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Manual Lymphatic Drainage and Active Exercise Effects on Lymphatic Function Do Not Translate Into Morbidities in Women Who Underwent Breast Cancer Surgery.

Identifieur interne : 000667 ( PubMed/Corpus ); précédent : 000666; suivant : 000668

Manual Lymphatic Drainage and Active Exercise Effects on Lymphatic Function Do Not Translate Into Morbidities in Women Who Underwent Breast Cancer Surgery.

Auteurs : Mariana Maia Freire De Oliveira ; Maria Salete Costa Gurgel ; Maria Teresa Pace Do Amaral ; Bárbara Juarez Amorim ; Celso Darío Ramos ; José Geraldo Almeida Filho ; Laura Ferreira De Rezende ; Luís Otávio Zanatta Sarian

Source :

RBID : pubmed:27519926

English descriptors

Abstract

To evaluate manual lymphatic drainage (MLD) and active exercise effects on lymphatic alterations of the upper limb (UL), range of motion (ROM) of shoulder, and scar complications after breast cancer surgery.

DOI: 10.1016/j.apmr.2016.06.024
PubMed: 27519926

Links to Exploration step

pubmed:27519926

Le document en format XML

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<title xml:lang="en">Manual Lymphatic Drainage and Active Exercise Effects on Lymphatic Function Do Not Translate Into Morbidities in Women Who Underwent Breast Cancer Surgery.</title>
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<name sortKey="Freire De Oliveira, Mariana Maia" sort="Freire De Oliveira, Mariana Maia" uniqKey="Freire De Oliveira M" first="Mariana Maia" last="Freire De Oliveira">Mariana Maia Freire De Oliveira</name>
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<nlm:affiliation>Physical Therapy Sector, Women's Integrated Healthcare Center, University of Campinas, Campinas, SP, Brazil. Electronic address: marimfo@yahoo.com.br.</nlm:affiliation>
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<name sortKey="Costa Gurgel, Maria Salete" sort="Costa Gurgel, Maria Salete" uniqKey="Costa Gurgel M" first="Maria Salete" last="Costa Gurgel">Maria Salete Costa Gurgel</name>
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<nlm:affiliation>Department of Obstetrics and Gynecology, School of Medicine, University of Campinas, Campinas, SP, Brazil.</nlm:affiliation>
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<name sortKey="Pace Do Amaral, Maria Teresa" sort="Pace Do Amaral, Maria Teresa" uniqKey="Pace Do Amaral M" first="Maria Teresa" last="Pace Do Amaral">Maria Teresa Pace Do Amaral</name>
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<name sortKey="Amorim, Barbara Juarez" sort="Amorim, Barbara Juarez" uniqKey="Amorim B" first="Bárbara Juarez" last="Amorim">Bárbara Juarez Amorim</name>
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<name sortKey="Almeida Filho, Jose Geraldo" sort="Almeida Filho, Jose Geraldo" uniqKey="Almeida Filho J" first="José Geraldo" last="Almeida Filho">José Geraldo Almeida Filho</name>
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<name sortKey="De Rezende, Laura Ferreira" sort="De Rezende, Laura Ferreira" uniqKey="De Rezende L" first="Laura Ferreira" last="De Rezende">Laura Ferreira De Rezende</name>
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<nlm:affiliation>University Center of Associated Teaching Colleges, São Paulo, SP, Brazil.</nlm:affiliation>
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<name sortKey="Zanatta Sarian, Luis Otavio" sort="Zanatta Sarian, Luis Otavio" uniqKey="Zanatta Sarian L" first="Luís Otávio" last="Zanatta Sarian">Luís Otávio Zanatta Sarian</name>
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<nlm:affiliation>Department of Obstetrics and Gynecology, School of Medicine, University of Campinas, Campinas, SP, Brazil.</nlm:affiliation>
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<title xml:lang="en">Manual Lymphatic Drainage and Active Exercise Effects on Lymphatic Function Do Not Translate Into Morbidities in Women Who Underwent Breast Cancer Surgery.</title>
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<nlm:affiliation>Physical Therapy Sector, Women's Integrated Healthcare Center, University of Campinas, Campinas, SP, Brazil. Electronic address: marimfo@yahoo.com.br.</nlm:affiliation>
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<name sortKey="Costa Gurgel, Maria Salete" sort="Costa Gurgel, Maria Salete" uniqKey="Costa Gurgel M" first="Maria Salete" last="Costa Gurgel">Maria Salete Costa Gurgel</name>
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<nlm:affiliation>Department of Obstetrics and Gynecology, School of Medicine, University of Campinas, Campinas, SP, Brazil.</nlm:affiliation>
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<name sortKey="Pace Do Amaral, Maria Teresa" sort="Pace Do Amaral, Maria Teresa" uniqKey="Pace Do Amaral M" first="Maria Teresa" last="Pace Do Amaral">Maria Teresa Pace Do Amaral</name>
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<nlm:affiliation>Management and Health Care Department, Physical Therapy Sector, Federal University of São Paulo, São Paulo, SP, Brazil.</nlm:affiliation>
