Efficacy of low-frequency low-intensity electrotherapy in the treatment of breast cancer-related lymphoedema: a cross-over randomized trial
Identifieur interne : 003D56 ( Pmc/Curation ); précédent : 003D55; suivant : 003D57Efficacy of low-frequency low-intensity electrotherapy in the treatment of breast cancer-related lymphoedema: a cross-over randomized trial
Auteurs : Roser Belmonte [Espagne] ; Marta Tejero [Espagne] ; Montse Ferrer [Espagne] ; Josep M. Muniesa [Espagne] ; Esther Duarte [Espagne] ; Oriol Cunillera [Espagne] ; Ferran Escalada [Espagne]Source :
- Clinical Rehabilitation [ 0269-2155 ] ; 2012.
Abstract
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DOI: 10.1177/0269215511427414
PubMed: 22172923
PubMed Central: 3573682
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Montse Ferrer<affiliation><nlm:aff id="aff4-0269215511427414">CIBER en Epidemiologia y Salud Pública, CIBERESP España</nlm:aff><wicri:noCountry code="subfield">CIBERESP España</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5-0269215511427414">Departament de Pediatria, Obstetricia i Ginecologia, i de Medicina Preventiva, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament de Pediatria, Obstetricia i Ginecologia, i de Medicina Preventiva, Universitat Autònoma de Barcelona, Bellaterra, Barcelona</wicri:regionArea></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Efficacy of low-frequency low-intensity electrotherapy in the treatment of breast cancer-related lymphoedema: a cross-over randomized trial</title><author><name sortKey="Belmonte, Roser" sort="Belmonte, Roser" uniqKey="Belmonte R" first="Roser" last="Belmonte">Roser Belmonte</name><affiliation wicri:level="1"><nlm:aff id="aff1-0269215511427414">Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2-0269215511427414">Departament Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament Medicina, Universitat Autònoma de Barcelona, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Tejero, Marta" sort="Tejero, Marta" uniqKey="Tejero M" first="Marta" last="Tejero">Marta Tejero</name><affiliation wicri:level="1"><nlm:aff id="aff1-0269215511427414">Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Ferrer, Montse" sort="Ferrer, Montse" uniqKey="Ferrer M" first="Montse" last="Ferrer">Montse Ferrer</name><affiliation wicri:level="1"><nlm:aff id="aff3-0269215511427414">IMIM Institut de Recerca Hospital del Mar, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>IMIM Institut de Recerca Hospital del Mar, Barcelona</wicri:regionArea></affiliation><affiliation><nlm:aff id="aff4-0269215511427414">CIBER en Epidemiologia y Salud Pública, CIBERESP España</nlm:aff><wicri:noCountry code="subfield">CIBERESP España</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5-0269215511427414">Departament de Pediatria, Obstetricia i Ginecologia, i de Medicina Preventiva, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament de Pediatria, Obstetricia i Ginecologia, i de Medicina Preventiva, Universitat Autònoma de Barcelona, Bellaterra, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Muniesa, Josep M" sort="Muniesa, Josep M" uniqKey="Muniesa J" first="Josep M" last="Muniesa">Josep M. 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Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament Medicina, Universitat Autònoma de Barcelona, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Tejero, Marta" sort="Tejero, Marta" uniqKey="Tejero M" first="Marta" last="Tejero">Marta Tejero</name><affiliation wicri:level="1"><nlm:aff id="aff1-0269215511427414">Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Ferrer, Montse" sort="Ferrer, Montse" uniqKey="Ferrer M" first="Montse" last="Ferrer">Montse Ferrer</name><affiliation wicri:level="1"><nlm:aff id="aff3-0269215511427414">IMIM Institut de Recerca Hospital del Mar, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>IMIM Institut de Recerca Hospital del Mar, Barcelona</wicri:regionArea></affiliation><affiliation><nlm:aff id="aff4-0269215511427414">CIBER en Epidemiologia y Salud Pública, CIBERESP España</nlm:aff><wicri:noCountry code="subfield">CIBERESP España</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5-0269215511427414">Departament de Pediatria, Obstetricia i Ginecologia, i de Medicina Preventiva, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament de Pediatria, Obstetricia i Ginecologia, i de Medicina Preventiva, Universitat Autònoma de Barcelona, Bellaterra, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Muniesa, Josep M" sort="Muniesa, Josep M" uniqKey="Muniesa J" first="Josep M" last="Muniesa">Josep M. Muniesa</name><affiliation wicri:level="1"><nlm:aff id="aff1-0269215511427414">Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2-0269215511427414">Departament Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament Medicina, Universitat Autònoma de Barcelona, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Duarte, Esther" sort="Duarte, Esther" uniqKey="Duarte E" first="Esther" last="Duarte">Esther Duarte</name><affiliation wicri:level="1"><nlm:aff id="aff1-0269215511427414">Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2-0269215511427414">Departament Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament