LymphedemaV1, Main, Exploration, bibRecord, 005952

Different physical treatment modalities for lymphoedema developing after axillary lymph node dissection for breast cancer: a review.

Identifieur interne : 005952 ( Main/Exploration ); précédent : 005951; suivant : 005953

Different physical treatment modalities for lymphoedema developing after axillary lymph node dissection for breast cancer: a review.

Auteurs : Nele Devoogdt [Belgique] ; Marijke Van Kampen ; Inge Geraerts ; Tina Coremans ; Marie-Rose Christiaens

Source :

European journal of obstetrics, gynecology, and reproductive biology [ 1872-7654 ] ; 2010.

RBID : pubmed:20018422

Descripteurs français

KwdFr :
- Association thérapeutique, Essais contrôlés randomisés comme sujet, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (étiologie), Techniques de physiothérapie, Tumeurs du sein ().
MESH :
- effets indésirables : Lymphadénectomie.
- étiologie : Lymphoedème.
- Association thérapeutique, Essais contrôlés randomisés comme sujet, Femelle, Humains, Lymphoedème, Techniques de physiothérapie, Tumeurs du sein.

English descriptors

KwdEn :
- Breast Neoplasms (surgery), Combined Modality Therapy, Female, Humans, Lymph Node Excision (adverse effects), Lymphedema (etiology), Lymphedema (therapy), Physical Therapy Modalities, Randomized Controlled Trials as Topic.
MESH :
- adverse effects : Lymph Node Excision.
- etiology : Lymphedema.
- surgery : Breast Neoplasms.
- therapy : Lymphedema.
- Combined Modality Therapy, Female, Humans, Physical Therapy Modalities, Randomized Controlled Trials as Topic.

Abstract

The purpose of this article is to provide a systematic review of Combined Physical Therapy, Intermittent Pneumatic Compression and arm elevation for the treatment of lymphoedema secondary to an axillary dissection for breast cancer. Combined Physical Therapy starts with an intensive phase consisting of skin care, Manual Lymphatic Drainage, exercises and bandaging and continues with a maintenance phase consisting of skin care, exercises, wearing a compression sleeve and Manual Lymphatic Drainage if needed. We have searched the following databases: PubMed/MEDLINE, CINAHL, EMBASE, PEDro and Cochrane. Only (pseudo-) randomised controlled trials and non-randomised experimental trials investigating the effectiveness of Combined Physical Therapy and its different parts, of Intermittent Pneumatic Compression and of arm elevation were included. These physical treatments had to be applied to patients with arm lymphoedema which developed after axillary dissection for breast cancer. Ten randomised controlled trials, one pseudo-randomised controlled trial and four non-randomised experimental trials were found and analysed. Combined Physical Therapy can be considered as an effective treatment modality for lymphoedema. Bandaging the arm is effective, whether its effectiveness is investigated on a heterogeneous group consisting of patients with upper and lower limb lymphoedema from different causes. There is no consensus on the effectiveness of Manual Lymphatic Drainage. The effectiveness of skin care, exercises, wearing a compression sleeve and arm elevation is not investigated by a controlled trial. Intermittent Pneumatic Compression is effective, but once the treatment is interrupted, the lymphoedema volume increases. In conclusion, Combined Physical Therapy is an effective therapy for lymphoedema. However, the effectiveness of its different components remains uncertain. Furthermore, high-quality studies are warranted. The long-term effect of Intermittent Pneumatic Compression and the effect of elevation on lymphoedema are not yet proven.

DOI: 10.1016/j.ejogrb.2009.11.016
PubMed: 20018422

Affiliations:

Belgique

Le document en format XML

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<front><div type="abstract" xml:lang="en">The purpose of this article is to provide a systematic review of Combined Physical Therapy, Intermittent Pneumatic Compression and arm elevation for the treatment of lymphoedema secondary to an axillary dissection for breast cancer. Combined Physical Therapy starts with an intensive phase consisting of skin care, Manual Lymphatic Drainage, exercises and bandaging and continues with a maintenance phase consisting of skin care, exercises, wearing a compression sleeve and Manual Lymphatic Drainage if needed. We have searched the following databases: PubMed/MEDLINE, CINAHL, EMBASE, PEDro and Cochrane. Only (pseudo-) randomised controlled trials and non-randomised experimental trials investigating the effectiveness of Combined Physical Therapy and its different parts, of Intermittent Pneumatic Compression and of arm elevation were included. These physical treatments had to be applied to patients with arm lymphoedema which developed after axillary dissection for breast cancer. Ten randomised controlled trials, one pseudo-randomised controlled trial and four non-randomised experimental trials were found and analysed. Combined Physical Therapy can be considered as an effective treatment modality for lymphoedema. Bandaging the arm is effective, whether its effectiveness is investigated on a heterogeneous group consisting of patients with upper and lower limb lymphoedema from different causes. There is no consensus on the effectiveness of Manual Lymphatic Drainage. The effectiveness of skin care, exercises, wearing a compression sleeve and arm elevation is not investigated by a controlled trial. Intermittent Pneumatic Compression is effective, but once the treatment is interrupted, the lymphoedema volume increases. In conclusion, Combined Physical Therapy is an effective therapy for lymphoedema. However, the effectiveness of its different components remains uncertain. Furthermore, high-quality studies are warranted. The long-term effect of Intermittent Pneumatic Compression and the effect of elevation on lymphoedema are not yet proven.</div>
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Serveur d'exploration sur le lymphœdème

Different physical treatment modalities for lymphoedema developing after axillary lymph node dissection for breast cancer: a review.

Different physical treatment modalities for lymphoedema developing after axillary lymph node dissection for breast cancer: a review.

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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