Complex Decongestive Lymphatic Therapy With or Without Vodder II Manual Lymph Drainage in More Severe Chronic Postmastectomy Upper Limb Lymphedema: A Randomized Noninferiority Prospective Study.
Identifieur interne : 000D00 ( PubMed/Corpus ); précédent : 000C99; suivant : 000D01Complex Decongestive Lymphatic Therapy With or Without Vodder II Manual Lymph Drainage in More Severe Chronic Postmastectomy Upper Limb Lymphedema: A Randomized Noninferiority Prospective Study.
Auteurs : Tomasz Gradalski ; Katarzyna Ochalek ; Joanna KurpiewskaSource :
- Journal of pain and symptom management [ 1873-6513 ] ; 2015.
English descriptors
- KwdEn :
- Chronic Disease, Compression Bandages, Drainage (methods), Edema (therapy), Exercise Therapy (methods), Female, Humans, Lymph Nodes, Lymphedema (therapy), Mastectomy (adverse effects), Middle Aged, Patient Satisfaction, Postoperative Complications (therapy), Prospective Studies, Quality of Life, Severity of Illness Index, Treatment Outcome, Upper Extremity.
- MESH :
- adverse effects : Mastectomy.
- methods : Drainage, Exercise Therapy.
- therapy : Edema, Lymphedema, Postoperative Complications.
- Chronic Disease, Compression Bandages, Female, Humans, Lymph Nodes, Middle Aged, Patient Satisfaction, Prospective Studies, Quality of Life, Severity of Illness Index, Treatment Outcome, Upper Extremity.
Abstract
Complex decongestive lymphatic therapy (CDT) has been the method of choice in conservative management of lymphedema. Although effective, it is time consuming and manual lymph drainage (MLD) usually requires skilled therapists.
DOI: 10.1016/j.jpainsymman.2015.06.017
PubMed: 26303187
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pubmed:26303187Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Complex Decongestive Lymphatic Therapy With or Without Vodder II Manual Lymph Drainage in More Severe Chronic Postmastectomy Upper Limb Lymphedema: A Randomized Noninferiority Prospective Study.</title>
<author><name sortKey="Gradalski, Tomasz" sort="Gradalski, Tomasz" uniqKey="Gradalski T" first="Tomasz" last="Gradalski">Tomasz Gradalski</name>
<affiliation><nlm:affiliation>St. Lazarus Hospice, Krakow, Poland. Electronic address: tomgr@mp.pl.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ochalek, Katarzyna" sort="Ochalek, Katarzyna" uniqKey="Ochalek K" first="Katarzyna" last="Ochalek">Katarzyna Ochalek</name>
<affiliation><nlm:affiliation>Department of Clinical Rehabilitation, University School of Physical Education, Krakow, Poland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kurpiewska, Joanna" sort="Kurpiewska, Joanna" uniqKey="Kurpiewska J" first="Joanna" last="Kurpiewska">Joanna Kurpiewska</name>
<affiliation><nlm:affiliation>Department of Clinical Rehabilitation, University School of Physical Education, Krakow, Poland.</nlm:affiliation>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Complex Decongestive Lymphatic Therapy With or Without Vodder II Manual Lymph Drainage in More Severe Chronic Postmastectomy Upper Limb Lymphedema: A Randomized Noninferiority Prospective Study.</title>
<author><name sortKey="Gradalski, Tomasz" sort="Gradalski, Tomasz" uniqKey="Gradalski T" first="Tomasz" last="Gradalski">Tomasz Gradalski</name>
<affiliation><nlm:affiliation>St. Lazarus Hospice, Krakow, Poland. Electronic address: tomgr@mp.pl.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ochalek, Katarzyna" sort="Ochalek, Katarzyna" uniqKey="Ochalek K" first="Katarzyna" last="Ochalek">Katarzyna Ochalek</name>
<affiliation><nlm:affiliation>Department of Clinical Rehabilitation, University School of Physical Education, Krakow, Poland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kurpiewska, Joanna" sort="Kurpiewska, Joanna" uniqKey="Kurpiewska J" first="Joanna" last="Kurpiewska">Joanna Kurpiewska</name>
<affiliation><nlm:affiliation>Department of Clinical Rehabilitation, University School of Physical Education, Krakow, Poland.</nlm:affiliation>
</affiliation>
</author>
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<series><title level="j">Journal of pain and symptom management</title>
<idno type="eISSN">1873-6513</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic Disease</term>
<term>Compression Bandages</term>
<term>Drainage (methods)</term>
<term>Edema (therapy)</term>
<term>Exercise Therapy (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Nodes</term>
<term>Lymphedema (therapy)</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Postoperative Complications (therapy)</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term>
<term>Exercise Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Edema</term>
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Chronic Disease</term>
