LymphedemaV1, Main, Exploration, bibRecord, 005706

Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment

Identifieur interne : 005706 ( Main/Exploration ); précédent : 005705; suivant : 005707

Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment

Auteurs : Almir José Sarri ; Sonia Marta Moriguchi ; Rogério Dias ; Stela Verzinhasse Peres ; Eduardo Tin Is Da Silva ; Kátia Hiromoto Koga [Brésil] ; Ângelo Gustavo Zucca Matthes ; Marcelo José Dos Santos ; Euclides Tim Teo Da Rocha ; Raphael Luiz Haikel

Source :

Experimental and Therapeutic Medicine [ 1792-0981 ] ; 2010.

RBID : PMC:3490344

Abstract

The aim of this study was to confirm the effectiveness of early physiotherapeutic stimulation for lymphatic flow progression in patients with breast cancer undergoing axillary dissection. This was a randomized experimental study on 22 patients who underwent lymphoscintigraphy in their arms on two different occasions, firstly without stimulation and secondly after randomization into two groups: without physiotherapeutic stimulation (WOPS; n=10) and with physiotherapeutic stimulation (WPS; n=12). The lymphoscintigraphy scan was performed with ^99mTc-phytate administered into the second interdigital space of the hand, ipsilaterally to the dissected axilla, in three phases: dynamic, static, and delayed whole body imaging. Physiotherapeutic stimulation was carried out using Földi's technique. In both groups, images from the two examinations of each patient were compared. Flow progression was considered positive when, on the second examination, the radiopharmaceutical reached areas more distant from the injection site. Statistical analysis was used to evaluate frequencies, percentages and central trend measurements, and non-parametric tests were conducted. Descriptive analysis showed that the WPS and WOPS groups were similar in terms of mean age, weight, height, body mass index and number of lymph nodes removed. There were statistically significant associations between physiotherapeutic stimulation and radiopharmaceutical progression at all three phases of the study (p<0.0001). Early physiotherapeutic stimulation in breast cancer patients undergoing radical axillary dissection is effective, and can therefore be indicated as a preventive measure against lymphedema.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490344

DOI: 10.3892/etm_00000024
PubMed: 23136607
PubMed Central: 3490344

Affiliations:

Brésil

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p>The aim of this study was to confirm the effectiveness of early physiotherapeutic stimulation for lymphatic flow progression in patients with breast cancer undergoing axillary dissection. This was a randomized experimental study on 22 patients who underwent lymphoscintigraphy in their arms on two different occasions, firstly without stimulation and secondly after randomization into two groups: without physiotherapeutic stimulation (WOPS; n=10) and with physiotherapeutic stimulation (WPS; n=12). The lymphoscintigraphy scan was performed with <sup>99m</sup>
Tc-phytate administered into the second interdigital space of the hand, ipsilaterally to the dissected axilla, in three phases: dynamic, static, and delayed whole body imaging. Physiotherapeutic stimulation was carried out using Földi's technique. In both groups, images from the two examinations of each patient were compared. Flow progression was considered positive when, on the second examination, the radiopharmaceutical reached areas more distant from the injection site. Statistical analysis was used to evaluate frequencies, percentages and central trend measurements, and non-parametric tests were conducted. Descriptive analysis showed that the WPS and WOPS groups were similar in terms of mean age, weight, height, body mass index and number of lymph nodes removed. There were statistically significant associations between physiotherapeutic stimulation and radiopharmaceutical progression at all three phases of the study (p<0.0001). Early physiotherapeutic stimulation in breast cancer patients undergoing radical axillary dissection is effective, and can therefore be indicated as a preventive measure against lymphedema.</p>
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<tree><noCountry><name sortKey="Da Rocha, Euclides Tim Teo" sort="Da Rocha, Euclides Tim Teo" uniqKey="Da Rocha E" first="Euclides Tim Teo" last="Da Rocha">Euclides Tim Teo Da Rocha</name>
<name sortKey="Da Silva, Eduardo Tin Is" sort="Da Silva, Eduardo Tin Is" uniqKey="Da Silva E" first="Eduardo Tin Is" last="Da Silva">Eduardo Tin Is Da Silva</name>
<name sortKey="Dias, Rogerio" sort="Dias, Rogerio" uniqKey="Dias R" first="Rogério" last="Dias">Rogério Dias</name>
<name sortKey="Dos Santos, Marcelo Jose" sort="Dos Santos, Marcelo Jose" uniqKey="Dos Santos M" first="Marcelo José" last="Dos Santos">Marcelo José Dos Santos</name>
<name sortKey="Haikel, Raphael Luiz" sort="Haikel, Raphael Luiz" uniqKey="Haikel R" first="Raphael Luiz" last="Haikel">Raphael Luiz Haikel</name>
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<name sortKey="Sarri, Almir Jose" sort="Sarri, Almir Jose" uniqKey="Sarri A" first="Almir José" last="Sarri">Almir José Sarri</name>
<name sortKey="Zucca Matthes, Angelo Gustavo" sort="Zucca Matthes, Angelo Gustavo" uniqKey="Zucca Matthes A" first="Ângelo Gustavo" last="Zucca Matthes">Ângelo Gustavo Zucca Matthes</name>
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Serveur d'exploration sur le lymphœdème

Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment

Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment

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Abstract

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