Treatment for lymphedema of the Arm-The Casley-Smith method : A noninvasive method produces continued reduction
Identifieur interne : 00B646 ( Main/Exploration ); précédent : 00B645; suivant : 00B647Treatment for lymphedema of the Arm-The Casley-Smith method : A noninvasive method produces continued reduction
Auteurs : J. R. Casley-Smith [Australie] ; M. Boris [États-Unis] ; S. Weindorf [États-Unis] ; B. Lasinski [États-Unis]Source :
- Cancer [ 0008-543X ] ; 1998.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème.
- rééducation et réadaptation : Lymphoedème.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Carcinome, Femelle, Glande mammaire, Humains, Lymphadénectomie, Mastectomie, Complication, Lymphoedème, Membre supérieur, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Traitement, Soin, Peau, Bandage compressif, Massage, Exercice physique, Technique, Homme, Méthode Casley Smith, Tumeurs du sein.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Breast Neoplasms (therapy), Carcinoma, Care, Complication, Compressive bandage, Female, Human, Humans, Lymphadenectomy, Lymphedema, Lymphedema (etiology), Lymphedema (pathology), Lymphedema (rehabilitation), Mammary gland, Massage, Mastectomy, Physical Therapy Modalities (methods), Physical exercise, Skin, Technique, Treatment, Upper limb.
- MESH :
- etiology : Lymphedema.
- methods : Physical Therapy Modalities.
- pathology : Lymphedema.
- rehabilitation : Lymphedema.
- therapy : Breast Neoplasms.
- Aged, Aged, 80 and over, Female, Humans.
Abstract
BACKGROUND. This paper gives an outline of the Casley-Smith method for the treatment of lymphedema of the arm. It includes a brief summary of the development of manual techniques and the terminology applied to them. METHODS. The four principles of this method are skin care, manual lymphatic drainage, compression in the form of bandaging and/or garments, and exercise. The massage techniques, especially where they differ from other schools, are described in some detail, as are the principles that apply in compression and maintenance of reduction in lymphedema. RESULTS. The results of this method have been analyzed both in Australia and in the United States and are discussed briefly. Mention is made of the benefits of the benzopyrones, which have been used for many years, when added to the above treatment. Both benzopyrones and exercise will produce a continued reduction after the treatment course. They are particularly useful in a less compliant patient. It is stressed that the effect of patient compliance, particularly after treatment, makes a great difference to the ongoing success of the regime. CONCLUSIONS. A comparison is drawn between the efficacy of various current treatments and their cost. This shows that this combined and conservative method of treatment should be considered before recourse to pumps or surgery. The latter seldom achieve the results of decongestive lymphatic drainage, and, in the long term, they are more expensive. Certain preventive measures may be indicated following, e.g., mastectomies. Prevention of the onset of lymphedema is of extreme importance. However, a return to as normal a lifestyle as possible by the patient is also essential. The earlier treatment begins after the onset of lymphedema, the better the prognosis for the patient. Lymphedema can and should be treated.
Affiliations:
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R." last="Casley-Smith">J. R. Casley-Smith</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Lymphoedema Association of Australia</s1><s2>Malvem, South Australia</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Lymphoedema Association of Australia</wicri:noRegion></affiliation></author><author><name sortKey="Boris, M" sort="Boris, M" uniqKey="Boris M" first="M." last="Boris">M. Boris</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Pediatrics, Cornell University School of Medicine</s1><s2>New York, New York</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Weindorf, S" sort="Weindorf, S" uniqKey="Weindorf S" first="S." last="Weindorf">S. Weindorf</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Pediatrics, Cornell University School of Medicine</s1><s2>New York, New York</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Lasinski, B" sort="Lasinski, B" uniqKey="Lasinski B" first="B." last="Lasinski">B. 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This paper gives an outline of the Casley-Smith method for the treatment of lymphedema of the arm. It includes a brief summary of the development of manual techniques and the terminology applied to them. METHODS. The four principles of this method are skin care, manual lymphatic drainage, compression in the form of bandaging and/or garments, and exercise. The massage techniques, especially where they differ from other schools, are described in some detail, as are the principles that apply in compression and maintenance of reduction in lymphedema. RESULTS. The results of this method have been analyzed both in Australia and in the United States and are discussed briefly. Mention is made of the benefits of the benzopyrones, which have been used for many years, when added to the above treatment. Both benzopyrones and exercise will produce a continued reduction after the treatment course. They are particularly useful in a less compliant patient. It is stressed that the effect of patient compliance, particularly after treatment, makes a great difference to the ongoing success of the regime. CONCLUSIONS. A comparison is drawn between the efficacy of various current treatments and their cost. This shows that this combined and conservative method of treatment should be considered before recourse to pumps or surgery. The latter seldom achieve the results of decongestive lymphatic drainage, and, in the long term, they are more expensive. Certain preventive measures may be indicated following, e.g., mastectomies. Prevention of the onset of lymphedema is of extreme importance. However, a return to as normal a lifestyle as possible by the patient is also essential. The earlier treatment begins after the onset of lymphedema, the better the prognosis for the patient. Lymphedema can and should be treated.</div></front></TEI><affiliations><list><country><li>Australie</li><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="Australie"><noRegion><name sortKey="Casley Smith, J R" sort="Casley Smith, J R" uniqKey="Casley Smith J" first="J. R." last="Casley-Smith">J. R. Casley-Smith</name></noRegion></country><country name="États-Unis"><region name="État de New York"><name sortKey="Boris, M" sort="Boris, M" uniqKey="Boris M" first="M." last="Boris">M. Boris</name></region><name sortKey="Lasinski, B" sort="Lasinski, B" uniqKey="Lasinski B" first="B." last="Lasinski">B. Lasinski</name><name sortKey="Weindorf, S" sort="Weindorf, S" uniqKey="Weindorf S" first="S." last="Weindorf">S. Weindorf</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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