Lymphedema: a therapeutic approach in the treatment and rehabilitation of cancer patients.
Identifieur interne : 002517 ( PubMed/Corpus ); précédent : 002516; suivant : 002518Lymphedema: a therapeutic approach in the treatment and rehabilitation of cancer patients.
Auteurs : Marta I. Korpan ; Richard Crevenna ; Veronika Fialka-MoserSource :
- American journal of physical medicine & rehabilitation [ 1537-7385 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- complications : Neoplasms.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- pathology : Neoplasms.
- rehabilitation : Lymphedema.
- therapy : Neoplasms.
- Compression Bandages, Drainage, Exercise, Humans, Skin Care.
Abstract
Lymphedema therapy has gone by many names in the recent past, being referred to as complex decongestive therapy, complex physical therapy, or decongestive lymphatic therapy, among others. There are two phases of lymphedema treatment: the acute "intensive" phase and the maintenance phase. In the acute phase of treatment, the individual is typically wrapped with medical short-stretch compression bandages; receives a therapeutic exercise routine, skin care, and education; and undergoes manual lymphatic drainage by a specially trained physical therapist or healthcare professional. In the maintenance phase, the goals are for the individual to be able to wear a well-fitted appropriate gradient pressure garment during the day and compression bandaging (or a device that serves as an alternative to bandaging) at night, to maintain good skin care, to continue with therapeutic exercise, and to self-perform manual lymphatic drainage (or use a mechanical device that can perform manual lymphatic drainage) for the area of the body with impaired lymphatics. The effectiveness of the various components in each phase, as well as the motivation and compliance of the patient, differs. Further randomized trials are required to determine which component or combination of components in complex decongestive therapy works most effectively. It is recommended for patients not only to maintain physical activity for its many health benefits but also to facilitate muscle pumping to move lymphatic fluid throughout the body. Knowledge of some of the pathophysiologic mechanisms involved in the development of lymphedema is increasing, and it is possible that current modes of treatment of lymphedema will be augmented by molecular therapies in the future.
DOI: 10.1097/PHM.0b013e31820be160
PubMed: 21765266
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pubmed:21765266Le document en format XML
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Korpan</name><affiliation><nlm:affiliation>Department of Physical Medicine and Rehabilitation, General Hospital Vienna, Vienna, Austria.</nlm:affiliation></affiliation></author><author><name sortKey="Crevenna, Richard" sort="Crevenna, Richard" uniqKey="Crevenna R" first="Richard" last="Crevenna">Richard Crevenna</name></author><author><name sortKey="Fialka Moser, Veronika" sort="Fialka Moser, Veronika" uniqKey="Fialka Moser V" first="Veronika" last="Fialka-Moser">Veronika Fialka-Moser</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21765266</idno><idno type="pmid">21765266</idno><idno type="doi">10.1097/PHM.0b013e31820be160</idno><idno type="wicri:Area/PubMed/Corpus">002517</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002517</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphedema: a therapeutic approach in the treatment and rehabilitation of cancer patients.</title><author><name sortKey="Korpan, Marta I" sort="Korpan, Marta I" uniqKey="Korpan M" first="Marta I" last="Korpan">Marta I. Korpan</name><affiliation><nlm:affiliation>Department of Physical Medicine and Rehabilitation, General Hospital Vienna, Vienna, Austria.</nlm:affiliation></affiliation></author><author><name sortKey="Crevenna, Richard" sort="Crevenna, Richard" uniqKey="Crevenna R" first="Richard" last="Crevenna">Richard Crevenna</name></author><author><name sortKey="Fialka Moser, Veronika" sort="Fialka Moser, Veronika" uniqKey="Fialka Moser V" first="Veronika" last="Fialka-Moser">Veronika Fialka-Moser</name></author></analytic><series><title level="j">American journal of physical medicine & rehabilitation</title><idno type="eISSN">1537-7385</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Compression Bandages</term><term>Drainage</term><term>Exercise</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (rehabilitation)</term><term>Neoplasms (complications)</term><term>Neoplasms (pathology)</term><term>Neoplasms (therapy)</term><term>Skin Care</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Compression Bandages</term><term>Drainage</term><term>Exercise</term><term>Humans</term><term>Skin Care</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema therapy has gone by many names in the recent past, being referred to as complex decongestive therapy, complex physical therapy, or decongestive lymphatic therapy, among others. There are two phases of lymphedema treatment: the acute "intensive" phase and the maintenance phase. In the acute phase of treatment, the individual is typically wrapped with medical short-stretch compression