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A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema

Identifieur interne : 000119 ( PascalFrancis/Corpus ); précédent : 000118; suivant : 000120

A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema

Auteurs : Sheila H. Ridner ; Barbara Murphy ; JIE DENG ; Nancy Kidd ; Emily Galford ; Candace Bonner ; Stewart M. Bond ; Mary S. Dietrich

Source :

RBID : Pascal:12-0079837

Descripteurs français

English descriptors

Abstract

Treatment of the truncal lymphatics prior to treatment of the lymphedematous arm is an accepted, although not empirically tested, therapeutic intervention delivered during decongestive lymphatic therapy (DLT). Breast cancer survivors with arm lymphedema are encouraged to use these techniques when performing simple lymphatic drainage as part of their life-long lymphedema self-care. Self-massage is at times difficult and pneumatic compression devices are used by many patients to assist with self-care. One such device, the Flexitouch® System, replicates the techniques used during DLT; however, the need for application of pneumatic compression in unaffected truncal areas to improve self-care outcomes in arm only lymphedema is not established. The objective of this study was to compare the therapeutic benefit of truncal/chest/arm advanced pneumatic compression therapy (experimental group) verses arm only pneumatic compression (control group) in self-care for arm lymphedema without truncal involvement using the Flexitouch® System. Outcomes of interest were self-reported symptoms, function, arm impedance ratios, circumference, volume, and trunk circumference. Forty-two breast cancer survivors, (21 per group), with Stage II lymphedema completed 30 days of home self-care using the Flexitouch® System. Findings revealed a statistically significant reduction in both the number of symptoms and overall symptom burden within each group; however, there were no statistically significant differences in these outcomes between the groups. There was no statistically significant overall change or differential pattern of change between the groups in function. A statistically significant reduction in bioelectrical impedance and arm circumference within both of the groups was achieved; however, there was no statistically significant difference in reduction between groups. These findings indicate that both configurations are effective, but that there may be no added benefit to advanced pneumatic treatment of the truncal lymphatics prior to arm massage when the trunk is not also affected. Further research is indicated in a larger sample.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0167-6806
A02 01      @0 BCTRD6
A03   1    @0 Breast cancer res. treat.
A05       @2 131
A06       @2 1
A08 01  1  ENG  @1 A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema
A11 01  1    @1 RIDNER (Sheila H.)
A11 02  1    @1 MURPHY (Barbara)
A11 03  1    @1 JIE DENG
A11 04  1    @1 KIDD (Nancy)
A11 05  1    @1 GALFORD (Emily)
A11 06  1    @1 BONNER (Candace)
A11 07  1    @1 BOND (Stewart M.)
A11 08  1    @1 DIETRICH (Mary S.)
A14 01      @1 Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall @2 Nashville, TN 37240 @3 USA @Z 1 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut.
A14 02      @1 Division of Medical Oncology, Vanderbilt University School of Medicine, 777, Preston Research Building @2 Nashville, TN 37232-6307 @3 USA @Z 2 aut.
A14 03      @1 Vanderbilt-Ingram Cancer Center, 2220 Pierce Avenue @2 Nashville, TN 37232 @3 USA @Z 2 aut. @Z 8 aut.
A20       @1 147-158
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 20699 @5 354000506706790150
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 34 ref.
A47 01  1    @0 12-0079837
A60       @1 P
A61       @0 A
A64 01  1    @0 Breast cancer research and treatment
A66 01      @0 NLD
