A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema
Identifieur interne : 004954 ( Main/Exploration ); précédent : 004953; suivant : 004955A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema
Auteurs : Sheila H. Ridner [États-Unis] ; Barbara Murphy [États-Unis] ; JIE DENG [États-Unis] ; Nancy Kidd [États-Unis] ; Emily Galford [États-Unis] ; Candace Bonner [États-Unis] ; Stewart M. Bond [États-Unis] ; Mary S. Dietrich [États-Unis]Source :
- Breast cancer research and treatment [ 0167-6806 ] ; 2012.
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- Pascal (Inist)
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English descriptors
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Abstract
Treatment of the truncal lymphatics prior to treatment of the lymphedematous arm is an accepted, although not empirically tested, therapeutic intervention delivered during decongestive lymphatic therapy (DLT). Breast cancer survivors with arm lymphedema are encouraged to use these techniques when performing simple lymphatic drainage as part of their life-long lymphedema self-care. Self-massage is at times difficult and pneumatic compression devices are used by many patients to assist with self-care. One such device, the Flexitouch® System, replicates the techniques used during DLT; however, the need for application of pneumatic compression in unaffected truncal areas to improve self-care outcomes in arm only lymphedema is not established. The objective of this study was to compare the therapeutic benefit of truncal/chest/arm advanced pneumatic compression therapy (experimental group) verses arm only pneumatic compression (control group) in self-care for arm lymphedema without truncal involvement using the Flexitouch® System. Outcomes of interest were self-reported symptoms, function, arm impedance ratios, circumference, volume, and trunk circumference. Forty-two breast cancer survivors, (21 per group), with Stage II lymphedema completed 30 days of home self-care using the Flexitouch® System. Findings revealed a statistically significant reduction in both the number of symptoms and overall symptom burden within each group; however, there were no statistically significant differences in these outcomes between the groups. There was no statistically significant overall change or differential pattern of change between the groups in function. A statistically significant reduction in bioelectrical impedance and arm circumference within both of the groups was achieved; however, there was no statistically significant difference in reduction between groups. These findings indicate that both configurations are effective, but that there may be no added benefit to advanced pneumatic treatment of the truncal lymphatics prior to arm massage when the trunk is not also affected. Further research is indicated in a larger sample.
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Dietrich</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center, 2220 Pierce Avenue</s1><s2>Nashville, TN 37232</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0079837</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0079837 INIST</idno><idno type="RBID">Pascal:12-0079837</idno><idno type="wicri:Area/PascalFrancis/Corpus">000119</idno><idno type="wicri:Area/PascalFrancis/Curation">000838</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000111</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000111</idno><idno type="wicri:doubleKey">0167-6806:2012:Ridner S:a:randomized:clinical</idno><idno type="wicri:Area/Main/Merge">004983</idno><idno type="wicri:Area/Main/Curation">004954</idno><idno type="wicri:Area/Main/Exploration">004954</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema</title><author><name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall</s1><s2>Nashville, TN 37240</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Murphy, Barbara" sort="Murphy, Barbara" uniqKey="Murphy B" first="Barbara" last="Murphy">Barbara Murphy</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Division of Medical Oncology, Vanderbilt University School of Medicine, 777, Preston Research Building</s1><s2>Nashville, TN 37232-6307</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center, 2220 Pierce Avenue</s1><s2>Nashville, TN 37232</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Jie Deng" sort="Jie Deng" uniqKey="Jie Deng" last="Jie Deng">JIE DENG</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall</s1><s2>Nashville, TN 37240</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Kidd, Nancy" sort="Kidd, Nancy" uniqKey="Kidd N" first="Nancy" last="Kidd">Nancy Kidd</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall</s1><s2>Nashville, TN 37240</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Galford, Emily" sort="Galford, Emily" uniqKey="Galford E" first="Emily" last="Galford">Emily