Are compression corsets beneficial for the treatment of breast cancer-related lymphedema? New opportunities in physiotherapy treatment – a preliminary report
Identifieur interne : 000B86 ( Pmc/Checkpoint ); précédent : 000B85; suivant : 000B87Are compression corsets beneficial for the treatment of breast cancer-related lymphedema? New opportunities in physiotherapy treatment – a preliminary report
Auteurs : Rita Hansdorfer-Korzon [Pologne] ; Jacek Teodorczyk [Pologne] ; Agnieszka Gruszecka [Pologne] ; Piotr Lass [Pologne]Source :
- OncoTargets and therapy [ 1178-6930 ] ; 2016.
Abstract
Treatment of secondary lymphedema still remains an important medical issue. Treatment response is characterized by periodic remission rather than complete recovery. Compression methods currently used as part of complete decongestive therapy vary considerably in efficacy. Manual drainage, bandaging, and compression pumps are ineffective in everyday practice. Positive results have increasingly been reported where compression garments have been used as part of the treatment. This pilot study demonstrates a beneficial effect following the use of compression corsets in the treatment of edema in breast cancer-related lymphedema (BCRL).
A total of 35 women with BCRL were enrolled. Of these, 29 patients completed the study.
Ultrasound (B-mode) was used to evaluate lymphedema in the side of the chest after mastectomy. This test was performed three times at a specific site on the operated side and symmetrically on the opposite side. Subsequently, patients were fit with an appropriate compression corset. The data were then statistically analyzed.
After the surgical treatment of breast cancer, lymphatic fluid reservoirs may form at the side of the chest. The use of carefully selected compression corsets is an effective treatment for BCRL. Corsets are an important item, which we recommend should be included in compression clothing sets. We anticipate this finding will form the foundation for further work on the use of modern compression garments for the treatment of BCRL as well as contribute to the limited number of published reports that exist on the subject.
Url:
DOI: 10.2147/OTT.S100120
PubMed: 27103835
PubMed Central: 4827912
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Are compression corsets beneficial for the treatment of breast cancer-related lymphedema? New opportunities in physiotherapy treatment – a preliminary report</title><author><name sortKey="Hansdorfer Korzon, Rita" sort="Hansdorfer Korzon, Rita" uniqKey="Hansdorfer Korzon R" first="Rita" last="Hansdorfer-Korzon">Rita Hansdorfer-Korzon</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-9-2089">Department of Physiotherapy, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Physiotherapy, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Teodorczyk, Jacek" sort="Teodorczyk, Jacek" uniqKey="Teodorczyk J" first="Jacek" last="Teodorczyk">Jacek Teodorczyk</name><affiliation wicri:level="1"><nlm:aff id="af2-ott-9-2089">Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Gruszecka, Agnieszka" sort="Gruszecka, Agnieszka" uniqKey="Gruszecka A" first="Agnieszka" last="Gruszecka">Agnieszka Gruszecka</name><affiliation wicri:level="1"><nlm:aff id="af3-ott-9-2089">Department of Informatics and Statistics, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Informatics and Statistics, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Lass, Piotr" sort="Lass, Piotr" uniqKey="Lass P" first="Piotr" last="Lass">Piotr Lass</name><affiliation wicri:level="1"><nlm:aff id="af2-ott-9-2089">Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af4-ott-9-2089">Department of Molecular Spectroscopy, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Molecular Spectroscopy, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27103835</idno><idno type="pmc">4827912</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4827912</idno><idno type="RBID">PMC:4827912</idno><idno type="doi">10.2147/OTT.S100120</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000798</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000798</idno><idno type="wicri:Area/Pmc/Curation">000798</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000798</idno><idno type="wicri:Area/Pmc/Checkpoint">000B86</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000B86</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Are compression corsets beneficial for the treatment of breast cancer-related lymphedema? New opportunities in physiotherapy treatment – a preliminary report</title><author><name sortKey="Hansdorfer Korzon, Rita" sort="Hansdorfer Korzon, Rita" uniqKey="Hansdorfer Korzon R" first="Rita" last="Hansdorfer-Korzon">Rita Hansdorfer-Korzon</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-9-2089">Department of Physiotherapy, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Physiotherapy, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Teodorczyk, Jacek" sort="Teodorczyk, Jacek" uniqKey="Teodorczyk