to grade these symptoms
from 1 to 10. Patients had good symptom control while using the
machine, some of these symptoms returned once treatment ceased. Many
where happy to gain relief from these symptoms. |
|||
Range of movement 55% Increase in ability to exercise 36% Walking up/down stairs 27% Improvement in sleeping 21% Easier to get dressed 15% Positive impact on daily life 45% Decrease in depression 21% Satisfaction with treatment
regime 85% Feeling of control over
condition 67%
Improvements in Quality of Life (%)
Results for Venus Oedema Group
25 chronic Secondary Lymphoedema sufferers
19 females and 6 males (aged 37 - 80yrs)
Affected leg =
Both 52%
Left 24%
Right 24%
Condition predominantly caused through varicose veins, vascular disease, deep vein thrombosis
Average Weight Loss in 3 weeks
4.33 pounds weight loss
steady decline during the 3 week period
Average fluid Loss in legs in 3 weeks
14.88 fluid oz.
Steady fluid loss followed by some fluid return after treatment ceased.
Fluid loss is both clinically and statistically significant
Average circumference reduction in legs in 3 weeks
0.3 cms
Although small, there was a steady reduction
over 3 weeks of treatment.
Improvements in Leg Symptoms
(smaller numbers are better)
|
Symptom |
Initial |
Final |
1 month |
|
Pain |
4 .0 |
1.0 |
2.5 |
|
Tightness |
5.0 |
2.0 |
3.5 |
|
Heaviness |
5.0 |
2.0 |
2.5 |
|
Skin dryness |
4.2 |
2.7 |
2.6 |
|
Cramps |
5.0 |
1.0 |
3.0 |
|
Limb size |
6.0 |
4.5 |
4.0 |
|
Patients were asked to grade these symptoms
from 1 to 10. Good symptom control whilst using machine, some return of
symptoms when treatment ceased - but not back to original level. |
|||
Range of movement 68% Increase in ability to exercise 56% Walking up/down stairs 40% Improvement in sleeping 25% Easier to get dressed 20% Positive impact on daily life 56% Decrease in depression 16% Satisfaction with treatment
regime 88% Feeling of control over
condition 52%
Improvements in Quality of Life (%)
Final Results, Summary & Conclusion
Results (overall)
Little change in tonometry, heart rate and blood pressure readings.
Blood testing of immune function indicated slight stimulation of lymphocytes
Skin flow to thigh area slightly increased post treatment (in oedema patients).
Summary
Significant fluid loss from the legs with associated reduction in limb size and improvement in leg symptoms.
Positive impact on people’s quality of life and activities of daily living.
Some return of fluid and symptoms after treatment ceased but not back to original levels.
Machine beneficial for majority of patients, even those with chronic conditions.
Conclusion
After analyzing the complete data it is the conclusion of Professor Pillar and Flinders Medical University that: Used on a frequent basis, the Chi Machine™ has great potential in Health Maintenance and Disease Management in those who suffer from Secondary Lymphoedema and Venous Oedema of the legs.
http://www.wellnesspartners.com/lymphatic_system/summary.html
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![]() Sun Ancon Chi Machine Passive Aerobic Exerciser |
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COUNTERPOINT
Chris
Woolston
CONSUMER HEALTH INTERACTIVE
PRINCIPAL HEALTH NEWS
Below:
Advertisements on the Internet make the Chi Machine sound like the biggest medical breakthrough since penicillin. In addition to promoting weight loss, it supposedly boosts energy, strengthens the immune system, eases back pain, and cures allergies. All for slightly less than $500!
After selling and using the machine for more than two years, Linda Basta of Buffalo, New York, is a true believer. She uses it to relax her body, ease aches and pains, and -- as a saleswoman -- to make money. Many of her customers hope to lose weight, and many are satisfied with the results, she says. "I never tell people they are going to lose weight, but a lot of them do," she says.
Basta believes the machine burns off pounds by putting the body in a "better state of balance." The machine also detoxifies the cells and helps cure learning problems, she says.
Up close, the Chi Machine looks less than miraculous. It is essentially a small box with two leg supports. You lie on your back, place your lower legs in the supports, and let the machine rock your body back and forth. (Judging from the advertisements, the machine is especially popular among attractive young women in unitards.)
Many marketers proclaim the Chi Machine is "FDA approved," meaning that the U.S. Food and Drug Administration has given its approval. However, this alleged stamp of approval is a mirage. The agency has never examined the machine for any purpose, says FDA spokeswoman Sharon Snider. "Therapeutic massagers are regulated by the FDA, but they don't have to go through any approval process," she says.
