The effects of bandaging with an additional pad and taping on secondary arm lymphedema in a patient after mastectomy
Identifieur interne : 000105 ( Main/Exploration ); précédent : 000104; suivant : 000106The effects of bandaging with an additional pad and taping on secondary arm lymphedema in a patient after mastectomy
Auteurs : Junghwa Do ; Jaeyong Jeon ; Won KimSource :
- Journal of Physical Therapy Science [ 0915-5287 ] ; 2017.
Abstract
[Purpose] The purpose of this case study was to determine the effectiveness of bandaging the arm of a patient with secondary lymphedema on the patient’s quality of life, arm volume and arm function using an additional pad and taping along with some other standard therapy modalities for lymphedema. [Subjects and Methods] I used a bandage with an additional pad and taping, along with MLD, exercise, and skin care to treat a patient with unilateral breast-cancer-related arm lymphedema who had fibrotic tissue on her lower arm and hand. I made a pad called a “muff” and applied it under tape while using Vodder’s technique. Treatment was performed during 5 therapy sessions a week for 2 weeks. [Results] After the physiotherapy sessions, the excess edema volume decreased to 608 ml, and the percentage of excess volume (PEV) was 9.6%. The therapeutic efficacy, measured as percentage reduction of excess volume (PREV), was −79.5%, meaning that the edema volume was reduced 79.5%. The use of an additional pad and taping on a large edematous site with fibrotic changes can produce more efficacious lymphedema care. [Conclusion] The use of an additional pad and taping on a large edematous site with fibrotic changes has demonstrated a positive result in lymphedema management for a post mastectomy patient and, therefore, further studies on this method are suggested with a larger sample size.
Url:
DOI: 10.1589/jpts.29.1272
PubMed: 28744063
PubMed Central: 5509607
Affiliations:
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Le document en format XML
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lymphedema in a patient after mastectomy</title>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effects of bandaging with an additional pad and taping on secondary arm
lymphedema in a patient after mastectomy</title>
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<front><div type="abstract" xml:lang="en"><p>[Purpose] The purpose of this case study was to determine the effectiveness of bandaging
the arm of a patient with secondary lymphedema on the patient’s quality of life, arm
volume and arm function using an additional pad and taping along with some other standard
therapy modalities for lymphedema. [Subjects and Methods] I used a bandage with an
additional pad and taping, along with MLD, exercise, and skin care to treat a patient with
unilateral breast-cancer-related arm lymphedema who had fibrotic tissue on her lower arm
and hand. I made a pad called a “muff” and applied it under tape while using Vodder’s
technique. Treatment was performed during 5 therapy sessions a week for 2 weeks. [Results]
After the physiotherapy sessions, the excess edema volume decreased to 608 ml, and the
percentage of excess volume (PEV) was 9.6%. The therapeutic efficacy, measured as
percentage reduction of excess volume (PREV), was −79.5%, meaning that the edema volume
was reduced 79.5%. The use of an additional pad and taping on a large edematous site with
fibrotic changes can produce more efficacious lymphedema care. [Conclusion] The use of an
additional pad and taping on a large edematous site with fibrotic changes has demonstrated
a positive result in lymphedema management for a post mastectomy patient and, therefore,
further studies on this method are suggested with a larger sample size.</p>
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