J" first="Jacek" last="Teodorczyk">Jacek Teodorczyk</name><affiliation wicri:level="1"><nlm:aff id="af2-ott-9-2089">Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Gruszecka, Agnieszka" sort="Gruszecka, Agnieszka" uniqKey="Gruszecka A" first="Agnieszka" last="Gruszecka">Agnieszka Gruszecka</name><affiliation wicri:level="1"><nlm:aff id="af3-ott-9-2089">Department of Informatics and Statistics, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Informatics and Statistics, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author><author><name sortKey="Lass, Piotr" sort="Lass, Piotr" uniqKey="Lass P" first="Piotr" last="Lass">Piotr Lass</name><affiliation wicri:level="1"><nlm:aff id="af2-ott-9-2089">Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af4-ott-9-2089">Department of Molecular Spectroscopy, Institute of Experimental Physics, Gdansk, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Molecular Spectroscopy, Institute of Experimental Physics, Gdansk</wicri:regionArea><wicri:noRegion>Gdansk</wicri:noRegion></affiliation></author></analytic><series><title level="j">OncoTargets and therapy</title><idno type="eISSN">1178-6930</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Treatment of secondary lymphedema still remains an important medical issue. Treatment response is characterized by periodic remission rather than complete recovery. Compression methods currently used as part of complete decongestive therapy vary considerably in efficacy. Manual drainage, bandaging, and compression pumps are ineffective in everyday practice. Positive results have increasingly been reported where compression garments have been used as part of the treatment. This pilot study demonstrates a beneficial effect following the use of compression corsets in the treatment of edema in breast cancer-related lymphedema (BCRL).</p></sec><sec><title>Material</title><p>A total of 35 women with BCRL were enrolled. Of these, 29 patients completed the study.</p></sec><sec><title>Methods</title><p>Ultrasound (B-mode) was used to evaluate lymphedema in the side of the chest after mastectomy. This test was performed three times at a specific site on the operated side and symmetrically on the opposite side. Subsequently, patients were fit with an appropriate compression corset. The data were then statistically analyzed.</p></sec><sec><title>Conclusion</title><p>After the surgical treatment of breast cancer, lymphatic fluid reservoirs may form at the side of the chest. The use of carefully selected compression corsets is an effective treatment for BCRL. Corsets are an important item, which we recommend should be included in compression clothing sets. We anticipate this finding will form the foundation for further work on the use of modern compression garments for the treatment of BCRL as well as contribute to the limited number of published reports that exist on the subject.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ugur, S" uniqKey="Ugur S">S Ugur</name></author><author><name sortKey="Ar C, C" uniqKey="Ar C C">C Arıcı</name></author><author><name sortKey="Yaprak, M" uniqKey="Yaprak M">M Yaprak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brennan, Mj" uniqKey="Brennan M">MJ Brennan</name></author><author><name sortKey="Weitz, J" uniqKey="Weitz J">J Weitz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paskett, Ed" uniqKey="Paskett E">ED Paskett</name></author><author><name sortKey="Dean, Ja" uniqKey="Dean J">JA Dean</name></author><author><name sortKey="Oliveri, Jm" uniqKey="Oliveri J">JM 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Onco Targets Ther</journal-id><journal-id journal-id-type="iso-abbrev">Onco Targets Ther</journal-id><journal-id journal-id-type="publisher-id">OncoTargets and Therapy</journal-id><journal-title-group><journal-title>OncoTargets and therapy</journal-title></journal-title-group><issn pub-type="epub">1178-6930</issn><publisher><publisher-name>Dove Medical Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27103835</article-id><article-id pub-id-type="pmc">4827912</article-id><article-id pub-id-type="doi">10.2147/OTT.S100120</article-id><article-id pub-id-type="publisher-id">ott-9-2089</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject></subj-group></article-categories><title-group><article-title>Are compression corsets beneficial for the treatment of breast cancer-related lymphedema? New opportunities in physiotherapy treatment – a preliminary report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hansdorfer-Korzon</surname><given-names>Rita</given-names></name><xref ref-type="aff" rid="af1-ott-9-2089">1</xref></contrib><contrib contrib-type="author"><name><surname>Teodorczyk</surname><given-names>Jacek</given-names></name><xref ref-type="aff" rid="af2-ott-9-2089">2</xref><xref ref-type="corresp" rid="c1-ott-9-2089"></xref></contrib><contrib contrib-type="author"><name><surname>Gruszecka</surname><given-names>Agnieszka</given-names></name><xref ref-type="aff" rid="af3-ott-9-2089">3</xref></contrib><contrib