To its credit, the company that manufactures the Chi Machine, Hsin Ten Enterprise USA Inc., doesn't promote the machine as a slimming device. "There's no scientific evidence that [the machine] speeds weight loss, and we arenąt allowed to make that claim," says Chris, a company representative who declined to give her last name. According to the company web site, the machine is useful for "local muscle relaxation and temporary relief from minor muscular aches due to overexertion."
http://www.principalhealthnews.com/topic/abmachines
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Testimonial from a member of a lymphedema online
support group:
Hi guys,
I have the Swing Chi machine--it's the $149 one, not the very, very
expensive
one. I was struggling with my legs one day and really in
"spending
mode" and splurged. My LE is stage 1, but has gotten a little
worse
this year due to a sedentary job and weight gain.
The Chi basically works like this: You put your ankes into
the two "dips"
in the machine--it elevates your feet about 8-10 inches. There is a
remote
that allows you to change speed and vary the motions. The motions
go
side to side or "shake". You can set a timer anywhere from 5-30
minutes.
It really does feel wonderful! I find that if my
legs feel heavy or tired,
10-15 minutes on it rejuvenates them. Best of all, I can
read or
watch tv while using it. I have even put my legs in Reid sleeves
and then
used it.
Lots of times I do 10 minutes on the machine and then put my Reid
sleeves on
before bed. It seems to help with reduction during the night.
One caution, though. One night it was feeling so good that I
did it for
almost an hour. There is such a thing as overdoing it with
LE! When
I woke up the next morning, my legs and ankles were bigger than they
were before!
I didn't wear my Reid sleeves that night though, so maybe
that would
have made a
difference.
Overall, the Chi machine has been worth every penny for me. I
don't
use it every night, but about 2-3 times a week.
from New York
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The Sun Ancon Chi Machine Aerobic Exerciser: a new patient focused, home based therapy for people with chronic secondary leg lymphedema.
Lymphology. 2004 Jun
Department of Surgery and Lymphoedema Assessment Clinic, School of Medicine, Bedford Park, South Australia, Australia.
A significant proportion of those who survive lower torso cancer treatments will go on to develop clinically discernible bilateral or unilateral leg lymphedema. Although beneficial treatments exist for this condition, many are expensive and involve visits to outpatient clinics or allied health professionals--making the patient dependent upon others for treatment and maintenance. This clinical trial tested the efficacy of the Sun Ancon Chi Machine Aerobic Exerciser, a home based therapy that delivered both elevation and passive exercise to the legs. This machine was used in the participant's home according to a set regime with measurements being taken immediately before trial commencement, at weekly intervals and then 1 month after treatment cessation. After a three week treatment period there were statistically significant reductions in total leg volume and fluids, whole body extracellular fluid, weight and subjective leg symptoms. Lymphscintigraphy in a sub-group of patients suggested an increase in lymphatic transport in some individuals. Although some of the fluid and symptoms had returned at the 1 month follow up, none of the parameters had returned to pre-treatment levels. This finding indicates that this equipment may have ongoing beneficial effects. This clinical trial demonstrates that the Sun Ancon Chi Machine Aerobic Exerciser is an effective adjunct therapy that can be used in the patient's own home.
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* This page updated on March 29, 2008*
Index of articles of LYMPHEDEMA TREATMENT OPTIONS
Lymphedema Treatment Options
http://www.lymphedemapeople.com/thesite/lymphedema_treatment_options_revised.htm
Acupuncture Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_acupuncture_treatment.htm
Benzopyrones Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_benzopyrones_treatmen.htm
Compression Pumps for Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_pumps_for_lymphedema_treatment
Manual Lymphatic Drainage, MLD; Comprehensive Decongestive Therapy, CDT
Diuretics are not for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=diuretics_are_not_for_lymphedema
Endermologie Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_endermologie_therapy.htm
Kinesiology Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_kinesiology_therapy.htm
Laser Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_laser_treatment.htm
Laser Treatment - Sara's Experience
http://www.lymphedemapeople.com/thesite/lymphedema_laser_treatment_saras_experience.htm
Liposuction Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=liposuction
Reflexology Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_reflexology_therapy.htm
Lymphedema Surgeries
http://www.lymphedemapeople.com/thesite/lymphedema_surgeries.htm
Lymphedema Treatments are Poorly Utilized
http://www.lymphedemapeople.com/thesite/lymphedema_treatments_are_poorly_utilized.htm
Lymphedema Treatment Programs Canada
http://www.lymphedemapeople.com/thesite/lymphedema_treatment_programs_canada.htm
Wholistic Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_wholistic_treatment.htm
Microsurgeries
