Aquatic Therapy for People with Lymphedema: A Systematic Review and Meta-analysis.
Identifieur interne : 008F11 ( Ncbi/Merge ); précédent : 008F10; suivant : 008F12Aquatic Therapy for People with Lymphedema: A Systematic Review and Meta-analysis.
Auteurs : Wai Yeung [Australie] ; Adam I. Semciw [Australie]Source :
- Lymphatic research and biology [ 1557-8585 ] ; 2017.
Abstract
Aquatic therapy has several proposed benefits for people with lymphedema. A systematic review of the evidence for aquatic therapy in lymphedema management has not been conducted.
DOI: 10.1089/lrb.2016.0056
PubMed: 28346851
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Aquatic Therapy for People with Lymphedema: A Systematic Review and Meta-analysis.</title><author><name sortKey="Yeung, Wai" sort="Yeung, Wai" uniqKey="Yeung W" first="Wai" last="Yeung">Wai Yeung</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Semciw, Adam I" sort="Semciw, Adam I" uniqKey="Semciw A" first="Adam I" last="Semciw">Adam I. Semciw</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28346851</idno><idno type="pmid">28346851</idno><idno type="doi">10.1089/lrb.2016.0056</idno><idno type="wicri:Area/PubMed/Corpus">000282</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000282</idno><idno type="wicri:Area/PubMed/Curation">000282</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000282</idno><idno type="wicri:Area/PubMed/Checkpoint">000282</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000282</idno><idno type="wicri:Area/Ncbi/Merge">008F11</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Aquatic Therapy for People with Lymphedema: A Systematic Review and Meta-analysis.</title><author><name sortKey="Yeung, Wai" sort="Yeung, Wai" uniqKey="Yeung W" first="Wai" last="Yeung">Wai Yeung</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Semciw, Adam I" sort="Semciw, Adam I" uniqKey="Semciw A" first="Adam I" last="Semciw">Adam I. Semciw</name><affiliation wicri:level="1"><nlm:affiliation>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aquatic therapy has several proposed benefits for people with lymphedema. A systematic review of the evidence for aquatic therapy in lymphedema management has not been conducted.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28346851</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>27</Day></DateCreated><DateRevised><Year>2017</Year><Month>04</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Mar</Month><Day>27</Day></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Aquatic Therapy for People with Lymphedema: A Systematic Review and Meta-analysis.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2016.0056</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Aquatic therapy has several proposed benefits for people with lymphedema. A systematic review of the evidence for aquatic therapy in lymphedema management has not been conducted.</AbstractText><AbstractText Label="METHOD AND RESULTS" NlmCategory="RESULTS">Systematic review and meta-analysis were conducted. Five electronic databases were searched to identify randomized controlled trials (RCTs) of people with lymphedema, which compared aquatic therapy with other lymphedema interventions. Qualitative analysis was undertaken where quantitative analysis was not possible. Study quality was assessed using physiotherapy evidence database (PEDro) scores. The strength of evidence was evaluated using the Grades of Recommendations Assessment, Development and Evaluation (GRADE) approach. Four RCTs of moderate quality (average PEDro score 6.5/10) were included in the review. Two studies provided results for inclusion in meta-analysis. There was moderate-level evidence of no significant short-term differences in lymphedema status (as measured by lymphedema relative volume) between patients who completed aqua lymphatic therapy (ALT) compared to land-based standard care (standardized mean difference [SMD]: 0.14; 95% confidence interval [CI]: -0.37 to 0.64, I(2) = 0%, p = 0.59); and low-quality evidence of no significant difference between ALT and standard care for improving upper limb (UL) physical function (SMD -0.27, 95% CI: -0.78 to 0.23, I(2) = 0%, p = 0.29). No adverse events reported.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Current evidence indicates no significant benefit of ALT over standard land-based care for improving lymphedema status or physical function in people with UL lymphedema. Patient preference should guide the choice of care to facilitate adherence. Further research is required to strengthen the evidence from four studies in people with UL lymphedema, and to establish the efficacy of this intervention in people with lower limb lymphedema. Review registration: PROSPERO (CRD42015019900).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yeung</LastName><ForeName>Wai</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane, Australia .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Semciw</LastName><ForeName>Adam I</ForeName><Initials>AI</Initials><AffiliationInfo><Affiliation>1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane, Australia .</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>2 School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane, Australia .</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>3 Centre for Functioning and Health Research , Metro South Health, Brisbane, Australia .</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">aquatic therapy</Keyword><Keyword MajorTopicYN="N">cancer</Keyword><Keyword MajorTopicYN="N">exercise</Keyword><Keyword MajorTopicYN="N">hydrotherapy</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">quality of life</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28346851</ArticleId><ArticleId IdType="doi">10.1089/lrb.2016.0056</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Yeung, Wai" sort="Yeung, Wai" uniqKey="Yeung W" first="Wai" last="Yeung">Wai Yeung</name></noRegion><name sortKey="Semciw, Adam I" sort="Semciw, Adam I" uniqKey="Semciw A" first="Adam I" last="Semciw">Adam I. 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