The addition of manual lymph drainage to compression therapy for breast cancer related lymphedema: a randomized controlled trial
Identifieur interne : 008C98 ( Main/Exploration ); précédent : 008C97; suivant : 008C99The addition of manual lymph drainage to compression therapy for breast cancer related lymphedema: a randomized controlled trial
Auteurs : Margaret L. Mcneely [Canada] ; David J. Magee [Canada] ; Alan W. Lees [Canada] ; Keith M. Bagnall [Canada] ; Mark Haykowsky [Canada] ; John Hanson [Canada]Source :
- Breast cancer research and treatment [ 0167-6806 ] ; 2004.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Bras.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Wicri :
- topic : Drainage.
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- methods : Drainage.
- pathology : Arm.
- therapy : Lymphedema.
- Adult, Aged, Aged, 80 and over, Bandages, Female, Humans, Massage, Middle Aged, Treatment Outcome.
Abstract
Purpose. The purpose of this investigation was to compare the reduction in arm lymphedema volume achieved from manual lymph drainage massage (MLD) in combination with multi-layered compression bandaging (CB) to that achieved by CB alone. Methods and materials. Fifty women with lymphedema (mean age of 59 years ± 13 years) were randomly assigned to 4 weeks of combined MLD/CB or CB alone. The primary study endpoint was the reduction in arm lymphedema volume, which was determined by water displacement volumetry and measurement of circumference. Independent assessors, blinded to subject treatment assignment, performed the outcome measurements. Results. Arm lymphedema volume decreased significantly after 4 weeks irrespective of treatment assignment (p < 0.001). Individuals with mild lymphedema receiving combined MLD/CB had a significantly larger percentage reduction in volume compared to individuals with mild lymphedema receiving CB alone, and compared to individuals with moderate or severe lymphedema receiving either treatment. Conclusion. These findings indicate that CB, with or without MLD, is an effective intervention in reducing arm lymphedema volume. The findings suggest that CB on its own should be considered as a primary treatment option in reducing arm lymphedema volume. There may be an additional benefit from the application of MLD for women with mild lymphedema; however, this finding will need to be further examined in the research setting.
Affiliations:
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Le document en format XML
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<author><name sortKey="Bagnall, Keith M" sort="Bagnall, Keith M" uniqKey="Bagnall K" first="Keith M." last="Bagnall">Keith M. Bagnall</name>
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<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Faculty of Rehabilitation Medicine, Department of Physical Therapy, Cross Cancer Institute</s1>
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<series><title level="j" type="main">Breast cancer research and treatment</title>
<title level="j" type="abbreviated">Breast cancer res. treat.</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Arm (pathology)</term>
<term>Bandages</term>
<term>Breast cancer</term>
<term>Clinical trial</term>
<term>Compression</term>
<term>Drainage</term>
<term>Drainage (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph</term>
<term>Lymphedema</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Malignant tumor</term>
<term>Massage</term>
<term>Middle Aged</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bandages</term>
<term>Bras (anatomopathologie)</term>
<term>Drainage ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Massage</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bandages</term>
<term>Female</term>
<term>Humans</term>
<term>Massage</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bandages</term>
<term>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Massage</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeur maligne</term>
<term>Lymphe</term>
<term>Drainage</term>
<term>Lymphoedème</term>
<term>Bras</term>
<term>Traitement</term>
<term>Compression</term>
<term>Essai clinique</term>
<term>Cancer du sein</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Drainage</term>
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<front><div type="abstract" xml:lang="en">Purpose. The purpose of this investigation was to compare the reduction in arm lymphedema volume achieved from manual lymph drainage massage (MLD) in combination with multi-layered compression bandaging (CB) to that achieved by CB alone. Methods and materials. Fifty women with lymphedema (mean age of 59 years ± 13 years) were randomly assigned to 4 weeks of combined MLD/CB or CB alone. The primary study endpoint was the reduction in arm lymphedema volume, which was determined by water displacement volumetry and measurement of circumference. Independent assessors, blinded to subject treatment assignment, performed the outcome measurements. Results. Arm lymphedema volume decreased significantly after 4 weeks irrespective of treatment assignment (p < 0.001). Individuals with mild lymphedema receiving combined MLD/CB had a significantly larger percentage reduction in volume compared to individuals with mild lymphedema receiving CB alone, and compared to individuals with moderate or severe lymphedema receiving either treatment. Conclusion. These findings indicate that CB, with or without MLD, is an effective intervention in reducing arm lymphedema volume. The findings suggest that CB on its own should be considered as a primary treatment option in reducing arm lymphedema volume. There may be an additional benefit from the application of MLD for women with mild lymphedema; however, this finding will need to be further examined in the research setting.</div>
</front>
</TEI>
<affiliations><list><country><li>Canada</li>
</country>
</list>
<tree><country name="Canada"><noRegion><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name>
</noRegion>
<name sortKey="Bagnall, Keith M" sort="Bagnall, Keith M" uniqKey="Bagnall K" first="Keith M." last="Bagnall">Keith M. Bagnall</name>
<name sortKey="Hanson, John" sort="Hanson, John" uniqKey="Hanson J" first="John" last="Hanson">John Hanson</name>
<name sortKey="Haykowsky, Mark" sort="Haykowsky, Mark" uniqKey="Haykowsky M" first="Mark" last="Haykowsky">Mark Haykowsky</name>
<name sortKey="Lees, Alan W" sort="Lees, Alan W" uniqKey="Lees A" first="Alan W." last="Lees">Alan W. Lees</name>
<name sortKey="Lees, Alan W" sort="Lees, Alan W" uniqKey="Lees A" first="Alan W." last="Lees">Alan W. Lees</name>
<name sortKey="Magee, David J" sort="Magee, David J" uniqKey="Magee D" first="David J." last="Magee">David J. Magee</name>
</country>
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</record>
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