C01 01    ENG  @0 Treatment of the truncal lymphatics prior to treatment of the lymphedematous arm is an accepted, although not empirically tested, therapeutic intervention delivered during decongestive lymphatic therapy (DLT). Breast cancer survivors with arm lymphedema are encouraged to use these techniques when performing simple lymphatic drainage as part of their life-long lymphedema self-care. Self-massage is at times difficult and pneumatic compression devices are used by many patients to assist with self-care. One such device, the Flexitouch® System, replicates the techniques used during DLT; however, the need for application of pneumatic compression in unaffected truncal areas to improve self-care outcomes in arm only lymphedema is not established. The objective of this study was to compare the therapeutic benefit of truncal/chest/arm advanced pneumatic compression therapy (experimental group) verses arm only pneumatic compression (control group) in self-care for arm lymphedema without truncal involvement using the Flexitouch® System. Outcomes of interest were self-reported symptoms, function, arm impedance ratios, circumference, volume, and trunk circumference. Forty-two breast cancer survivors, (21 per group), with Stage II lymphedema completed 30 days of home self-care using the Flexitouch® System. Findings revealed a statistically significant reduction in both the number of symptoms and overall symptom burden within each group; however, there were no statistically significant differences in these outcomes between the groups. There was no statistically significant overall change or differential pattern of change between the groups in function. A statistically significant reduction in bioelectrical impedance and arm circumference within both of the groups was achieved; however, there was no statistically significant difference in reduction between groups. These findings indicate that both configurations are effective, but that there may be no added benefit to advanced pneumatic treatment of the truncal lymphatics prior to arm massage when the trunk is not also affected. Further research is indicated in a larger sample.
C02 01  X    @0 002B20E02
C02 02  X    @0 002B12B04
C03 01  X  FRE  @0 Essai clinique @5 01
C03 01  X  ENG  @0 Clinical trial @5 01
C03 01  X  SPA  @0 Ensayo clínico @5 01
C03 02  X  FRE  @0 Randomisation @5 02
C03 02  X  ENG  @0 Randomization @5 02
C03 02  X  SPA  @0 Aleatorización @5 02
C03 03  X  FRE  @0 Homme @5 03
C03 03  X  ENG  @0 Human @5 03
C03 03  X  SPA  @0 Hombre @5 03
C03 04  X  FRE  @0 Etude comparative @5 04
C03 04  X  ENG  @0 Comparative study @5 04
C03 04  X  SPA  @0 Estudio comparativo @5 04
C03 05  X  FRE  @0 Stade avancé @5 05
C03 05  X  ENG  @0 Advanced stage @5 05
C03 05  X  SPA  @0 Estadio avanzado @5 05
C03 06  X  FRE  @0 Tronc @5 06
C03 06  X  ENG  @0 Trunk @5 06
C03 06  X  SPA  @0 Tronco @5 06
C03 07  X  FRE  @0 Bras @5 07
C03 07  X  ENG  @0 Arm @5 07
C03 07  X  SPA  @0 Brazo @5 07
C03 08  X  FRE  @0 Traitement @5 08
C03 08  X  ENG  @0 Treatment @5 08
C03 08  X  SPA  @0 Tratamiento @5 08
C03 09  X  FRE  @0 Soin @5 09
C03 09  X  ENG  @0 Care @5 09
C03 09  X  SPA  @0 Cuidado @5 09
C03 10  X  FRE  @0 Lymphoedème @5 10
C03 10  X  ENG  @0 Lymphedema @5 10
C03 10  X  SPA  @0 Linfedema @5 10
C03 11  X  FRE  @0 Compression @5 11
C03 11  X  ENG  @0 Compression @5 11
C03 11  X  SPA  @0 Compresión @5 11
C03 12  X  FRE  @0 Dispositif @5 12
C03 12  X  ENG  @0 Device @5 12
C03 12  X  SPA  @0 Dispositivo @5 12
C03 13  X  FRE  @0 Lymphatique @5 13
C03 13  X  ENG  @0 Lymphatic @5 13
C03 13  X  SPA  @0 Linfático @5 13
C03 14  X  FRE  @0 Système lymphatique @5 14
C03 14  X  ENG  @0 Lymphatic system @5 14
C03 14  X  SPA  @0 Sistema linfático @5 14
C03 15  X  FRE  @0 Drainage @5 15
C03 15  X  ENG  @0 Drainage @5 15
C03 15  X  SPA  @0 Drenaje @5 15
C03 16  X  FRE  @0 Cancer du sein @2 NM @5 16
C03 16  X  ENG  @0 Breast cancer @2 NM @5 16
C03 16  X  SPA  @0 Cáncer del pecho @2 NM @5 16
C07 01  X  FRE  @0 Pathologie de l'appareil circulatoire @5 37
C07 01  X  ENG  @0 Cardiovascular disease @5 37
C07 01  X  SPA  @0 Aparato circulatorio patología @5 37
C07 02  X  FRE  @0 Pathologie des vaisseaux lymphatiques @5 38
C07 02  X  ENG  @0 Lymphatic vessel disease @5 38
C07 02  X  SPA  @0 Linfático patología @5 38
C07 03  X  FRE  @0 Tumeur maligne @2 NM @5 39
C07 03  X  ENG  @0 Malignant tumor @2 NM @5 39
C07 03  X  SPA  @0 Tumor maligno @2 NM @5 39
C07 04  X  FRE  @0 Cancer @2 NM
C07 04  X  ENG  @0 Cancer @2 NM
C07 04  X  SPA  @0 Cáncer @2 NM