Medicina, Universitat Autònoma de Barcelona, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Cunillera, Oriol" sort="Cunillera, Oriol" uniqKey="Cunillera O" first="Oriol" last="Cunillera">Oriol Cunillera</name><affiliation wicri:level="1"><nlm:aff id="aff3-0269215511427414">IMIM Institut de Recerca Hospital del Mar, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>IMIM Institut de Recerca Hospital del Mar, Barcelona</wicri:regionArea></affiliation></author><author><name sortKey="Escalada, Ferran" sort="Escalada, Ferran" uniqKey="Escalada F" first="Ferran" last="Escalada">Ferran Escalada</name><affiliation wicri:level="1"><nlm:aff id="aff1-0269215511427414">Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2-0269215511427414">Departament Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Departament Medicina, Universitat Autònoma de Barcelona, Barcelona</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical Rehabilitation</title><idno type="ISSN">0269-2155</idno><idno type="eISSN">1477-0873</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Objective</bold>: To compare the efficacy of low-frequency low-intensity electrotherapy and manual lymphatic drainage in the treatment of chronic upper limb breast cancer-related lymphoedema.</p><p><bold>Design</bold>: Cross-over single-blind random clinical trial.</p><p><bold>Setting</bold>: Rehabilitation service.</p><p><bold>Participants</bold>: Thirty-six women with chronic upper limb breast cancer-related lymphoedema.</p><p><bold>Methods</bold>: Patients were randomized to undergo 10 sessions of manual lymphatic drainage followed by 10 sessions of low-frequency low-intensity electrotherapy or to undergo first low-frequency low-intensity electrotherapy followed by manual lymphatic drainage. There was a month of washout time between treatments. Each patient was examined just before and after each treatment. Researchers and outcome assessors were blinded for assigned treatment.</p><p><bold>Measures</bold>: Outcomes were lymphoedema volume, pain, heaviness and tightness, and health-related quality of life measured with the Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer version 4 (FACT-B+4). Carry-over, period and treatment effects were analysed. Treatment effect was assessed using paired <italic>t</italic>-test.</p><p><bold>Results</bold>: Thirty patients finalized treatment. Comparing the changes in low-frequency low-intensity electrotherapy with manual lymphatic drainage changes, there were no significant differences. Low-frequency low-intensity electrotherapy did not reduce lymphoedema volume (mean of change = 19.77 mL, <italic>P</italic> = 0.36), but significant reductions were observed in pain, heaviness and tightness (mean of change = 13.1, 16.2 and 6.4 mm, respectively), and FACT-B+4 summaries improved significantly (Trial Outcome Index mean of change = 5.4, <italic>P</italic> = 0.015). Manual lymphatic drainage showed no significant changes in any of the outcomes</p><p><bold>Conclusion</bold>: Although there are no significant differences between treatment changes, the observed trend towards a better health-related quality of life is remarkable in low-frequency low-intensity electrotherapy.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Moseley, A" uniqKey="Moseley A">A Moseley</name></author><author><name sortKey="Carati, C" uniqKey="Carati C">C Carati</name></author><author><name sortKey="Piller, N" uniqKey="Piller N">N Piller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karki, A" uniqKey="Karki A">A Karki</name></author><author><name sortKey="Anttila, H" uniqKey="Anttila H">H Anttila</name></author><author><name sortKey="Tasmuth, T" uniqKey="Tasmuth T">T Tasmuth</name></author><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Rehabil</journal-id><journal-id journal-id-type="iso-abbrev">Clin Rehabil</journal-id><journal-id journal-id-type="publisher-id">CRE</journal-id><journal-id journal-id-type="hwp">spcre</journal-id><journal-title-group><journal-title>Clinical Rehabilitation</journal-title></journal-title-group><issn pub-type="ppub">0269-2155</issn><issn pub-type="epub">1477-0873</issn><publisher><publisher-name>SAGE Publications</publisher-name><publisher-loc>Sage UK: London, England</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22172923</article-id><article-id pub-id-type="pmc">3573682</article-id><article-id pub-id-type="doi">10.1177/0269215511427414</article-id><article-id pub-id-type="publisher-id">10.1177_0269215511427414</article-id><article-categories><subj-group subj-group-type="heading"><subject>Evaluative Studies</subject></subj-group></article-categories><title-group><article-title>Efficacy of low-frequency low-intensity electrotherapy in the treatment of breast cancer-related lymphoedema: a cross-over randomized trial</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Belmonte</surname><given-names>Roser</given-names></name><xref ref-type="aff" rid="aff1-0269215511427414">1</xref><xref ref-type="aff" rid="aff2-0269215511427414">2</xref></contrib><contrib contrib-type="author"><name><surname>Tejero</surname><given-names>Marta</given-names></name><xref ref-type="aff" rid="aff1-0269215511427414">1</xref></contrib><contrib