LymphedemaV1, Main, Exploration, bibRecord, 002698

Physiotherapy in upper limb lymphedema after breast cancer treatment: a randomized study.

Identifieur interne : 002698 ( Main/Exploration ); précédent : 002697; suivant : 002699

Physiotherapy in upper limb lymphedema after breast cancer treatment: a randomized study.

Auteurs : A. Bergmann ; M G Da Costa Leite Ferreira ; S S De Aguiar ; R. De Almeida Dias ; K. De Souza Abrahao ; E M Paltrinieri ; R G Martinez Allende ; M F C. Andrade

Source :

Lymphology [ 0024-7766 ] ; 2014.

RBID : pubmed:25282874

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Amplitude articulaire, Bandages, Bras, Drainage, Femelle, Humains, Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Techniques de physiothérapie, Tumeurs du sein ().
MESH :
- anatomopathologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Amplitude articulaire, Bandages, Bras, Drainage, Femelle, Humains, Lymphoedème, Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Techniques de physiothérapie, Tumeurs du sein.

English descriptors

KwdEn :
- Adult, Aged, Arm, Bandages, Breast Neoplasms (surgery), Drainage, Female, Humans, Lymphedema (etiology), Lymphedema (pathology), Lymphedema (therapy), Middle Aged, Patient Satisfaction, Physical Therapy Modalities, Range of Motion, Articular, Treatment Outcome.
MESH :
- etiology : Lymphedema.
- pathology : Lymphedema.
- surgery : Breast Neoplasms.
- therapy : Lymphedema.
- Adult, Aged, Arm, Bandages, Drainage, Female, Humans, Middle Aged, Patient Satisfaction, Physical Therapy Modalities, Range of Motion, Articular, Treatment Outcome.

Abstract

Our aim was to compare the responses of physical treatment with or without manual lymphatic drainage (MLD) in lymphedema after breast cancer treatment in a Brazilian population. This was a controlled clinical trial with lymphedema secondary to breast cancer treatment patients that were randomized into either: Group 1 consisting of MLD, skin care, bandaging and remedial exercises; or Group 2 using skin care, bandaging and remedial exercises. Sixty-six patients were randomized and 9 were excluded during the first phase, resulting in a total of 57 patients eligible for analyzes with 28 in Group 1 and 29 in Group 2. The first phase of treatment had an average duration of 24 days (+/- 12.38) and final volume excess average (VE) between limbs was 494.51 ml, corresponding to 29.18% of the initial volume. Volume reduction was highly significant, independent of the intervention (p < 0.001), and both treatments led to an average of percentage volume excess reduction (PVER) of 15.02%. Patients with incomplete range of motion and lymphatic-related fibrotic tissues showed a statistically significant reduction in the percentage of volume excess (p = 0.010; p = 0.009). The presence of arm paresthesia was associated with the lowest therapeutic response (p = 0.024). Both treatment groups demonstrated absolute and relative reductions of excess limb volume, and the addition of MLD did not significantly increase the therapeutic response in women with lymphedema after breast cancer.

PubMed: 25282874

Affiliations:

Le document en format XML

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<author><name sortKey="De Almeida Dias, R" sort="De Almeida Dias, R" uniqKey="De Almeida Dias R" first="R" last="De Almeida Dias">R. De Almeida Dias</name>
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<author><name sortKey="Da Costa Leite Ferreira, M G" sort="Da Costa Leite Ferreira, M G" uniqKey="Da Costa Leite Ferreira M" first="M G" last="Da Costa Leite Ferreira">M G Da Costa Leite Ferreira</name>
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<series><title level="j">Lymphology</title>
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<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (therapy)</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Physical Therapy Modalities</term>
<term>Range of Motion, Articular</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Amplitude articulaire</term>
<term>Bandages</term>
<term>Bras</term>
<term>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Techniques de physiothérapie</term>
<term>Tumeurs du sein ()</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Aged</term>
<term>Arm</term>
<term>Bandages</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Physical Therapy Modalities</term>
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<term>Adulte d'âge moyen</term>
<term>Amplitude articulaire</term>
<term>Bandages</term>
<term>Bras</term>
<term>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé</term>
<term>Techniques de physiothérapie</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">Our aim was to compare the responses of physical treatment with or without manual lymphatic drainage (MLD) in lymphedema after breast cancer treatment in a Brazilian population. This was a controlled clinical trial with lymphedema secondary to breast cancer treatment patients that were randomized into either: Group 1 consisting of MLD, skin care, bandaging and remedial exercises; or Group 2 using skin care, bandaging and remedial exercises. Sixty-six patients were randomized and 9 were excluded during the first phase, resulting in a total of 57 patients eligible for analyzes with 28 in Group 1 and 29 in Group 2. The first phase of treatment had an average duration of 24 days (+/- 12.38) and final volume excess average (VE) between limbs was 494.51 ml, corresponding to 29.18% of the initial volume. Volume reduction was highly significant, independent of the intervention (p < 0.001), and both treatments led to an average of percentage volume excess reduction (PVER) of 15.02%. Patients with incomplete range of motion and lymphatic-related fibrotic tissues showed a statistically significant reduction in the percentage of volume excess (p = 0.010; p = 0.009). The presence of arm paresthesia was associated with the lowest therapeutic response (p = 0.024). Both treatment groups demonstrated absolute and relative reductions of excess limb volume, and the addition of MLD did not significantly increase the therapeutic response in women with lymphedema after breast cancer.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Andrade, M F C" sort="Andrade, M F C" uniqKey="Andrade M" first="M F C" last="Andrade">M F C. Andrade</name>
<name sortKey="Bergmann, A" sort="Bergmann, A" uniqKey="Bergmann A" first="A" last="Bergmann">A. Bergmann</name>
<name sortKey="Da Costa Leite Ferreira, M G" sort="Da Costa Leite Ferreira, M G" uniqKey="Da Costa Leite Ferreira M" first="M G" last="Da Costa Leite Ferreira">M G Da Costa Leite Ferreira</name>
<name sortKey="De Aguiar, S S" sort="De Aguiar, S S" uniqKey="De Aguiar S" first="S S" last="De Aguiar">S S De Aguiar</name>
<name sortKey="De Almeida Dias, R" sort="De Almeida Dias, R" uniqKey="De Almeida Dias R" first="R" last="De Almeida Dias">R. De Almeida Dias</name>
<name sortKey="De Souza Abrahao, K" sort="De Souza Abrahao, K" uniqKey="De Souza Abrahao K" first="K" last="De Souza Abrahao">K. De Souza Abrahao</name>
<name sortKey="Martinez Allende, R G" sort="Martinez Allende, R G" uniqKey="Martinez Allende R" first="R G" last="Martinez Allende">R G Martinez Allende</name>
<name sortKey="Paltrinieri, E M" sort="Paltrinieri, E M" uniqKey="Paltrinieri E" first="E M" last="Paltrinieri">E M Paltrinieri</name>
</noCountry>
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Serveur d'exploration sur le lymphœdème

Physiotherapy in upper limb lymphedema after breast cancer treatment: a randomized study.

Physiotherapy in upper limb lymphedema after breast cancer treatment: a randomized study.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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