Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up
Identifieur interne : 00B645 ( Main/Exploration ); précédent : 00B644; suivant : 00B646Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up
Auteurs : N. B. Piller [Australie] ; A. ThelanderSource :
- Lymphology [ 0024-7766 ] ; 1998.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Bras, Lymphoedème.
- effets indésirables : Mastectomie.
- radiothérapie : Lymphoedème.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Arm, Arm (pathology), Chronic, Electric Impedance, Female, Follow up study, Follow-Up Studies, Human, Humans, Laser, Laser Therapy, Lymphedema, Lymphedema (etiology), Lymphedema (pathology), Lymphedema (radiotherapy), Mastectomy (adverse effects), Pain Measurement, Phototherapy, Surveys and Questionnaires, Technique, Tonometry, Tonometry, Ocular, Treatment, Treatment efficiency.
- MESH :
- adverse effects : Mastectomy.
- etiology : Lymphedema.
- pathology : Arm, Lymphedema.
- radiotherapy : Lymphedema.
- Electric Impedance, Female, Follow-Up Studies, Humans, Laser Therapy, Pain Measurement, Surveys and Questionnaires, Tonometry, Ocular.
Abstract
Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30 -36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.
Affiliations:
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Le document en format XML
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<author><name sortKey="Piller, N B" sort="Piller, N B" uniqKey="Piller N" first="N. B." last="Piller">N. B. Piller</name>
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<s2>Bedford Park</s2>
<s3>AUS</s3>
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<wicri:noRegion>Bedford Park</wicri:noRegion>
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<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Mitcham Rehabilitation Clinic</s1>
<s2>Kingswood, South Australia</s2>
<s3>AUS</s3>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up</title>
<author><name sortKey="Piller, N B" sort="Piller, N B" uniqKey="Piller N" first="N. B." last="Piller">N. B. Piller</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Public Health, School of Medicine, Flinders Medical Centre</s1>
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<s3>AUS</s3>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Mitcham Rehabilitation Clinic</wicri:noRegion>
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<author><name sortKey="Thelander, A" sort="Thelander, A" uniqKey="Thelander A" first="A." last="Thelander">A. Thelander</name>
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<series><title level="j" type="main">Lymphology</title>
<title level="j" type="abbreviated">Lymphology</title>
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<imprint><date when="1998">1998</date>
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<seriesStmt><title level="j" type="main">Lymphology</title>
<title level="j" type="abbreviated">Lymphology</title>
<idno type="ISSN">0024-7766</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term>
<term>Arm (pathology)</term>
<term>Chronic</term>
<term>Electric Impedance</term>
<term>Female</term>
<term>Follow up study</term>
<term>Follow-Up Studies</term>
<term>Human</term>
<term>Humans</term>
<term>Laser</term>
<term>Laser Therapy</term>
<term>Lymphedema</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (radiotherapy)</term>
<term>Mastectomy (adverse effects)</term>
<term>Pain Measurement</term>
<term>Phototherapy</term>
<term>Surveys and Questionnaires</term>
<term>Technique</term>
<term>Tonometry</term>
<term>Tonometry, Ocular</term>
<term>Treatment</term>
<term>Treatment efficiency</term>
</keywords>
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<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (radiothérapie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Mesure de la douleur</term>
<term>Thérapie laser</term>
<term>Tonométrie oculaire</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Electric Impedance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Laser Therapy</term>
<term>Pain Measurement</term>
<term>Surveys and Questionnaires</term>
<term>Tonometry, Ocular</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Lymphoedème</term>
<term>Chronique</term>
<term>Bras</term>
<term>Mesure de la douleur</term>
<term>Photothérapie</term>
<term>Laser</term>
<term>Thérapie laser</term>
<term>Tonométrie</term>
<term>Etude longitudinale</term>
<term>Tonométrie oculaire</term>
<term>Traitement</term>
<term>Technique</term>
<term>Efficacité traitement</term>
<term>Homme</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30 -36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.</div>
</front>
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