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Treatment for lymphedema of the Arm-The Casley-Smith method : A noninvasive method produces continued reduction

Identifieur interne : 000A37 ( PascalFrancis/Checkpoint ); précédent : 000A36; suivant : 000A38

Treatment 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 :

RBID : Pascal:99-0143842

Descripteurs français

English descriptors

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.


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Pascal:99-0143842

Le document en format XML

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<div type="abstract" xml:lang="en">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.</div>
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<s5>53</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>53</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>53</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>54</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>54</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>54</s5>
</fC07>
<fN21>
<s1>084</s1>
</fN21>
</pA>
<pR>
<fA30 i1="01" i2="1" l="ENG">
<s1>American Cancer Society Workshop on Breast Cancer Treatment-Related Lymphedema</s1>
<s3>New York, New York USA</s3>
<s4>1997-02-20</s4>
</fA30>
</pR>
</standard>
</inist>
<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>

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