<term>Compression Bandages</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Nodes</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
<term>Upper Extremity</term>
</keywords>
</textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en">Complex decongestive lymphatic therapy (CDT) has been the method of choice in conservative management of lymphedema. Although effective, it is time consuming and manual lymph drainage (MLD) usually requires skilled therapists.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26303187</PMID>
<DateCreated><Year>2015</Year>
<Month>11</Month>
<Day>30</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>12</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-6513</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>50</Volume>
<Issue>6</Issue>
<PubDate><Year>2015</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Journal of pain and symptom management</Title>
<ISOAbbreviation>J Pain Symptom Manage</ISOAbbreviation>
</Journal>
<ArticleTitle>Complex Decongestive Lymphatic Therapy With or Without Vodder II Manual Lymph Drainage in More Severe Chronic Postmastectomy Upper Limb Lymphedema: A Randomized Noninferiority Prospective Study.</ArticleTitle>
<Pagination><MedlinePgn>750-7</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpainsymman.2015.06.017</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0885-3924(15)00409-1</ELocationID>
<Abstract><AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Complex decongestive lymphatic therapy (CDT) has been the method of choice in conservative management of lymphedema. Although effective, it is time consuming and manual lymph drainage (MLD) usually requires skilled therapists.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The purpose of this study was to compare the reduction in edema volume in more advanced (≥20% limb volume difference) postmastectomy arm lymphedema achieved by compression bandaging (CB) and physical exercises vs. the same management augmented by an additional 30 minutes of MLD (Vodder II method).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Sixty postmastectomy women were randomly assigned to either the CB group or the CDT group. Of those, 51 women (26 within the CB group) completed 26 weeks of therapy (two weeks of the intensive phase and six months of the maintenance phase).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A decrease of limb volume (15.6% in the CB group and 13.8% in the CDT group), edema volume (47.2% and 47.4%, respectively), and limb-related volume change (14.7% and 12.5%) during the intensive phase were observed. This improvement remained constant in both groups after six months of maintenance therapy. The health-related quality of life (measured by the Lymphedema Questionnaire) similarly showed improvement in both groups, with a high level of treatment satisfaction.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results indicate that parallel (immediate and delayed) results may be obtained by CDT without the use of Vodder MLD and CB may be an essential part of lymphedema management.</AbstractText>
<CopyrightInformation>Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gradalski</LastName>
<ForeName>Tomasz</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>St. Lazarus Hospice, Krakow, Poland. Electronic address: tomgr@mp.pl.</Affiliation>
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<Author ValidYN="Y"><LastName>Ochalek</LastName>
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<AffiliationInfo><Affiliation>Department of Clinical Rehabilitation, University School of Physical Education, Krakow, Poland.</Affiliation>
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<Author ValidYN="Y"><LastName>Kurpiewska</LastName>
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<AffiliationInfo><Affiliation>Department of Clinical Rehabilitation, University School of Physical Education, Krakow, Poland.</Affiliation>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2015</Year>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Pain Symptom Manage</MedlineTA>
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<MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName>
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<MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
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<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName UI="D034941" MajorTopicYN="N">Upper Extremity</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Lymphedema</Keyword>
<Keyword MajorTopicYN="N">compression bandage</Keyword>
<Keyword MajorTopicYN="N">physiotherapy techniques</Keyword>
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