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Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up

Identifieur interne : 000A85 ( PascalFrancis/Corpus ); précédent : 000A84; suivant : 000A86

Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up

Auteurs : N. B. Piller ; A. Thelander

Source :

RBID : Pascal:98-0367719

Descripteurs français

English descriptors

Abstract

Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30 -36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0024-7766
A02 01      @0 LYMPBN
A03   1    @0 Lymphology
A05       @2 31
A06       @2 2
A08 01  1  ENG  @1 Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up
A11 01  1    @1 PILLER (N. B.)
A11 02  1    @1 THELANDER (A.)
A14 01      @1 Department of Public Health, School of Medicine, Flinders Medical Centre @2 Bedford Park @3 AUS
A14 02      @1 Mitcham Rehabilitation Clinic @2 Kingswood, South Australia @3 AUS
A20       @1 74-86
A21       @1 1998
A23 01      @0 ENG
A43 01      @1 INIST @2 14604 @5 354000072262290050
A44       @0 0000 @1 © 1998 INIST-CNRS. All rights reserved.
A45       @0 49 ref.
A47 01  1    @0 98-0367719
A60       @1 P
A61       @0 A
A64   1    @0 Lymphology
A66 01      @0 DEU
C01 01    ENG  @0 Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30 -36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.
C02 01  X    @0 002B12B04
C03 01  X  FRE  @0 Lymphoedème @5 01
C03 01  X  ENG  @0 Lymphedema @5 01
C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Chronique @5 02
C03 02  X  ENG  @0 Chronic @5 02
C03 02  X  SPA  @0 Crónico @5 02
C03 03  X  FRE  @0 Bras @5 03
C03 03  X  ENG  @0 Arm @5 03
C03 03  X  SPA  @0 Brazo @5 03
C03 04  X  FRE  @0 Photothérapie @5 04
C03 04  X  ENG  @0 Phototherapy @5 04
C03 04  X  SPA  @0 Fototerapia @5 04
C03 05  X  FRE  @0 Laser @5 07
C03 05  X  ENG  @0 Laser @5 07
C03 05  X  GER  @0 Laser @5 07
C03 05  X  SPA  @0 Laser @5 07
C03 06  X  FRE  @0 Tonométrie @5 10
C03 06  X  ENG  @0 Tonometry @5 10
C03 06  X  SPA  @0 Tonometría @5 10
C03 07  X  FRE  @0 Etude longitudinale @5 16
C03 07  X  ENG  @0 Follow up study @5 16
C03 07  X  SPA  @0 Estudio longitudinal @5 16
C03 08  X  FRE  @0 Traitement @5 17
C03 08  X  ENG  @0 Treatment @5 17
C03 08  X  GER  @0 Aufbereiten @5 17
C03 08  X  SPA  @0 Tratamiento @5 17
C03 09  X  FRE  @0 Technique @5 18
C03 09  X  ENG  @0 Technique @5 18
C03 09  X  SPA  @0 Técnica @5 18
C03 10  X  FRE  @0 Efficacité traitement @5 19
C03 10  X  ENG  @0 Treatment efficiency @5 19
C03 10  X  SPA  @0 Eficacia tratamiento @5 19
C03 11  X  FRE  @0 Homme @5 20
C03 11  X  ENG  @0 Human @5 20
C03 11  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 Appareil circulatoire pathologie @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 Lymphatique pathologie @5 38
C07 02  X  ENG  @0 Lymphatic vessel disease @5 38
C07 02  X  SPA  @0 Linfático patología @5 38
N21       @1 251

Format Inist (serveur)

NO : PASCAL 98-0367719 INIST
ET : Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up
AU : PILLER (N. B.); THELANDER (A.)
AF : Department of Public Health, School of Medicine, Flinders Medical Centre/Bedford Park/Australie; Mitcham Rehabilitation Clinic/Kingswood, South Australia/Australie
DT : Publication en série; Niveau analytique
SO : Lymphology; ISSN 0024-7766; Coden LYMPBN; Allemagne; Da. 1998; Vol. 31; No. 2; Pp. 74-86; Bibl. 49 ref.
LA : Anglais
EA : Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30 -36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.
CC : 002B12B04
FD : Lymphoedème; Chronique; Bras; Photothérapie; Laser; Tonométrie; Etude longitudinale; Traitement; Technique; Efficacité traitement; Homme
FG : Appareil circulatoire pathologie; Lymphatique pathologie
ED : Lymphedema; Chronic; Arm; Phototherapy; Laser; Tonometry; Follow up study; Treatment; Technique; Treatment efficiency; Human
EG : Cardiovascular disease; Lymphatic vessel disease
GD : Laser; Aufbereiten
SD : Linfedema; Crónico; Brazo; Fototerapia; Laser; Tonometría; Estudio longitudinal; Tratamiento; Técnica; Eficacia tratamiento; Hombre
LO : INIST-14604.354000072262290050
ID : 98-0367719

Links to Exploration step

Pascal:98-0367719

Le document en format XML

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<ET>Treatment of chronic postmastectomy lymphedema with low level laser therapy : A 2.5 year follow-up</ET>
<AU>PILLER (N. B.); THELANDER (A.)</AU>
<AF>Department of Public Health, School of Medicine, Flinders Medical Centre/Bedford Park/Australie; Mitcham Rehabilitation Clinic/Kingswood, South Australia/Australie</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Lymphology; ISSN 0024-7766; Coden LYMPBN; Allemagne; Da. 1998; Vol. 31; No. 2; Pp. 74-86; Bibl. 49 ref.</SO>
<LA>Anglais</LA>
<EA>Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30 -36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.</EA>
<CC>002B12B04</CC>
<FD>Lymphoedème; Chronique; Bras; Photothérapie; Laser; Tonométrie; Etude longitudinale; Traitement; Technique; Efficacité traitement; Homme</FD>
<FG>Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<ED>Lymphedema; Chronic; Arm; Phototherapy; Laser; Tonometry; Follow up study; Treatment; Technique; Treatment efficiency; Human</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<GD>Laser; Aufbereiten</GD>
<SD>Linfedema; Crónico; Brazo; Fototerapia; Laser; Tonometría; Estudio longitudinal; Tratamiento; Técnica; Eficacia tratamiento; Hombre</SD>
<LO>INIST-14604.354000072262290050</LO>
<ID>98-0367719</ID>
</server>
</inist>
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