bandages; receives a therapeutic exercise routine, skin care, and education; and undergoes manual lymphatic drainage by a specially trained physical therapist or healthcare professional. In the maintenance phase, the goals are for the individual to be able to wear a well-fitted appropriate gradient pressure garment during the day and compression bandaging (or a device that serves as an alternative to bandaging) at night, to maintain good skin care, to continue with therapeutic exercise, and to self-perform manual lymphatic drainage (or use a mechanical device that can perform manual lymphatic drainage) for the area of the body with impaired lymphatics. The effectiveness of the various components in each phase, as well as the motivation and compliance of the patient, differs. Further randomized trials are required to determine which component or combination of components in complex decongestive therapy works most effectively. It is recommended for patients not only to maintain physical activity for its many health benefits but also to facilitate muscle pumping to move lymphatic fluid throughout the body. Knowledge of some of the pathophysiologic mechanisms involved in the development of lymphedema is increasing, and it is possible that current modes of treatment of lymphedema will be augmented by molecular therapies in the future.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21765266</PMID><DateCreated><Year>2011</Year><Month>07</Month><Day>18</Day></DateCreated><DateCompleted><Year>2011</Year><Month>10</Month><Day>24</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-7385</ISSN><JournalIssue CitedMedium="Internet"><Volume>90</Volume><Issue>5 Suppl 1</Issue><PubDate><Year>2011</Year><Month>May</Month></PubDate></JournalIssue><Title>American journal of physical medicine & rehabilitation</Title><ISOAbbreviation>Am J Phys Med Rehabil</ISOAbbreviation></Journal><ArticleTitle>Lymphedema: a therapeutic approach in the treatment and rehabilitation of cancer patients.</ArticleTitle><Pagination><MedlinePgn>S69-75</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/PHM.0b013e31820be160</ELocationID><Abstract><AbstractText>Lymphedema therapy has gone by many names in the recent past, being referred to as complex decongestive therapy, complex physical therapy, or decongestive lymphatic therapy, among others. There are two phases of lymphedema treatment: the acute "intensive" phase and the maintenance phase. In the acute phase of treatment, the individual is typically wrapped with medical short-stretch compression bandages; receives a therapeutic exercise routine, skin care, and education; and undergoes manual lymphatic drainage by a specially trained physical therapist or healthcare professional. In the maintenance phase, the goals are for the individual to be able to wear a well-fitted appropriate gradient pressure garment during the day and compression bandaging (or a device that serves as an alternative to bandaging) at night, to maintain good skin care, to continue with therapeutic exercise, and to self-perform manual lymphatic drainage (or use a mechanical device that can perform manual lymphatic drainage) for the area of the body with impaired lymphatics. The effectiveness of the various components in each phase, as well as the motivation and compliance of the patient, differs. Further randomized trials are required to determine which component or combination of components in complex decongestive therapy works most effectively. It is recommended for patients not only to maintain physical activity for its many health benefits but also to facilitate muscle pumping to move lymphatic fluid throughout the body. Knowledge of some of the pathophysiologic mechanisms involved in the development of lymphedema is increasing, and it is possible that current modes of treatment of lymphedema will be augmented by molecular therapies in the future.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Korpan</LastName><ForeName>Marta I</ForeName><Initials>MI</Initials><AffiliationInfo><Affiliation>Department of Physical Medicine and Rehabilitation, General Hospital Vienna, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Crevenna</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Fialka-Moser</LastName><ForeName>Veronika</ForeName><Initials>V</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Phys Med Rehabil</MedlineTA><NlmUniqueID>8803677</NlmUniqueID><ISSNLinking>0894-9115</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D058128" MajorTopicYN="N">Compression Bandages</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015444" MajorTopicYN="N">Exercise</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017592" MajorTopicYN="N">Skin Care</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>7</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>7</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>10</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21765266</ArticleId><ArticleId IdType="doi">10.1097/PHM.0b013e31820be160</ArticleId><ArticleId IdType="pii">00002060-201105001-00008</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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