contrib-type="author"><name><surname>Ferrer</surname><given-names>Montse</given-names></name><xref ref-type="aff" rid="aff3-0269215511427414">3</xref><xref ref-type="aff" rid="aff4-0269215511427414">4</xref><xref ref-type="aff" rid="aff5-0269215511427414">5</xref></contrib><contrib contrib-type="author"><name><surname>Muniesa</surname><given-names>Josep M</given-names></name><xref ref-type="aff" rid="aff1-0269215511427414">1</xref><xref ref-type="aff" rid="aff2-0269215511427414">2</xref></contrib><contrib contrib-type="author"><name><surname>Duarte</surname><given-names>Esther</given-names></name><xref ref-type="aff" rid="aff1-0269215511427414">1</xref><xref ref-type="aff" rid="aff2-0269215511427414">2</xref></contrib><contrib contrib-type="author"><name><surname>Cunillera</surname><given-names>Oriol</given-names></name><xref ref-type="aff" rid="aff3-0269215511427414">3</xref></contrib><contrib contrib-type="author"><name><surname>Escalada</surname><given-names>Ferran</given-names></name><xref ref-type="aff" rid="aff1-0269215511427414">1</xref><xref ref-type="aff" rid="aff2-0269215511427414">2</xref></contrib></contrib-group><aff id="aff1-0269215511427414"><label>1</label>Medicina Física i Rehabilitació, Hospital Mar-Esperança, Barcelona, Spain</aff><aff id="aff2-0269215511427414"><label>2</label>Departament Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain</aff><aff id="aff3-0269215511427414"><label>3</label>IMIM Institut de Recerca Hospital del Mar, Barcelona, Spain</aff><aff id="aff4-0269215511427414"><label>4</label>CIBER en Epidemiologia y Salud Pública, CIBERESP España</aff><aff id="aff5-0269215511427414"><label>5</label>Departament de Pediatria, Obstetricia i Ginecologia, i de Medicina Preventiva, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain</aff><author-notes><corresp id="corresp1-0269215511427414">Roser Belmonte, Medicina Física i Rehabilitació, Hospital Mar-Esperança.Parc de Salut Mar, C/Sant Josep de la Muntanya, 12, 08028 Barcelona, Spain Email: <email>rbelmonte@parcdesalutmar.cat</email></corresp></author-notes><pub-date pub-type="epub-ppub"><month>7</month><year>2012</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>7</month><year>2012</year></pub-date><volume>26</volume><issue>7</issue><fpage>607</fpage><lpage>618</lpage><history><date date-type="received"><day>19</day><month>3</month><year>2011</year></date><date date-type="accepted"><day>24</day><month>9</month><year>2011</year></date></history><permissions><copyright-statement>© The Author(s) 2011</copyright-statement><copyright-year>2011</copyright-year><copyright-holder content-type="sage">SAGE Publications</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p>This is an open-access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original work is properly
cited.</license-p></license></permissions><abstract><p><bold>Objective</bold>: To compare the efficacy of low-frequency low-intensity electrotherapy and manual lymphatic drainage in the treatment of chronic upper limb breast cancer-related lymphoedema.</p><p><bold>Design</bold>: Cross-over single-blind random clinical trial.</p><p><bold>Setting</bold>: Rehabilitation service.</p><p><bold>Participants</bold>: Thirty-six women with chronic upper limb breast cancer-related lymphoedema.</p><p><bold>Methods</bold>: Patients were randomized to undergo 10 sessions of manual lymphatic drainage followed by 10 sessions of low-frequency low-intensity electrotherapy or to undergo first low-frequency low-intensity electrotherapy followed by manual lymphatic drainage. There was a month of washout time between treatments. Each patient was examined just before and after each treatment. Researchers and outcome assessors were blinded for assigned treatment.</p><p><bold>Measures</bold>: Outcomes were lymphoedema volume, pain, heaviness and tightness, and health-related quality of life measured with the Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer version 4 (FACT-B+4). Carry-over, period and treatment effects were analysed. Treatment effect was assessed using paired <italic>t</italic>-test.</p><p><bold>Results</bold>: Thirty patients finalized treatment. Comparing the changes in low-frequency low-intensity electrotherapy with manual lymphatic drainage changes, there were no significant differences. Low-frequency low-intensity electrotherapy did not reduce lymphoedema volume (mean of change = 19.77 mL, <italic>P</italic> = 0.36), but significant reductions were observed in pain, heaviness and tightness (mean of change = 13.1, 16.2 and 6.4 mm, respectively), and FACT-B+4 summaries improved significantly (Trial Outcome Index mean of change = 5.4, <italic>P</italic> = 0.015). Manual lymphatic drainage showed no significant changes in any of the outcomes</p><p><bold>Conclusion</bold>: Although there are no significant differences between treatment changes, the observed trend towards a better health-related quality of life is remarkable in low-frequency low-intensity electrotherapy.</p></abstract><kwd-group><kwd>Breast cancer</kwd><kwd>electric stimulation therapy</kwd><kwd>lymphoedema</kwd><kwd>physical therapy</kwd><kwd>quality of life</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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