Intermittent pneumatic compression acts synergistically with manual lymphatic drainage in complex decongestive physiotherapy for breast cancer treatment-related lymphedema.
Identifieur interne : 006229 ( Main/Exploration ); précédent : 006228; suivant : 006230Intermittent pneumatic compression acts synergistically with manual lymphatic drainage in complex decongestive physiotherapy for breast cancer treatment-related lymphedema.
Auteurs : G. Szolnoky [Hongrie] ; B. Lakatos ; T. Keskeny ; E. Varga ; M. Varga ; A. Dobozy ; L. KeménySource :
- Lymphology [ 0024-7766 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Antinéoplasiques (effets indésirables), Bras (), Claudication intermittente (), Complications postopératoires (), Dispositifs à compression pneumatique intermittente, Drainage, Femelle, Humains, Jambe (), Lymphoedème (), Lymphoedème (étiologie), Pronostic, Radiothérapie adjuvante (effets indésirables), Résultat thérapeutique, Traitement par les exercices physiques, Tumeurs du sein ().
- MESH :
- effets indésirables : Antinéoplasiques, Radiothérapie adjuvante.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Bras, Claudication intermittente, Complications postopératoires, Dispositifs à compression pneumatique intermittente, Drainage, Femelle, Humains, Jambe, Lymphoedème, Pronostic, Résultat thérapeutique, Traitement par les exercices physiques, Tumeurs du sein.
English descriptors
- KwdEn :
- Antineoplastic Agents (adverse effects), Arm (surgery), Breast Neoplasms (complications), Breast Neoplasms (therapy), Drainage, Exercise Therapy, Female, Humans, Intermittent Claudication (therapy), Intermittent Pneumatic Compression Devices, Leg (surgery), Lymphedema (etiology), Lymphedema (therapy), Middle Aged, Postoperative Complications (prevention & control), Prognosis, Radiotherapy, Adjuvant (adverse effects), Treatment Outcome.
- MESH :
- chemical , adverse effects : Antineoplastic Agents.
- adverse effects : Radiotherapy, Adjuvant.
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- prevention & control : Postoperative Complications.
- surgery : Arm, Leg.
- therapy : Breast Neoplasms, Intermittent Claudication, Lymphedema.
- Drainage, Exercise Therapy, Female, Humans, Intermittent Pneumatic Compression Devices, Middle Aged, Prognosis, Treatment Outcome.
Abstract
The application of intermittent pneumatic compression (IPC) as a part of complex decongestive physiotherapy (CDP) remains controversial. The aim of this study was to investigate whether the combination of IPC with manual lymph drainage (MLD) could improve CDP treatment outcomes in women with secondary lymphedema after breast cancer treatment. A randomized study was undertaken with 13 subjects receiving MLD (60 min) and 14 receiving MLD (30 min) plus IPC (30 min) followed by standardized components of CDP including multilayered compression bandaging, physical exercise, and skin care 10 times in a 2-week-period. Efficacy of treatment was evaluated by limb volume reduction and a subjective symptom questionnaire at end of the treatment, and one and two months after beginning treatment. The two groups had similar demographic and clinical characteristics. Mean reductions in limb volumes for each group at the end of therapy, and at one and two months were 7.93% and 3.06%, 9.02% and 2.9%, and 9.62% and 3.6%, respectively (p < 0.05 from baseline for each group and also between groups at each measurement). Although a significant decrease in the subjective symptom survey was found for both groups compared to baseline, no significant difference between the groups was found at any time point. The application of IPC with MLD provides a synergistic enhancement of the effect of CDP in arm volume reduction.