http://www.lymphedemapeople.com/thesite/lymphedema_and_microsurgery.htm
Homeopathy
http://www.lymphedemapeople.com/thesite/lymphedema_and_homeopathy.htm
Short Stretch Bandages for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=short_stretch_bandages_for_lymphedema
Compression Bandages for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_bandages_for_lymphedema
Compression Garments and Stockings for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_garments_stockings_for_lymphedema
Farrow Wrap
http://www.lymphedemapeople.com/wiki/doku.php?id=farrow_wrap
Aromatherapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_aromatherapy.htm
Magnetic Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_magnetic_therapy.htm
Mesotherapy
http://www.lymphedemapeople.com/wiki/doku.php?id=mesotherapy
Light Beam Generator Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_light_beam_generator_therapy.htm
Lymphobiology
http://www.lymphedemapeople.com/thesite/lymphedema_and_lymphobiology.htm
Kinesio Taping (R)
http://www.lymphedemapeople.com/thesite/lymphedema_and_kinesio_taping.htm
http://www.lymphedemapeople.com/wiki/doku.php?id=deep_oscillation_therapy
Aqua Therapy for Postsurgical Breast Cancer Arm Lymphedema
Aqua Therapy in Managing Lower Extremity Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=aqua_therapy_in_managing_lower_extremity_lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=bioimpedance_and_lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lymph_node_transplant
http://www.lymphedemapeople.com/wiki/doku.php?id=lymph_vessel_transplant
Lymphedema People Forum on Treatment Information for Lymphedema
http://www.lymphedemapeople.com/phpBB2/viewforum.php?f=8
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For information about Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema
For Information about the Complications of Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=complications_of_lymphedema
For information about How to Treat a Lymphedema Wound
http://www.lymphedemapeople.com/wiki/doku.php?id=how_to_treat_a_lymphedema_wound
For information about Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=treatment
For information about Lymphedema in Children
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_in_children
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Lymphedema People
Support Groups
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Children
with Lymphedema
The time has come for families, parents, caregivers to have a support
group of
their own. Support group for parents, families and caregivers of
chilren with
lymphedema. Sharing information on coping, diagnosis, treatment and
prognosis.
Sponsored by Lymphedema People.
http://health.groups.yahoo.com/group/childrenwithlymphedema/
Subscribe: childrenwithlymphedema-subscribe@yahoogroups.com
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Lipedema
Lipodema Lipoedema
No matter how you spell it, this is another very little understood and
totally
frustrating conditions out there. This will be a support group for
those
suffering with lipedema/lipodema. A place for information, sharing
experiences,
exploring treatment options and coping.
Come join, be a part of the family!
http://health.groups.yahoo.com/group/lipedema_lipodema_lipoedema/?yguid=209645515
Subscribe: lipedema_lipodema_lipoedema-subscribe@yahoogroups.com
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MEN WITH LYMPHEDEMA
If
you are a man with lymphedema; a man with a loved
one with lymphedema who you are trying to help and understand come join
us and
discover what it is to be the master instead of the sufferer of
lymphedema.
http://health.groups.yahoo.com/group/menwithlymphedema/
Subscribe: menwithlymphedema-subscribe@yahoogroups.com
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All
About Lymphangiectasia
Support group for parents, patients, children who suffer from all forms
of
lymphangiectasia. This condition is caused by dilation of the
lymphatics. It can
affect the intestinal tract, lungs and other critical body areas.
http://health.groups.yahoo.com/group/allaboutlymphangiectasia/
Subscribe: allaboutlymphangiectasia-subscribe@yahoogroups.com
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Lymphatic
Disorders Support Group @ Yahoo Groups
While we have a number of support groups for lymphedema... there is
nothing out
there for other lymphatic disorders. Because we have one of the most
comprehensive information sites on all lymphatic disorders, I thought
perhaps,
it is time that one be offered.
DISCRIPTION
Information and support for rare and unusual disorders affecting the
lymph
system. Includes lymphangiomas, lymphatic malformations,
telangiectasia,
hennekam's syndrome, distichiasis, Figueroa
syndrome, ptosis syndrome, plus many more. Extensive database of
information
available through sister site Lymphedema People.
http://health.groups.yahoo.com/group/lymphaticdisorders/
Subscribe: lymphaticdisorders-subscribe@yahoogroups.com
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All
About Lymphedema
For our Google fans, we have just created this online support group in
Google
Groups:
Homepage: http://groups-beta.google.com/group/All-About-Lymphedema
Group email: All-About-Lymphedema@googlegroups.com
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Lymphedema Friends
http://groups.aol.com/lymphedemafriend
If you an AOL fan and looking for a
support group in AOL
Groups, come and join us there.