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

Identifieur interne : 001082 ( PascalFrancis/Curation ); précédent : 001081; suivant : 001083

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.
pA  
A01 01  1    @0 0008-543X
A02 01      @0 CANCAR
A03   1    @0 Cancer
A05       @2 83
A06       @2 12 @3 SUP2
A08 01  1  ENG  @1 Treatment for lymphedema of the Arm-The Casley-Smith method : A noninvasive method produces continued reduction
A11 01  1    @1 CASLEY-SMITH (J. R.)
A11 02  1    @1 BORIS (M.)
A11 03  1    @1 WEINDORF (S.)
A11 04  1    @1 LASINSKI (B.)
A14 01      @1 Lymphoedema Association of Australia @2 Malvem, South Australia @3 AUS @Z 1 aut.
A14 02      @1 Department of Pediatrics, Cornell University School of Medicine @2 New York, New York @3 USA @Z 2 aut. @Z 3 aut.
A14 03      @1 Lymphedema Therapy @2 Woodbury, New York @3 USA @Z 4 aut.
A18 01  1    @1 American Cancer Society @2 New York, NY @3 USA @9 patr.
A20       @1 2843-2860
A21       @1 1998
A23 01      @0 ENG
A43 01      @1 INIST @2 2701 @5 354000073315320140
A44       @0 0000 @1 © 1999 INIST-CNRS. All rights reserved.
A45       @0 55 ref.
A47 01  1    @0 99-0143842
A60       @1 P @2 C
A61       @0 A
A64 01  1    @0 Cancer
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B26E
C03 01  X  FRE  @0 Carcinome @5 01
C03 01  X  ENG  @0 Carcinoma @5 01
C03 01  X  SPA  @0 Carcinoma @5 01
C03 02  X  FRE  @0 Glande mammaire @5 02
C03 02  X  ENG  @0 Mammary gland @5 02
C03 02  X  SPA  @0 Glándula mamaria @5 02
C03 03  X  FRE  @0 Lymphadénectomie @5 04
C03 03  X  ENG  @0 Lymphadenectomy @5 04
C03 03  X  SPA  @0 Linfadenectomía @5 04
C03 04  X  FRE  @0 Mastectomie @5 05
C03 04  X  ENG  @0 Mastectomy @5 05
C03 04  X  SPA  @0 Mastectomía @5 05
C03 05  X  FRE  @0 Complication @5 06
C03 05  X  ENG  @0 Complication @5 06
C03 05  X  SPA  @0 Complicación @5 06
C03 06  X  FRE  @0 Lymphoedème @5 07
C03 06  X  ENG  @0 Lymphedema @5 07
C03 06  X  SPA  @0 Linfedema @5 07
C03 07  X  FRE  @0 Membre supérieur @5 08
C03 07  X  ENG  @0 Upper limb @5 08
C03 07  X  SPA  @0 Miembro superior @5 08
C03 08  X  FRE  @0 Traitement @5 09
C03 08  X  ENG  @0 Treatment @5 09
C03 08  X  SPA  @0 Tratamiento @5 09
C03 09  X  FRE  @0 Soin @5 10
C03 09  X  ENG  @0 Care @5 10
C03 09  X  SPA  @0 Cuidado @5 10
C03 10  X  FRE  @0 Peau @5 11
C03 10  X  ENG  @0 Skin @5 11
C03 10  X  SPA  @0 Piel @5 11
C03 11  X  FRE  @0 Bandage compressif @5 12
C03 11  X  ENG  @0 Compressive bandage @5 12
C03 11  X  SPA  @0 Vendaje compresivo @5 12
C03 12  X  FRE  @0 Massage @5 13
C03 12  X  ENG  @0 Massage @5 13
C03 12  X  SPA  @0 Masaje @5 13
C03 13  X  FRE  @0 Exercice physique @5 14
C03 13  X  ENG  @0 Physical exercise @5 14
C03 13  X  SPA  @0 Ejercicio físico @5 14
C03 14  X  FRE  @0 Technique @5 18
C03 14  X  ENG  @0 Technique @5 18
C03 14  X  SPA  @0 Técnica @5 18
C03 15  X  FRE  @0 Homme @5 20
C03 15  X  ENG  @0 Human @5 20
C03 15  X  SPA  @0 Hombre @5 20
C03 16  X  FRE  @0 Méthode Casley Smith @4 INC @5 86
C07 01  X  FRE  @0 Tumeur maligne @5 37
C07 01  X  ENG  @0 Malignant tumor @5 37
C07 01  X  SPA  @0 Tumor maligno @5 37
C07 02  X  FRE  @0 Glande mammaire pathologie @2 NM @5 38
C07 02  X  ENG  @0 Mammary gland diseases @2 NM @5 38
C07 02  X  SPA  @0 Glándula mamaria patología @2 NM @5 38
C07 03  X  FRE  @0 Chirurgie @5 45
C07 03  X  ENG  @0 Surgery @5 45
C07 03  X  SPA  @0 Cirugía @5 45
C07 04  X  FRE  @0 Appareil circulatoire pathologie @5 53
C07 04  X  ENG  @0 Cardiovascular disease @5 53
C07 04  X  SPA  @0 Aparato circulatorio patología @5 53
C07 05  X  FRE  @0 Lymphatique pathologie @5 54
C07 05  X  ENG  @0 Lymphatic vessel disease @5 54
C07 05  X  SPA  @0 Linfático patología @5 54
N21       @1 084
pR  
A30 01  1  ENG  @1 American Cancer Society Workshop on Breast Cancer Treatment-Related Lymphedema @3 New York, New York USA @4 1997-02-20

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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>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Membre supérieur</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Upper limb</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Miembro superior</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Soin</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Care</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Cuidado</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Peau</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Skin</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Piel</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Bandage compressif</s0>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Compressive bandage</s0>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Vendaje compresivo</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Massage</s0>
<s5>13</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Massage</s0>
<s5>13</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Masaje</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Exercice physique</s0>
<s5>14</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Physical exercise</s0>
<s5>14</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Ejercicio físico</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Technique</s0>
<s5>18</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Technique</s0>
<s5>18</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Técnica</s0>
<s5>18</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Méthode Casley Smith</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Glande mammaire pathologie</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>45</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>45</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<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>
</record>

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