C07 05  X  FRE  @0 Pathologie de la glande mammaire @2 NM @5 40
C07 05  X  ENG  @0 Mammary gland diseases @2 NM @5 40
C07 05  X  SPA  @0 Glándula mamaria patología @2 NM @5 40
C07 06  X  FRE  @0 Pathologie du sein @2 NM @5 41
C07 06  X  ENG  @0 Breast disease @2 NM @5 41
C07 06  X  SPA  @0 Seno patología @2 NM @5 41
N21       @1 058
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0079837 INIST
ET : A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema
AU : RIDNER (Sheila H.); MURPHY (Barbara); JIE DENG; KIDD (Nancy); GALFORD (Emily); BONNER (Candace); BOND (Stewart M.); DIETRICH (Mary S.)
AF : Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall/Nashville, TN 37240/Etats-Unis (1 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Division of Medical Oncology, Vanderbilt University School of Medicine, 777, Preston Research Building/Nashville, TN 37232-6307/Etats-Unis (2 aut.); Vanderbilt-Ingram Cancer Center, 2220 Pierce Avenue/Nashville, TN 37232/Etats-Unis (2 aut., 8 aut.)
DT : Publication en série; Niveau analytique
SO : Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2012; Vol. 131; No. 1; Pp. 147-158; Bibl. 34 ref.
LA : Anglais
EA : Treatment of the truncal lymphatics prior to treatment of the lymphedematous arm is an accepted, although not empirically tested, therapeutic intervention delivered during decongestive lymphatic therapy (DLT). Breast cancer survivors with arm lymphedema are encouraged to use these techniques when performing simple lymphatic drainage as part of their life-long lymphedema self-care. Self-massage is at times difficult and pneumatic compression devices are used by many patients to assist with self-care. One such device, the Flexitouch® System, replicates the techniques used during DLT; however, the need for application of pneumatic compression in unaffected truncal areas to improve self-care outcomes in arm only lymphedema is not established. The objective of this study was to compare the therapeutic benefit of truncal/chest/arm advanced pneumatic compression therapy (experimental group) verses arm only pneumatic compression (control group) in self-care for arm lymphedema without truncal involvement using the Flexitouch® System. Outcomes of interest were self-reported symptoms, function, arm impedance ratios, circumference, volume, and trunk circumference. Forty-two breast cancer survivors, (21 per group), with Stage II lymphedema completed 30 days of home self-care using the Flexitouch® System. Findings revealed a statistically significant reduction in both the number of symptoms and overall symptom burden within each group; however, there were no statistically significant differences in these outcomes between the groups. There was no statistically significant overall change or differential pattern of change between the groups in function. A statistically significant reduction in bioelectrical impedance and arm circumference within both of the groups was achieved; however, there was no statistically significant difference in reduction between groups. These findings indicate that both configurations are effective, but that there may be no added benefit to advanced pneumatic treatment of the truncal lymphatics prior to arm massage when the trunk is not also affected. Further research is indicated in a larger sample.
CC : 002B20E02; 002B12B04
FD : Essai clinique; Randomisation; Homme; Etude comparative; Stade avancé; Tronc; Bras; Traitement; Soin; Lymphoedème; Compression; Dispositif; Lymphatique; Système lymphatique; Drainage; Cancer du sein
FG : Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein
ED : Clinical trial; Randomization; Human; Comparative study; Advanced stage; Trunk; Arm; Treatment; Care; Lymphedema; Compression; Device; Lymphatic; Lymphatic system; Drainage; Breast cancer
EG : Cardiovascular disease; Lymphatic vessel disease; Malignant tumor; Cancer; Mammary gland diseases; Breast disease
SD : Ensayo clínico; Aleatorización; Hombre; Estudio comparativo; Estadio avanzado; Tronco; Brazo; Tratamiento; Cuidado; Linfedema; Compresión; Dispositivo; Linfático; Sistema linfático; Drenaje; Cáncer del pecho
LO : INIST-20699.354000506706790150
ID : 12-0079837

