{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T19:27:02Z","timestamp":1758396422736},"reference-count":23,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>The WHO-recommended essential package of care (EPC) for filarial limb lymphedema consists of daily limb washing, entry lesion management, limb protection, exercises, and elevation. Decongestive therapy (DT) with compression bandaging by trained lymphedema therapists adds additional benefit but is unavailable for most in low- and middle-income countries (LMICs). To determine whether DT using self-adjustable, short-stretch compression garments (SSCG), prefitted using portable, three-dimensional infrared imaging (3DII), would be effective and feasible in LMIC settings, we conducted a pilot 6-week, interventional, single-group, open-label pilot study in Galle, Sri Lanka. Ten participants with Dreyer stage 3 lymphedema used SSCG for 2\u2009weeks after a 4-week lead-in EPC period. Effect of EPC and compression on quality of life was assessed using the 12-item WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). Median participant age was 73\u2009years (range: 32\u201385\u2009years). Median percent limb volume reduction due to compression was 11.3% (range: 1.1\u201327.2%). WHODAS 2.0 scores did not change significantly between enrollment and study end. Garment acceptability was high throughout the study. These results provide proof of concept for 3DII-enabled SSCG in LMICs where trained therapists for filarial lymphedema may not be available.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0496","type":"journal-article","created":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T19:25:19Z","timestamp":1711481119000},"page":"936-942","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy and Feasibility of Short-Stretch Compression Therapy for Filarial Lymphedema in Sri Lanka"],"prefix":"10.4269","volume":"110","author":[{"given":"Jaimee M.","family":"Hall","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri;"},{"name":"Department of Parasitology, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirmitha Lalindi","family":"De Silva","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janaka","family":"Ruben","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandani S.","family":"Thilakarathne","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thishan Channa","family":"Yahathugoda","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip J.","family":"Budge","sequence":"additional","affiliation":[{"name":"Department of Medicine, Washington University in St. Louis, St. Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Lancet Glob Health","first-page":"e1186","article-title":"The global distribution of lymphatic filariasis, 2000\u201318: A geospatial analysis","volume":"8","year":"2020"},{"key":"b2","series-title":"Global Programme to Eliminate Lymphatic Filariasis: Progress Report, 2021","year":"2022"},{"key":"b3","series-title":"PLoS Negl Trop Dis","first-page":"e668","article-title":"Feasibility and effectiveness of basic lymphedema management in Leogane, Haiti, an area endemic for bancroftian filariasis","volume":"4","author":"Addiss","year":"2019"},{"key":"b4","series-title":"Filaria J","first-page":"1","article-title":"Impact on the quality of life of lymphoedema patients following introduction of a hygiene and skin care regimen in a Guyanese community endemic for lymphatic filariasis: A preliminary clinical intervention 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