Low-level laser therapy in secondary lymphedema after breast cancer: systematic review.
Identifieur interne : 002925 ( Main/Exploration ); précédent : 002924; suivant : 002926Low-level laser therapy in secondary lymphedema after breast cancer: systematic review.
Auteurs : Mariana Toledo Biscaia Raposo Mourão E Lima [Brésil] ; Januário Gomes Mourão E Lima ; Mauro Figueiredo Carvalho De Andrade ; Anke BergmannSource :
- Lasers in medical science [ 1435-604X ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- radiothérapie : Lymphoedème, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Femelle, Humains, Lasers, Photothérapie de faible intensité, Sujet âgé, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- radiotherapy : Breast Neoplasms, Lymphedema.
- Aged, Female, Humans, Lasers, Low-Level Light Therapy, Middle Aged.
Abstract
Complex physical therapy is the main treatment for the secondary lymphedema after breast cancer. The low-level laser therapy (LLLT) has been used in order to stimulate lymphangiogenesis, encourage lymphatic motility, and reduce lymphostatic fibrosis. However, these factors could also favor the development of recurrence and metastasis. The objective of this study is to discuss the use of LLLT in the treatment of lymphedema after breast cancer. This study utilized a systematic review on the use of LLLT in the treatment of lymphedema after breast cancer. Evaluating quality of articles was conducted through the PEDro scale. Of the 41 articles identified, four were considered to be of high methodological quality (score ≥ 5). The low-level laser in the axillary region was performed in all studies. The control group was not similar across studies. The results presented showed that there was a reduction in limb volume in the group subjected to low-power laser when compared with other treatments. No studies have evaluated the risk of metastasis or relapse in the irradiated areas. Because no studies have included the complex physical therapy as the comparison group, we cannot claim that laser treatment is the best efficacy or effectiveness in lymphedema treatment after breast cancer. No studies have evaluated the hypothesis that the LLLT can increase the risk of recurrence or metastasis. Therefore, the questions about the safety of this procedure in cancer patients remain.
DOI: 10.1007/s10103-012-1240-y
PubMed: 23192573
Affiliations:
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Center-UNISUAM, Rio de Janeiro, Brazil</wicri:regionArea><wicri:noRegion>Brazil</wicri:noRegion></affiliation></author><author><name sortKey="E Lima, Januario Gomes Mourao" sort="E Lima, Januario Gomes Mourao" uniqKey="E Lima J" first="Januário Gomes Mourão" last="E Lima">Januário Gomes Mourão E Lima</name></author><author><name sortKey="De Andrade, Mauro Figueiredo Carvalho" sort="De Andrade, Mauro Figueiredo Carvalho" uniqKey="De Andrade M" first="Mauro Figueiredo Carvalho" last="De Andrade">Mauro Figueiredo Carvalho De Andrade</name></author><author><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name></author></analytic><series><title level="j">Lasers in medical science</title><idno type="eISSN">1435-604X</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Breast 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qualifier="radiothérapie" xml:lang="fr"><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Lasers</term><term>Low-Level Light Therapy</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lasers</term><term>Photothérapie de faible intensité</term><term>Sujet âgé</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Complex physical therapy is the main treatment for the secondary lymphedema after breast cancer. The low-level laser therapy (LLLT) has been used in order to stimulate lymphangiogenesis, encourage lymphatic motility, and reduce lymphostatic fibrosis. However, these factors could also favor the development of recurrence and metastasis. The objective of this study is to discuss the use of LLLT in the treatment of lymphedema after breast cancer. This study utilized a systematic review on the use of LLLT in the treatment of lymphedema after breast cancer. Evaluating quality of articles was conducted through the PEDro scale. Of the 41 articles identified, four were considered to be of high methodological quality (score ≥ 5). The low-level laser in the axillary region was performed in all studies. The control group was not similar across studies. The results presented showed that there was a reduction in limb volume in the group subjected to low-power laser when compared with other treatments. No studies have evaluated the risk of metastasis or relapse in the irradiated areas. Because no studies have included the complex physical therapy as the comparison group, we cannot claim that laser treatment is the best efficacy or effectiveness in lymphedema treatment after breast cancer. No studies have evaluated the hypothesis that the LLLT can increase the risk of recurrence or metastasis. Therefore, the questions about the safety of this procedure in cancer patients remain.</div></front></TEI><affiliations><list><country><li>Brésil</li></country></list><tree><noCountry><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name><name sortKey="De Andrade, Mauro Figueiredo Carvalho" sort="De Andrade, Mauro Figueiredo Carvalho" uniqKey="De Andrade M" first="Mauro Figueiredo Carvalho" last="De Andrade">Mauro Figueiredo Carvalho De Andrade</name><name sortKey="E Lima, Januario Gomes Mourao" sort="E Lima, Januario Gomes Mourao" uniqKey="E Lima J" first="Januário Gomes Mourão" last="E Lima">Januário Gomes Mourão E Lima</name></noCountry><country name="Brésil"><noRegion><name sortKey="E Lima, Mariana Toledo Biscaia Raposo Mourao" sort="E Lima, Mariana Toledo Biscaia Raposo Mourao" uniqKey="E Lima M" first="Mariana Toledo Biscaia Raposo Mourão" last="E Lima">Mariana Toledo Biscaia Raposo Mourão E Lima</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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