contrib-type="author"><name><surname>Lass</surname><given-names>Piotr</given-names></name><xref ref-type="aff" rid="af2-ott-9-2089">2</xref><xref ref-type="aff" rid="af4-ott-9-2089">4</xref></contrib></contrib-group><aff id="af1-ott-9-2089"><label>1</label>Department of Physiotherapy, Institute of Experimental Physics, Gdansk, Poland</aff><aff id="af2-ott-9-2089"><label>2</label>Department of Nuclear Medicine, Institute of Experimental Physics, Gdansk, Poland</aff><aff id="af3-ott-9-2089"><label>3</label>Department of Informatics and Statistics, Institute of Experimental Physics, Gdansk, Poland</aff><aff id="af4-ott-9-2089"><label>4</label>Department of Molecular Spectroscopy, Institute of Experimental Physics, Gdansk, Poland</aff><author-notes><corresp id="c1-ott-9-2089">Correspondence: Jacek Teodorczyk, Department of Nuclear Medicine, Medical University of Gdansk, Debinki 7 St, Gdansk, Poland, Tel +48 660 199 199 Email <email>badklin@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>07</day><month>4</month><year>2016</year></pub-date><volume>9</volume><fpage>2089</fpage><lpage>2098</lpage><permissions><copyright-statement>© 2016 Hansdorfer-Korzon et al. This work is published and licensed by Dove Medical Press Limited</copyright-statement><copyright-year>2016</copyright-year><license><license-p>The full terms of this license are available at <ext-link ext-link-type="uri" xlink:href="https://www.dovepress.com/terms.php">https://www.dovepress.com/terms.php</ext-link> and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.</license-p></license></permissions><abstract><sec><title>Introduction</title><p>Treatment of secondary lymphedema still remains an important medical issue. Treatment response is characterized by periodic remission rather than complete recovery. Compression methods currently used as part of complete decongestive therapy vary considerably in efficacy. Manual drainage, bandaging, and compression pumps are ineffective in everyday practice. Positive results have increasingly been reported where compression garments have been used as part of the treatment. This pilot study demonstrates a beneficial effect following the use of compression corsets in the treatment of edema in breast cancer-related lymphedema (BCRL).</p></sec><sec><title>Material</title><p>A total of 35 women with BCRL were enrolled. Of these, 29 patients completed the study.</p></sec><sec><title>Methods</title><p>Ultrasound (B-mode) was used to evaluate lymphedema in the side of the chest after mastectomy. This test was performed three times at a specific site on the operated side and symmetrically on the opposite side. Subsequently, patients were fit with an appropriate compression corset. The data were then statistically analyzed.</p></sec><sec><title>Conclusion</title><p>After the surgical treatment of breast cancer, lymphatic fluid reservoirs may form at the side of the chest. The use of carefully selected compression corsets is an effective treatment for BCRL. Corsets are an important item, which we recommend should be included in compression clothing sets. We anticipate this finding will form the foundation for further work on the use of modern compression garments for the treatment of BCRL as well as contribute to the limited number of published reports that exist on the subject.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>lymphedema</kwd><kwd>breast cancer</kwd><kwd>physical therapy</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-ott-9-2089" position="float"><label>Figure 1</label><caption><p>Pneumatic jacket for sequential compression drainage.</p></caption><graphic xlink:href="ott-9-2089Fig1"></graphic></fig><fig id="f2-ott-9-2089" position="float"><label>Figure 2</label><caption><p>Lymphedema in the side of the chest on the operated side (lateral [<bold>A</bold>] and posterior [<bold>B</bold>]).</p></caption><graphic xlink:href="ott-9-2089Fig2"></graphic></fig><fig id="f3-ott-9-2089" position="float"><label>Figure 3</label><caption><p>A compression corset relieving the lymphatic system (anterior [<bold>A</bold>] and posterior [<bold>B</bold>] view).</p></caption><graphic xlink:href="ott-9-2089Fig3"></graphic></fig><fig id="f4-ott-9-2089" position="float"><label>Figure 4</label><caption><p>Ultrasound measuring points.</p></caption><graphic xlink:href="ott-9-2089Fig4"></graphic></fig><fig id="f5-ott-9-2089" position="float"><label>Figure 5</label><caption><p>The median thickness ratio of subcutaneous tissue on the side of the chest on the operated side versus nonoperated side at the beginning and after 6 months of treatment.</p></caption><graphic xlink:href="ott-9-2089Fig5"></graphic></fig><fig id="f6-ott-9-2089" position="float"><label>Figure 6</label><caption><p>Mean quotient of the thickness of subcutaneous tissue on the side of the chest on the operated side versus nonoperated side at the beginning and after 6 months of treatment.