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<name sortKey="Amorim, Barbara Juarez" sort="Amorim, Barbara Juarez" uniqKey="Amorim B" first="Bárbara Juarez" last="Amorim">Bárbara Juarez Amorim</name>
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<nlm:affiliation>Nuclear Medicine and Radiology Department, School of Medicine, University of Campinas, Campinas, SP, Brazil.</nlm:affiliation>
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<name sortKey="Ramos, Celso Dario" sort="Ramos, Celso Dario" uniqKey="Ramos C" first="Celso Darío" last="Ramos">Celso Darío Ramos</name>
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<nlm:affiliation>Nuclear Medicine and Radiology Department, School of Medicine, University of Campinas, Campinas, SP, Brazil.</nlm:affiliation>
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<name sortKey="Almeida Filho, Jose Geraldo" sort="Almeida Filho, Jose Geraldo" uniqKey="Almeida Filho J" first="José Geraldo" last="Almeida Filho">José Geraldo Almeida Filho</name>
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<nlm:affiliation>Nuclear Medicine and Radiology Department, School of Medicine, University of Campinas, Campinas, SP, Brazil.</nlm:affiliation>
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<name sortKey="De Rezende, Laura Ferreira" sort="De Rezende, Laura Ferreira" uniqKey="De Rezende L" first="Laura Ferreira" last="De Rezende">Laura Ferreira De Rezende</name>
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<nlm:affiliation>University Center of Associated Teaching Colleges, São Paulo, SP, Brazil.</nlm:affiliation>
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<name sortKey="Zanatta Sarian, Luis Otavio" sort="Zanatta Sarian, Luis Otavio" uniqKey="Zanatta Sarian L" first="Luís Otávio" last="Zanatta Sarian">Luís Otávio Zanatta Sarian</name>
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<nlm:affiliation>Department of Obstetrics and Gynecology, School of Medicine, University of Campinas, Campinas, SP, Brazil.</nlm:affiliation>
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<title level="j">Archives of physical medicine and rehabilitation</title>
<idno type="eISSN">1532-821X</idno>
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<date when="2017" type="published">2017</date>
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<term>Adult</term>
<term>Aged</term>
<term>Breast Cancer Lymphedema (rehabilitation)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Exercise Therapy (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Massage (methods)</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Range of Motion, Articular (physiology)</term>
<term>Upper Extremity (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Exercise Therapy</term>
<term>Massage</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Range of Motion, Articular</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Breast Cancer Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate manual lymphatic drainage (MLD) and active exercise effects on lymphatic alterations of the upper limb (UL), range of motion (ROM) of shoulder, and scar complications after breast cancer surgery.</div>
</front>
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<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">27519926</PMID>
<DateCreated>
<Year>2016</Year>
<Month>08</Month>
<Day>13</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>07</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>07</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1532-821X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>98</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2017</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Archives of physical medicine and rehabilitation</Title>
<ISOAbbreviation>Arch Phys Med Rehabil</ISOAbbreviation>
</Journal>
<ArticleTitle>Manual Lymphatic Drainage and Active Exercise Effects on Lymphatic Function Do Not Translate Into Morbidities in Women Who Underwent Breast Cancer Surgery.</ArticleTitle>
<Pagination>
<MedlinePgn>256-263</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0003-9993(16)30405-1</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.apmr.2016.06.024</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate manual lymphatic drainage (MLD) and active exercise effects on lymphatic alterations of the upper limb (UL), range of motion (ROM) of shoulder, and scar complications after breast cancer surgery.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Clinical trial.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Health care center.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Women (N=105) undergoing radical breast cancer surgery who were matched for staging, age, and body mass index.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Women (n=52) were submitted to MLD and 53 to active exercises for UL for 1 month and followed up.