Serveur d'exploration sur le lymphœdème

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A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema

Identifieur interne : 00B696 ( Main/Exploration ); précédent : 00B695; suivant : 00B697

A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema

Auteurs : K. Johansson [Suède] ; E. Lie [Suède] ; C. Ekdahl [Suède] ; J. Lindfeldt [Suède]

Source :

RBID : Pascal:98-0367305

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English descriptors

Abstract

We compared manual lymph drainage (MLD) with sequential pneumatic compression (SPC) for treatment of unilateral arm lymphedema in 28 women previously treated for breast cancer. After 2 weeks of therapy with a standard compression sleeve (Part I) with maintenance of a steady arm volume, each patient was randomly assigned to either one of two treatment regimens (Part II). MLD was performed according to the Vodder technique for 45 min/day and SPC was performed with a pressure of 40-60 mmHg for 2 hours/day. Both treatments were carried out for 2 weeks. Arm volume was measured by water displacement. Arm mobility, strength, and subjective assessments were also determined. Lymphedema was reduced by 49 ml (7% reduction) (p=0.01) in the total group during Part I. During Part II, the MLD group decreased by 75 ml (15% reduction) (p<0.001) and the SPC group by 28 ml (7% reduction) (p=0.03). The total group reported a decrease of tension (p=0.004) and heaviness (p=0.01) during Part I. During Part II, only the MLD group reported a further decrease of tension (p=0.01) and heaviness (p=0.008). MLD and SPC each significantly decreased arm volume but no significant difference was detected between the two treatment methods.


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Le document en format XML

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<term>Arm</term>
<term>Arm (pathology)</term>
<term>Arm (physiology)</term>
<term>Bandages</term>
<term>Comparative study</term>
<term>Drainage</term>
<term>Drainage (methods)</term>
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<term>Human</term>
<term>Humans</term>
<term>Instrumental compression</term>
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<term>Lymphedema</term>
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<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (physiopathologie)</term>
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<term>Sujet âgé</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">We compared manual lymph drainage (MLD) with sequential pneumatic compression (SPC) for treatment of unilateral arm lymphedema in 28 women previously treated for breast cancer. After 2 weeks of therapy with a standard compression sleeve (Part I) with maintenance of a steady arm volume, each patient was randomly assigned to either one of two treatment regimens (Part II). MLD was performed according to the Vodder technique for 45 min/day and SPC was performed with a pressure of 40-60 mmHg for 2 hours/day. Both treatments were carried out for 2 weeks. Arm volume was measured by water displacement. Arm mobility, strength, and subjective assessments were also determined. Lymphedema was reduced by 49 ml (7% reduction) (p=0.01) in the total group during Part I. During Part II, the MLD group decreased by 75 ml (15% reduction) (p<0.001) and the SPC group by 28 ml (7% reduction) (p=0.03). The total group reported a decrease of tension (p=0.004) and heaviness (p=0.01) during Part I. During Part II, only the MLD group reported a further decrease of tension (p=0.01) and heaviness (p=0.008). MLD and SPC each significantly decreased arm volume but no significant difference was detected between the two treatment methods.</div>
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