A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment
Identifieur interne : 007398 ( Main/Curation ); précédent : 007397; suivant : 007399A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment
Auteurs : Al Moseley [Australie] ; Cj Carati ; Nb Piller [Australie]Source :
- Annals of Oncology [ 0923-7534 ] ; 2006-10-03.
Descripteurs français
- KwdFr :
- MESH :
- Pascal (Inist)
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- therapy : Breast Neoplasms, Lymphedema.
- Arm, Drainage, Exercise Therapy, Female, Humans, Laser Therapy, Physical Therapy Modalities.
Abstract
Secondary arm lymphoedema is a chronic and distressing condition which affects a significant number of women who undergo breast cancer treatment. A number of health professional and patient instigated conservative therapies have been developed to help with this condition, but their comparative benefits are not clearly known. This systematic review undertook a broad investigation of commonly instigated conservative therapies for secondary arm lymphoedema including; complex physical therapy, manual lymphatic drainage, pneumatic pumps, oral pharmaceuticals, low level laser therapy, compression bandaging and garments, limb exercises and limb elevation. It was found that the more intensive and health professional based therapies, such as complex physical therapy, manual lymphatic drainage, pneumatic pump and laser therapy generally yielded the greater volume reductions, whilst self instigated therapies such as compression garment wear, exercises and limb elevation yielded smaller reductions. All conservative therapies produced improvements in subjective arm symptoms and quality of life issues, where these were measured. Despite the identified benefits, there is still the need for large scale, high level clinical trials in this area.
Url:
DOI: 10.1093/annonc/mdl182
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Cj Carati<affiliation><wicri:noCountry code="subField">Adelaide</wicri:noCountry>
</affiliation>
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<term>Traitement par les exercices physiques</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract">Secondary arm lymphoedema is a chronic and distressing condition which affects a significant number of women who undergo breast cancer treatment. A number of health professional and patient instigated conservative therapies have been developed to help with this condition, but their comparative benefits are not clearly known. This systematic review undertook a broad investigation of commonly instigated conservative therapies for secondary arm lymphoedema including; complex physical therapy, manual lymphatic drainage, pneumatic pumps, oral pharmaceuticals, low level laser therapy, compression bandaging and garments, limb exercises and limb elevation. It was found that the more intensive and health professional based therapies, such as complex physical therapy, manual lymphatic drainage, pneumatic pump and laser therapy generally yielded the greater volume reductions, whilst self instigated therapies such as compression garment wear, exercises and limb elevation yielded smaller reductions. All conservative therapies produced improvements in subjective arm symptoms and quality of life issues, where these were measured. Despite the identified benefits, there is still the need for large scale, high level clinical trials in this area.</div>
</front>
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