PubMed: 20218087
Affiliations:
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Keskeny</name></author><author><name sortKey="Varga, E" sort="Varga, E" uniqKey="Varga E" first="E" last="Varga">E. Varga</name></author><author><name sortKey="Varga, M" sort="Varga, M" uniqKey="Varga M" first="M" last="Varga">M. Varga</name></author><author><name sortKey="Dobozy, A" sort="Dobozy, A" uniqKey="Dobozy A" first="A" last="Dobozy">A. Dobozy</name></author><author><name sortKey="Kemeny, L" sort="Kemeny, L" uniqKey="Kemeny L" first="L" last="Kemény">L. 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Szolnoky</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary. szolnoky@dermall.hu</nlm:affiliation><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Dermatology and Allergology, University of Szeged, Szeged</wicri:regionArea><wicri:noRegion>Szeged</wicri:noRegion></affiliation></author><author><name sortKey="Lakatos, B" sort="Lakatos, B" uniqKey="Lakatos B" first="B" last="Lakatos">B. Lakatos</name></author><author><name sortKey="Keskeny, T" sort="Keskeny, T" uniqKey="Keskeny T" first="T" last="Keskeny">T. Keskeny</name></author><author><name sortKey="Varga, E" sort="Varga, E" uniqKey="Varga E" first="E" last="Varga">E. Varga</name></author><author><name sortKey="Varga, M" sort="Varga, M" uniqKey="Varga M" first="M" last="Varga">M. Varga</name></author><author><name sortKey="Dobozy, A" sort="Dobozy, A" uniqKey="Dobozy A" first="A" last="Dobozy">A. Dobozy</name></author><author><name sortKey="Kemeny, L" sort="Kemeny, L" uniqKey="Kemeny L" first="L" last="Kemény">L. Kemény</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antineoplastic Agents (adverse effects)</term><term>Arm (surgery)</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (therapy)</term><term>Drainage</term><term>Exercise Therapy</term><term>Female</term><term>Humans</term><term>Intermittent Claudication (therapy)</term><term>Intermittent Pneumatic Compression Devices</term><term>Leg (surgery)</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Middle Aged</term><term>Postoperative Complications (prevention & control)</term><term>Prognosis</term><term>Radiotherapy, Adjuvant (adverse effects)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Antinéoplasiques (effets indésirables)</term><term>Bras ()</term><term>Claudication intermittente ()</term><term>Complications postopératoires ()</term><term>Dispositifs à compression pneumatique intermittente</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Jambe ()</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Pronostic</term><term>Radiothérapie adjuvante (effets indésirables)</term><term>Résultat thérapeutique</term><term>Traitement par les exercices physiques</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antineoplastic Agents</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Radiotherapy, Adjuvant</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Antinéoplasiques</term><term>Radiothérapie adjuvante</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arm</term><term>Leg</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Intermittent Claudication</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Drainage</term><term>Exercise Therapy</term><term>Female</term><term>Humans</term><term>Intermittent Pneumatic Compression Devices</term><term>Middle Aged</term><term>Prognosis</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bras</term><term>Claudication intermittente</term><term>Complications postopératoires</term><term>Dispositifs à compression pneumatique intermittente</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Pronostic</term><term>Résultat thérapeutique</term><term>Traitement par les exercices physiques</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The application of intermittent pneumatic compression (IPC) as a part of complex decongestive physiotherapy (CDP) remains controversial. The aim of this study was to investigate whether the combination of IPC with manual lymph drainage (MLD) could improve CDP treatment outcomes in women with secondary lymphedema after breast cancer treatment. A randomized study was undertaken with 13 subjects receiving MLD (60 min) and 14 receiving MLD (30 min) plus IPC (30 min) followed by standardized components of CDP including multilayered compression bandaging, physical exercise, and skin care 10 times in a 2-week-period. Efficacy of treatment was evaluated by limb volume reduction and a subjective symptom questionnaire at end of the treatment, and one and two months after beginning treatment. The two groups had similar demographic and clinical characteristics. Mean reductions in limb volumes for each group at the end of therapy, and at one and two months were 7.93% and 3.06%, 9.02% and 2.9%, and 9.62% and 3.6%, respectively (p < 0.05 from baseline for each group and also between groups at each measurement). Although a significant decrease in the subjective symptom survey was found for both groups compared to baseline, no significant difference between the groups was found at any time point. The application of IPC with MLD provides a synergistic enhancement of the effect of CDP in arm volume reduction.</div></front></TEI><affiliations><list><country><li>Hongrie</li></country></list><tree><noCountry><name sortKey="Dobozy, A" sort="Dobozy, A" uniqKey="Dobozy A" first="A" last="Dobozy">A. Dobozy</name><name sortKey="Kemeny, L" sort="Kemeny, L" uniqKey="Kemeny L" first="L" last="Kemény">L. Kemény</name><name sortKey="Keskeny, T" sort="Keskeny, T" uniqKey="Keskeny T" first="T" last="Keskeny">T. Keskeny</name><name sortKey="Lakatos, B" sort="Lakatos, B" uniqKey="Lakatos B" first="B" last="Lakatos">B. Lakatos</name><name sortKey="Varga, E" sort="Varga, E" uniqKey="Varga E" first="E" last="Varga">E. Varga</name><name sortKey="Varga, M" sort="Varga, M" uniqKey="Varga M" first="M" last="Varga">M. Varga</name></noCountry><country name="Hongrie"><noRegion><name sortKey="Szolnoky, G" sort="Szolnoky, G" uniqKey="Szolnoky G" first="G" last="Szolnoky">G. Szolnoky</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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