Serveur d'exploration sur le lymphœdème

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Evaluation of the clinical effectiveness of physiotherapeutic management of lymphoedema in palliative care patients.

Identifieur interne : 002873 ( PubMed/Checkpoint ); précédent : 002872; suivant : 002874

Evaluation of the clinical effectiveness of physiotherapeutic management of lymphoedema in palliative care patients.

Auteurs : Katri Elina Clemens [Allemagne] ; Birgit Jaspers ; Eberhard Klaschik ; Peter Nieland

Source :

RBID : pubmed:20558463

Descripteurs français

English descriptors

Abstract

Lymphoedema is a common sequela of cancer or its treatment that affects lymph node drainage. The physiotherapist, as member of the multiprofessional team in palliative care, is one of the keys to successful rehabilitation and management of patients with cancer and non-malignant motoneuron disease such as amyotrophic lateral sclerosis and palliative care needs. The aim of the study was to evaluate the frequency and effect of manual lymphatic drainage in palliative care patients with lymphoedema in a far advanced stage of their disease.

DOI: 10.1093/jjco/hyq093
PubMed: 20558463


Affiliations:


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pubmed:20558463

Le document en format XML

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<title xml:lang="en">Evaluation of the clinical effectiveness of physiotherapeutic management of lymphoedema in palliative care patients.</title>
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<nlm:affiliation>Department of Science and Research, Centre for Palliative Medicine, University of Bonn, Bonn, Germany. katri-elina@malteser.org</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Science and Research, Centre for Palliative Medicine, University of Bonn, Bonn</wicri:regionArea>
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<name sortKey="Jaspers, Birgit" sort="Jaspers, Birgit" uniqKey="Jaspers B" first="Birgit" last="Jaspers">Birgit Jaspers</name>
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<name sortKey="Klaschik, Eberhard" sort="Klaschik, Eberhard" uniqKey="Klaschik E" first="Eberhard" last="Klaschik">Eberhard Klaschik</name>
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<term>Aged</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Male</term>
<term>Neoplasms (complications)</term>
<term>Neoplasms (pathology)</term>
<term>Neoplasms (therapy)</term>
<term>Palliative Care</term>
<term>Physical Therapy Modalities</term>
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<term>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Soins palliatifs</term>
<term>Sujet âgé</term>
<term>Taux de survie</term>
<term>Techniques de physiothérapie</term>
<term>Tumeurs ()</term>
<term>Tumeurs (anatomopathologie)</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Tumeurs</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Neoplasms</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Neoplasms</term>
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<term>Lymphedema</term>
<term>Neoplasms</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<term>Aged</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Palliative Care</term>
<term>Physical Therapy Modalities</term>
<term>Retrospective Studies</term>
<term>Survival Rate</term>
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<div type="abstract" xml:lang="en">Lymphoedema is a common sequela of cancer or its treatment that affects lymph node drainage. The physiotherapist, as member of the multiprofessional team in palliative care, is one of the keys to successful rehabilitation and management of patients with cancer and non-malignant motoneuron disease such as amyotrophic lateral sclerosis and palliative care needs. The aim of the study was to evaluate the frequency and effect of manual lymphatic drainage in palliative care patients with lymphoedema in a far advanced stage of their disease.</div>
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<Month>11</Month>
<Day>16</Day>
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<Year>2014</Year>
<Month>07</Month>
<Day>30</Day>
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<Volume>40</Volume>
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<Title>Japanese journal of clinical oncology</Title>
<ISOAbbreviation>Jpn. J. Clin. Oncol.</ISOAbbreviation>
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<ArticleTitle>Evaluation of the clinical effectiveness of physiotherapeutic management of lymphoedema in palliative care patients.</ArticleTitle>
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<MedlinePgn>1068-72</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1093/jjco/hyq093</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Lymphoedema is a common sequela of cancer or its treatment that affects lymph node drainage. The physiotherapist, as member of the multiprofessional team in palliative care, is one of the keys to successful rehabilitation and management of patients with cancer and non-malignant motoneuron disease such as amyotrophic lateral sclerosis and palliative care needs. The aim of the study was to evaluate the frequency and effect of manual lymphatic drainage in palliative care patients with lymphoedema in a far advanced stage of their disease.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective study (reflexive control design) of data of the 208 patients admitted to our palliative care unit from January 2007 to December 2007. Demographic and disease-related data (diagnosis, symptoms, Karnofsky performance status and effect of manual lymphatic drainage interventions) were documented and compared.</AbstractText>
<AbstractText Label="STATISTICS" NlmCategory="METHODS">mean ± SD, median; Wilcoxon's test.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 208 patients, 90 who reported symptom load due to lymphoedema were included; 67 (74.4%) had pain, 23 (25.6%) dyspnoea due to progredient trunk oedema. Mean age 65.5 ± 13.0 years; 33 (36.7%) male; Karnofsky index 50% (30-80%), mean length of stay 15.6 ± 8.0 days. The mean number of physiotherapeutic treatment interventions was 7.0 ± 5.8. Manual lymphatic drainage was well tolerated in 83 (92.2%) patients; 63 of 67 (94.0%) patients showed a clinically relevant improvement in pain, and 17 of 23 (73.9%) in dyspnoea.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The majority of the patients showed a clinical improvement in the intensity of symptoms after manual lymphatic drainage.</AbstractText>
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<ForeName>Katri Elina</ForeName>
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