</p></caption><graphic xlink:href="ott-9-2089Fig6"></graphic></fig><fig id="f7-ott-9-2089" position="float"><label>Figure 7</label><caption><p>The patient 6 months before treatment with corset.</p></caption><graphic xlink:href="ott-9-2089Fig7"></graphic></fig><fig id="f8-ott-9-2089" position="float"><label>Figure 8</label><caption><p>The patient after wearing a compression corset for 6 months.</p></caption><graphic xlink:href="ott-9-2089Fig8"></graphic></fig><fig id="f9-ott-9-2089" position="float"><label>Figure 9</label><caption><p>Wearing comfort of compression corsets by patients after a 6-month period.</p></caption><graphic xlink:href="ott-9-2089Fig9"></graphic></fig><fig id="f10-ott-9-2089" position="float"><label>Figure 10</label><caption><p>Breathability of compression corsets by patients after a 6-month period.</p></caption><graphic xlink:href="ott-9-2089Fig10"></graphic></fig><fig id="f11-ott-9-2089" position="float"><label>Figure 11</label><caption><p>Feeling on the skin of compression corsets by patients after a 6-month period.</p></caption><graphic xlink:href="ott-9-2089Fig11"></graphic></fig><fig id="f12-ott-9-2089" position="float"><label>Figure 12</label><caption><p>Subjective stimulation of lymph outflow after a 6-month period of therapy.</p></caption><graphic xlink:href="ott-9-2089Fig12"></graphic></fig><fig id="f13-ott-9-2089" position="float"><label>Figure 13</label><caption><p>Chart of the manual drainage range in the secondary unilateral lymphedema of the upper limb.</p><p><bold>Notes:</bold> Body regions marked in blue are the so-called substitute lymph flow regions, and the regions marked in yellow are gravity points or regions affected by edema. Arrows indicate different directions to perform drainage.</p></caption><graphic xlink:href="ott-9-2089Fig13"></graphic></fig><table-wrap id="t1-ott-9-2089" position="float"><label>Table 1</label><caption><p>Type of cancer treatment in the patients studied</p></caption><table frame="hsides" rules="groups"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1">Number of patients, 29</th><th valign="top" align="left" rowspan="1" colspan="1"></th></tr></thead><tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">Mastectomy</td><td valign="top" align="left" rowspan="1" colspan="1">27</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">Breast-conserving therapy</td><td valign="top" align="left" rowspan="1" colspan="1">2</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">Axillary lymph node dissection</td><td valign="top" align="left" rowspan="1" colspan="1">29</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">Radiotherapy</td><td valign="top" align="left" rowspan="1" colspan="1">3</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">Chemotherapy</td><td valign="top" align="left" rowspan="1" colspan="1">6</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">Chemotherapy + radiotherapy</td><td valign="top" align="left" rowspan="1" colspan="1">14</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">No adjuvant treatment</td><td valign="top" align="left" rowspan="1" colspan="1">6</td></tr></tbody></table></table-wrap><table-wrap id="t2-ott-9-2089" position="float"><label>Table 2</label><caption><p>Quotient of the thickness of subcutaneous tissue on the operated side of the chest versus the nonoperated side</p></caption><table frame="hsides" rules="groups"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1">Number of patients</th><th valign="top" align="left" rowspan="1" colspan="1">Operated side</th><th valign="top" align="left" rowspan="1" colspan="1">Examination I (operated/not-operated ratio)</th><th valign="top" align="left" rowspan="1" colspan="1">Examination II (operated/not-operated ratio)</th></tr></thead><tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">1</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">0.92</td><td valign="top" align="left" rowspan="1" colspan="1">0.92</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">2</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">1.53</td><td valign="top" align="left" rowspan="1" colspan="1">1.22</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">3</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.95</td><td valign="top" align="left" rowspan="1" colspan="1">1.04</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">4</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">0.99</td><td valign="top" align="left" rowspan="1" colspan="1">0.88</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">5</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">0.93</td><td valign="top" align="left" rowspan="1" colspan="1">0.94</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">6</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">1.52</td><td valign="top" align="left" rowspan="1" colspan="1">1.32</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">7</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">1.03</td><td valign="top" align="left" rowspan="1" colspan="1">1.00</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">8</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.99</td><td