The Effect of Complete Decongestive Therapy on Edema Volume Reduction and Pain in Women With Post Breast Surgery Lymph Edema
Identifieur interne : 008643 ( Ncbi/Curation ); précédent : 008642; suivant : 008644The Effect of Complete Decongestive Therapy on Edema Volume Reduction and Pain in Women With Post Breast Surgery Lymph Edema
Auteurs : Leila Angooti Oshnari ; Seyed Ali Hosseini ; Shahpar Haghighat ; Samaneh Hossein ZadehSource :
- Iranian Journal of Cancer Prevention [ 2008-2398 ] ; 2016.
Abstract
Upper extremity lymph edema is the most common side effect of breast cancer treatment that may produce significant physical and psychological morbidity. Pain is the frequent symptom of lymph edema that causes impairment of activities in daily life.
The aim of this study was assessment of the effect of complex decongestive therapy (CDT) on upper extremity lymph edema and pain in women with post breast surgery lymph edema.
In this quasi- experimental research with before- after design, 36 women with moderate lymph edema after breast surgery participated in the program. Edema volume was measured by water displacement method; pain values were evaluated by visual analog scale (VAS). Data were recorded before intervention and 2 and 4 weeks after it. CDT included the first phase (intensive phase) and the second phase (maintenance phase). Each phase lasted 2 weeks. After use of Shapiro Wilk test for normality, analysis of variances with GEE and repeated measurements were used to analyze the data.
After one month doing CDT program, significant decrease of edema was noticed (P < 0.0001), also pain decreased during 2 and 4 weeks after intervention (P < 0.0001).
This study indicated that CDT program is effective in reducing lymph edema volume and pain in women with moderate post breast surgery lymph edema. It seems that raising patients’ awareness and training healthcare professionals regarding lymph edema preventive strategies have an important role in earlier and better combating this complication.
Url:
DOI: 10.17795/ijcp-4209
PubMed: 27482330
PubMed Central: 4951770
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Leila Angooti Oshnari<affiliation><nlm:aff id="aff1">Department of Occupational Therapy, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="aff2">Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="aff3">Department of Breast Cancer Research Center, Tehran University of Medical Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="aff4">Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
</affiliation>
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<author><name sortKey="Hosseini, Seyed Ali" sort="Hosseini, Seyed Ali" uniqKey="Hosseini S" first="Seyed Ali" last="Hosseini">Seyed Ali Hosseini</name>
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<author><name sortKey="Hossein Zadeh, Samaneh" sort="Hossein Zadeh, Samaneh" uniqKey="Hossein Zadeh S" first="Samaneh" last="Hossein Zadeh">Samaneh Hossein Zadeh</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Effect of Complete Decongestive Therapy on Edema Volume Reduction and Pain in Women With Post Breast Surgery Lymph Edema</title>
<author><name sortKey="Angooti Oshnari, Leila" sort="Angooti Oshnari, Leila" uniqKey="Angooti Oshnari L" first="Leila" last="Angooti Oshnari">Leila Angooti Oshnari</name>
<affiliation><nlm:aff id="aff1">Department of Occupational Therapy, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
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<author><name sortKey="Hosseini, Seyed Ali" sort="Hosseini, Seyed Ali" uniqKey="Hosseini S" first="Seyed Ali" last="Hosseini">Seyed Ali Hosseini</name>
<affiliation><nlm:aff id="aff2">Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
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<author><name sortKey="Haghighat, Shahpar" sort="Haghighat, Shahpar" uniqKey="Haghighat S" first="Shahpar" last="Haghighat">Shahpar Haghighat</name>
<affiliation><nlm:aff id="aff3">Department of Breast Cancer Research Center, Tehran University of Medical Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
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<author><name sortKey="Hossein Zadeh, Samaneh" sort="Hossein Zadeh, Samaneh" uniqKey="Hossein Zadeh S" first="Samaneh" last="Hossein Zadeh">Samaneh Hossein Zadeh</name>
<affiliation><nlm:aff id="aff4">Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran</nlm:aff>
<wicri:noCountry code="subfield">IR Iran</wicri:noCountry>
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<series><title level="j">Iranian Journal of Cancer Prevention</title>
<idno type="ISSN">2008-2398</idno>
<idno type="eISSN">2008-2401</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Upper extremity lymph edema is the most common side effect of breast cancer treatment that may produce significant physical and psychological morbidity. Pain is the frequent symptom of lymph edema that causes impairment of activities in daily life.</p>
</sec>
<sec><title>Objectives</title>
<p>The aim of this study was assessment of the effect of complex decongestive therapy (CDT) on upper extremity lymph edema and pain in women with post breast surgery lymph edema.</p>
</sec>
<sec><title>Patients and Methods</title>
<p>In this quasi- experimental research with before- after design, 36 women with moderate lymph edema after breast surgery participated in the program. Edema volume was measured by water displacement method; pain values were evaluated by visual analog scale (VAS). Data were recorded before intervention and 2 and 4 weeks after it. CDT included the first phase (intensive phase) and the second phase (maintenance phase). Each phase lasted 2 weeks. After use of Shapiro Wilk test for normality, analysis of variances with GEE and repeated measurements were used to analyze the data.</p>
</sec>
<sec><title>Results</title>
<p>After one month doing CDT program, significant decrease of edema was noticed (P < 0.0001), also pain decreased during 2 and 4 weeks after intervention (P < 0.0001).</p>
</sec>
<sec><title>Conclusions</title>
<p>This study indicated that CDT program is effective in reducing lymph edema volume and pain in women with moderate post breast surgery lymph edema. It seems that raising patients’ awareness and training healthcare professionals regarding lymph edema preventive strategies have an important role in earlier and better combating this complication.</p>
</sec>
</div>
</front>
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