Galford</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall</s1><s2>Nashville, TN 37240</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Bonner, Candace" sort="Bonner, Candace" uniqKey="Bonner C" first="Candace" last="Bonner">Candace Bonner</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall</s1><s2>Nashville, TN 37240</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Bond, Stewart M" sort="Bond, Stewart M" uniqKey="Bond S" first="Stewart M." last="Bond">Stewart M. Bond</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall</s1><s2>Nashville, TN 37240</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center, 2220 Pierce Avenue</s1><s2>Nashville, TN 37232</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Advanced stage</term><term>Arm</term><term>Breast cancer</term><term>Care</term><term>Clinical trial</term><term>Comparative study</term><term>Compression</term><term>Device</term><term>Drainage</term><term>Human</term><term>Lymphatic</term><term>Lymphatic system</term><term>Lymphedema</term><term>Randomization</term><term>Treatment</term><term>Trunk</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Essai clinique</term><term>Randomisation</term><term>Homme</term><term>Etude comparative</term><term>Stade avancé</term><term>Tronc</term><term>Bras</term><term>Traitement</term><term>Soin</term><term>Lymphoedème</term><term>Compression</term><term>Dispositif</term><term>Lymphatique</term><term>Système lymphatique</term><term>Drainage</term><term>Cancer du sein</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Drainage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Treatment of the truncal lymphatics prior to treatment of the lymphedematous arm is an accepted, although not empirically tested, therapeutic intervention delivered during decongestive lymphatic therapy (DLT). Breast cancer survivors with arm lymphedema are encouraged to use these techniques when performing simple lymphatic drainage as part of their life-long lymphedema self-care. Self-massage is at times difficult and pneumatic compression devices are used by many patients to assist with self-care. One such device, the Flexitouch® System, replicates the techniques used during DLT; however, the need for application of pneumatic compression in unaffected truncal areas to improve self-care outcomes in arm only lymphedema is not established. The objective of this study was to compare the therapeutic benefit of truncal/chest/arm advanced pneumatic compression therapy (experimental group) verses arm only pneumatic compression (control group) in self-care for arm lymphedema without truncal involvement using the Flexitouch® System. Outcomes of interest were self-reported symptoms, function, arm impedance ratios, circumference, volume, and trunk circumference. Forty-two breast cancer survivors, (21 per group), with Stage II lymphedema completed 30 days of home self-care using the Flexitouch® System. Findings revealed a statistically significant reduction in both the number of symptoms and overall symptom burden within each group; however, there were no statistically significant differences in these outcomes between the groups. There was no statistically significant overall change or differential pattern of change between the groups in function. A statistically significant reduction in bioelectrical impedance and arm circumference within both of the groups was achieved; however, there was no statistically significant difference in reduction between groups. These findings indicate that both configurations are effective, but that there may be no added benefit to advanced pneumatic treatment of the truncal lymphatics prior to arm massage when the trunk is not also affected. Further research is indicated in a larger sample.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Tennessee</li></region></list><tree><country name="États-Unis"><region name="Tennessee"><name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name></region><name sortKey="Bond, Stewart M" sort="Bond, Stewart M" uniqKey="Bond S" first="Stewart M." last="Bond">Stewart M. Bond</name><name sortKey="Bonner, Candace" sort="Bonner, Candace" uniqKey="Bonner C" first="Candace" last="Bonner">Candace Bonner</name><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><name sortKey="Galford, Emily" sort="Galford, Emily" uniqKey="Galford E" first="Emily" last="Galford">Emily Galford</name><name sortKey="Jie Deng" sort="Jie Deng" uniqKey="Jie Deng" last="Jie Deng">JIE DENG</name><name sortKey="Kidd, Nancy" sort="Kidd, Nancy" uniqKey="Kidd N" first="Nancy" last="Kidd">Nancy Kidd</name><name sortKey="Murphy, Barbara" sort="Murphy, Barbara" uniqKey="Murphy B" first="Barbara" last="Murphy">Barbara Murphy</name><name sortKey="Murphy, Barbara" sort="Murphy, Barbara" uniqKey="Murphy B" first="Barbara" last="Murphy">Barbara Murphy</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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