valign="top" align="left" rowspan="1" colspan="1">1.05</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">9</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">1.23</td><td valign="top" align="left" rowspan="1" colspan="1">0.96</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">10</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.90</td><td valign="top" align="left" rowspan="1" colspan="1">0.98</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">11</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">1.11</td><td valign="top" align="left" rowspan="1" colspan="1">1.05</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">12</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">0.62</td><td valign="top" align="left" rowspan="1" colspan="1">0.96</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">13</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.93</td><td valign="top" align="left" rowspan="1" colspan="1">0.99</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">14</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">1.18</td><td valign="top" align="left" rowspan="1" colspan="1">0.94</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">15</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">1.12</td><td valign="top" align="left" rowspan="1" colspan="1">0.60</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">16</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.97</td><td valign="top" align="left" rowspan="1" colspan="1">1.03</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">17</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.98</td><td valign="top" align="left" rowspan="1" colspan="1">1.36</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">18</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.88</td><td valign="top" align="left" rowspan="1" colspan="1">0.78</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">19</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">2.31</td><td valign="top" align="left" rowspan="1" colspan="1">1.36</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">20</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">1.29</td><td valign="top" align="left" rowspan="1" colspan="1">1.13</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">21</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">0.89</td><td valign="top" align="left" rowspan="1" colspan="1">0.83</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">22</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">1.11</td><td valign="top" align="left" rowspan="1" colspan="1">0.9</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">23</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">1.38</td><td valign="top" align="left" rowspan="1" colspan="1">1.31</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">24</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">1.15</td><td valign="top" align="left" rowspan="1" colspan="1">0.96</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">25</td><td valign="top" align="left" rowspan="1" colspan="1">L</td><td valign="top" align="left" rowspan="1" colspan="1">2.57</td><td valign="top" align="left" rowspan="1" colspan="1">1.28</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">26</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">1.04</td><td valign="top" align="left" rowspan="1" colspan="1">0.99</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">27</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.91</td><td valign="top" align="left" rowspan="1" colspan="1">0.86</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">28</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">0.9</td><td valign="top" align="left" rowspan="1" colspan="1">0.75</td></tr><tr><td valign="top" align="left" rowspan="1" colspan="1">29</td><td valign="top" align="left" rowspan="1" colspan="1">R</td><td valign="top" align="left" rowspan="1" colspan="1">1.3</td><td valign="top" align="left" rowspan="1" colspan="1">1.35</td></tr></tbody></table><table-wrap-foot><fn id="tfn1-ott-9-2089"><p><bold>Abbreviations:</bold> L, left; R, right.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Hansdorfer Korzon, Rita" sort="Hansdorfer Korzon, Rita" uniqKey="Hansdorfer Korzon R" first="Rita" last="Hansdorfer-Korzon">Rita Hansdorfer-Korzon</name></noRegion><name sortKey="Gruszecka, Agnieszka" sort="Gruszecka, Agnieszka" uniqKey="Gruszecka A" first="Agnieszka" last="Gruszecka">Agnieszka Gruszecka</name><name sortKey="Lass, Piotr" sort="Lass, Piotr" uniqKey="Lass P" first="Piotr" last="Lass">Piotr Lass</name><name sortKey="Lass, Piotr" sort="Lass, Piotr" uniqKey="Lass P" first="Piotr" last="Lass">Piotr Lass</name><name sortKey="Teodorczyk, Jacek" sort="Teodorczyk, Jacek" uniqKey="Teodorczyk J" first="Jacek" last="Teodorczyk">Jacek Teodorczyk</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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