Evaluation of the Clinical Effectiveness of Physiotherapeutic Management of Lymphoedema in Palliative Care Patients
Identifieur interne : 000868 ( Istex/Checkpoint ); précédent : 000867; suivant : 000869Evaluation of the Clinical Effectiveness of Physiotherapeutic Management of Lymphoedema in Palliative Care Patients
Auteurs : Katri Elina Clemens [Allemagne] ; Birgit Jaspers [Allemagne] ; Eberhard Klaschik [Allemagne] ; Peter Nieland [Allemagne]Source :
- Japanese Journal of Clinical Oncology [ 0368-2811 ] ; 2010-11.
Abstract
Objective Lymphoedema is a common sequela of cancer or its treatment that affects lymph node drainage. The physiotherapist, as member of the multiprofessional team in palliative care, is one of the keys to successful rehabilitation and management of patients with cancer and non-malignant motoneuron disease such as amyotrophic lateral sclerosis and palliative care needs. The aim of the study was to evaluate the frequency and effect of manual lymphatic drainage in palliative care patients with lymphoedema in a far advanced stage of their disease. Methods Retrospective study (reflexive control design) of data of the 208 patients admitted to our palliative care unit from January 2007 to December 2007. Demographic and disease-related data (diagnosis, symptoms, Karnofsky performance status and effect of manual lymphatic drainage interventions) were documented and compared. Statistics: mean SD, median; Wilcoxon's test. Results Of the 208 patients, 90 who reported symptom load due to lymphoedema were included; 67 (74.4) had pain, 23 (25.6) dyspnoea due to progredient trunk oedema. Mean age 65.5 13.0 years; 33 (36.7) male; Karnofsky index 50 (3080), mean length of stay 15.6 8.0 days. The mean number of physiotherapeutic treatment interventions was 7.0 5.8. Manual lymphatic drainage was well tolerated in 83 (92.2) patients; 63 of 67 (94.0) patients showed a clinically relevant improvement in pain, and 17 of 23 (73.9) in dyspnoea. Conclusions The majority of the patients showed a clinical improvement in the intensity of symptoms after manual lymphatic drainage.
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DOI: 10.1093/jjco/hyq093
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type="doi">10.1093/jjco/hyq093</idno><idno type="url">https://api.istex.fr/document/119DCF0E319586A4DD1732DBAF096E246F028959/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000824</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000824</idno><idno type="wicri:Area/Istex/Curation">000824</idno><idno type="wicri:Area/Istex/Checkpoint">000868</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000868</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Evaluation of the Clinical Effectiveness of Physiotherapeutic Management of Lymphoedema in Palliative Care Patients</title><author><name sortKey="Clemens, Katri Elina" sort="Clemens, Katri Elina" uniqKey="Clemens K" first="Katri Elina" last="Clemens">Katri Elina Clemens</name><affiliation wicri:level="3"><country>Allemagne</country><placeName><settlement type="city">Bonn</settlement><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region></placeName><wicri:orgArea>Department of Science and Research, Centre for Palliative Medicine</wicri:orgArea></affiliation><affiliation wicri:level="3"><country>Allemagne</country><placeName><settlement type="city">Bonn</settlement><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region></placeName><wicri:orgArea>Department of Palliative Medicine and Pain Therapy, Malteser Hospital Bonn/Rhein-Sieg</wicri:orgArea></affiliation><affiliation><wicri:noCountry code="no comma">E-mail: katri-elina@malteser.org</wicri:noCountry></affiliation></author><author><name sortKey="Jaspers, Birgit" sort="Jaspers, Birgit" uniqKey="Jaspers B" first="Birgit" last="Jaspers">Birgit Jaspers</name><affiliation wicri:level="3"><country>Allemagne</country><placeName><settlement type="city">Bonn</settlement><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region></placeName><wicri:orgArea>Department of Science and Research, Centre for Palliative Medicine</wicri:orgArea></affiliation><affiliation><wicri:noCountry code="subField">Goettingen</wicri:noCountry></affiliation></author><author><name sortKey="Klaschik, Eberhard" sort="Klaschik, Eberhard" uniqKey="Klaschik E" first="Eberhard" last="Klaschik">Eberhard Klaschik</name><affiliation wicri:level="3"><country>Allemagne</country><placeName><settlement type="city">Bonn</settlement><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region></placeName><wicri:orgArea>Department of Science and Research, Centre for Palliative Medicine</wicri:orgArea></affiliation></author><author><name sortKey="Nieland, Peter" sort="Nieland, Peter" uniqKey="Nieland P" first="Peter" last="Nieland">Peter Nieland</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Physiotherapy and Rehabilitation, Malteser Hospital Bonn/Rhein-Sieg, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Japanese Journal of Clinical Oncology</title><idno type="ISSN">0368-2811</idno><idno type="eISSN">1465-3621</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2010-11">2010-11</date><biblScope unit="volume">40</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1068">1068</biblScope><biblScope unit="page" to="1072">1072</biblScope></imprint><idno type="ISSN">0368-2811</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0368-2811</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Objective Lymphoedema is a common sequela of cancer or its treatment that affects lymph node drainage. The physiotherapist, as member of the multiprofessional team in palliative care, is one of the keys to successful rehabilitation and management of patients with cancer and non-malignant motoneuron disease such as amyotrophic lateral sclerosis and palliative care needs. The aim of the study was to evaluate the frequency and effect of manual lymphatic drainage in palliative care patients with lymphoedema in a far advanced stage of their disease. Methods Retrospective study (reflexive control design) of data of the 208 patients admitted to our palliative care unit from January 2007 to December 2007. Demographic and disease-related data (diagnosis, symptoms, Karnofsky performance status and effect of manual lymphatic drainage interventions) were documented and compared. Statistics: mean SD, median; Wilcoxon's test. Results Of the 208 patients, 90 who reported symptom load due to lymphoedema were included; 67 (74.4) had pain, 23 (25.6) dyspnoea due to progredient trunk oedema. Mean age 65.5 13.0 years; 33 (36.7) male; Karnofsky index 50 (3080), mean length of stay 15.6 8.0 days. The mean number of physiotherapeutic treatment interventions was 7.0 5.8. Manual lymphatic drainage was well tolerated in 83 (92.2) patients; 63 of 67 (94.0) patients showed a clinically relevant improvement in pain, and 17 of 23 (73.9) in dyspnoea. Conclusions The majority of the patients showed a clinical improvement in the intensity of symptoms after manual lymphatic drainage.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Cologne</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Bonn</li></settlement></list><tree><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Clemens, Katri Elina" sort="Clemens, Katri Elina" uniqKey="Clemens K" first="Katri Elina" last="Clemens">Katri Elina Clemens</name></region><name sortKey="Clemens, Katri Elina" sort="Clemens, Katri Elina" uniqKey="Clemens K" first="Katri Elina" last="Clemens">Katri Elina Clemens</name><name sortKey="Jaspers, Birgit" sort="Jaspers, Birgit" uniqKey="Jaspers B" first="Birgit" last="Jaspers">Birgit Jaspers</name><name sortKey="Klaschik, Eberhard" sort="Klaschik, Eberhard" uniqKey="Klaschik E" first="Eberhard" last="Klaschik">Eberhard Klaschik</name><name sortKey="Nieland, Peter" sort="Nieland, Peter" uniqKey="Nieland P" first="Peter" last="Nieland">Peter Nieland</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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