Links to Exploration step

Pascal:12-0079837

Le document en format XML

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<name sortKey="Bond, Stewart M" sort="Bond, Stewart M" uniqKey="Bond S" first="Stewart M." last="Bond">Stewart M. Bond</name>
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<term>Comparative study</term>
<term>Compression</term>
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<term>Lymphatic</term>
<term>Lymphatic system</term>
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<div type="abstract" xml:lang="en">Treatment of the truncal lymphatics prior to treatment of the lymphedematous arm is an accepted, although not empirically tested, therapeutic intervention delivered during decongestive lymphatic therapy (DLT). Breast cancer survivors with arm lymphedema are encouraged to use these techniques when performing simple lymphatic drainage as part of their life-long lymphedema self-care. Self-massage is at times difficult and pneumatic compression devices are used by many patients to assist with self-care. One such device, the Flexitouch® System, replicates the techniques used during DLT; however, the need for application of pneumatic compression in unaffected truncal areas to improve self-care outcomes in arm only lymphedema is not established. The objective of this study was to compare the therapeutic benefit of truncal/chest/arm advanced pneumatic compression therapy (experimental group) verses arm only pneumatic compression (control group) in self-care for arm lymphedema without truncal involvement using the Flexitouch® System. Outcomes of interest were self-reported symptoms, function, arm impedance ratios, circumference, volume, and trunk circumference. Forty-two breast cancer survivors, (21 per group), with Stage II lymphedema completed 30 days of home self-care using the Flexitouch® System. Findings revealed a statistically significant reduction in both the number of symptoms and overall symptom burden within each group; however, there were no statistically significant differences in these outcomes between the groups. There was no statistically significant overall change or differential pattern of change between the groups in function. A statistically significant reduction in bioelectrical impedance and arm circumference within both of the groups was achieved; however, there was no statistically significant difference in reduction between groups. These findings indicate that both configurations are effective, but that there may be no added benefit to advanced pneumatic treatment of the truncal lymphatics prior to arm massage when the trunk is not also affected. Further research is indicated in a larger sample.</div>
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<ET>A randomized clinical trial comparing advanced pneumatic truncal, chest, and arm treatment to arm treatment only in self-care of arm lymphedema</ET>
<AU>RIDNER (Sheila H.); MURPHY (Barbara); JIE DENG; KIDD (Nancy); GALFORD (Emily); BONNER (Candace); BOND (Stewart M.); DIETRICH (Mary S.)</AU>
<AF>Vanderbilt University School of Nursing, 461 21st Avenue South, Godchaux Hall/Nashville, TN 37240/Etats-Unis (1 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Division of Medical Oncology, Vanderbilt University School of Medicine, 777, Preston Research Building/Nashville, TN 37232-6307/Etats-Unis (2 aut.); Vanderbilt-Ingram Cancer Center, 2220 Pierce Avenue/Nashville, TN 37232/Etats-Unis (2 aut., 8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2012; Vol. 131; No. 1; Pp. 147-158; Bibl. 34 ref.</SO>
<LA>Anglais</LA>
<EA>Treatment of the truncal lymphatics prior to treatment of the lymphedematous arm is an accepted, although not empirically tested, therapeutic intervention delivered during decongestive lymphatic therapy (DLT). Breast cancer survivors with arm lymphedema are encouraged to use these techniques when performing simple lymphatic drainage as part of their life-long lymphedema self-care. Self-massage is at times difficult and pneumatic compression devices are used by many patients to assist with self-care. One such device, the Flexitouch® System, replicates the techniques used during DLT; however, the need for application of pneumatic compression in unaffected truncal areas to improve self-care outcomes in arm only lymphedema is not established. The objective of this study was to compare the therapeutic benefit of truncal/chest/arm advanced pneumatic compression therapy (experimental group) verses arm only pneumatic compression (control group) in self-care for arm lymphedema without truncal involvement using the Flexitouch® System. Outcomes of interest were self-reported symptoms, function, arm impedance ratios, circumference, volume, and trunk circumference. Forty-two breast cancer survivors, (21 per group), with Stage II lymphedema completed 30 days of home self-care using the Flexitouch® System. Findings revealed a statistically significant reduction in both the number of symptoms and overall symptom burden within each group; however, there were no statistically significant differences in these outcomes between the groups. There was no statistically significant overall change or differential pattern of change between the groups in function. A statistically significant reduction in bioelectrical impedance and arm circumference within both of the groups was achieved; however, there was no statistically significant difference in reduction between groups. These findings indicate that both configurations are effective, but that there may be no added benefit to advanced pneumatic treatment of the truncal lymphatics prior to arm massage when the trunk is not also affected. Further research is indicated in a larger sample.</EA>
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<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein</FG>
<ED>Clinical trial; Randomization; Human; Comparative study; Advanced stage; Trunk; Arm; Treatment; Care; Lymphedema; Compression; Device; Lymphatic; Lymphatic system; Drainage; Breast cancer</ED>
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