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Shoulder ROM, surgical wound inspection and palpation, UL circumference measurements, and lymphoscintigraphy were performed in preoperative and postoperative periods.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There was no significant difference between groups with regard to wound healing complications, ROM, and UL circumferences. After surgery, 25 (48.1%) of the MLD group and 19 (35.8%) of the active exercise group showed worsening in radiopharmaceutical uptake velocity, whereas 9 (17.3%) of the MLD group and 11 (20.8%) of the active exercise group showed improved velocity (P=.445). With regard to uptake intensity, 27 (51.9%) of the MLD group and 21 (39.6%) of the active exercise group showed worsening whereas 7 (13.5%) of the MLD group and 7 (13.2%) of the active exercise group showed some improvement (P=.391). The presence of collateral circulation was similar in both groups at both time points evaluated. The active exercise group had a significant increase in postoperative liver absorption (P=.005), and the MLD group had a significant increase in postoperative dermal backflow (P=.024).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MLD and active exercise effects are equivalent with regard to morbidity. Minor changes in lymphatic function associated with either MLD or active exercises were not related to patients' symptoms or signs.</AbstractText>
<CopyrightInformation>Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Freire de Oliveira</LastName>
<ForeName>Mariana Maia</ForeName>
<Initials>MM</Initials>
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<Affiliation>Physical Therapy Sector, Women's Integrated Healthcare Center, University of Campinas, Campinas, SP, Brazil. Electronic address: marimfo@yahoo.com.br.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Costa Gurgel</LastName>
<ForeName>Maria Salete</ForeName>
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<Affiliation>Department of Obstetrics and Gynecology, School of Medicine, University of Campinas, Campinas, SP, Brazil.</Affiliation>
</AffiliationInfo>
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<LastName>Pace do Amaral</LastName>
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<Affiliation>Management and Health Care Department, Physical Therapy Sector, Federal University of São Paulo, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
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<ForeName>Bárbara Juarez</ForeName>
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<Affiliation>Nuclear Medicine and Radiology Department, School of Medicine, University of Campinas, Campinas, SP, Brazil.</Affiliation>
</AffiliationInfo>
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<LastName>Ramos</LastName>
<ForeName>Celso Darío</ForeName>
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<Affiliation>Nuclear Medicine and Radiology Department, School of Medicine, University of Campinas, Campinas, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Almeida Filho</LastName>
<ForeName>José Geraldo</ForeName>
<Initials>JG</Initials>
<AffiliationInfo>
<Affiliation>Nuclear Medicine and Radiology Department, School of Medicine, University of Campinas, Campinas, SP, Brazil.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>de Rezende</LastName>
<ForeName>Laura Ferreira</ForeName>
<Initials>LF</Initials>
<AffiliationInfo>
<Affiliation>University Center of Associated Teaching Colleges, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zanatta Sarian</LastName>
<ForeName>Luís Otávio</ForeName>
<Initials>LO</Initials>
<AffiliationInfo>
<Affiliation>Department of Obstetrics and Gynecology, School of Medicine, University of Campinas, Campinas, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2016</Year>
<Month>08</Month>
<Day>09</Day>
</ArticleDate>
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<Country>United States</Country>
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<ISSNLinking>0003-9993</ISSNLinking>
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<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D000072656" MajorTopicYN="N">Breast Cancer Lymphedema</DescriptorName>
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<DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D016059" MajorTopicYN="N">Range of Motion, Articular</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
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<MeshHeading>
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<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
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<Keyword MajorTopicYN="N">Breast neoplasms</Keyword>
<Keyword MajorTopicYN="N">Lymphatic system</Keyword>
<Keyword MajorTopicYN="N">Physical therapy modalities</Keyword>
<Keyword MajorTopicYN="N">Rehabilitation</Keyword>
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