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Treatment of chronic postmastectomy lymphedema with low level laser therapy: a 2.5 year follow-up.

Identifieur interne : 004E62 ( PubMed/Curation ); précédent : 004E61; suivant : 004E63

Treatment of chronic postmastectomy lymphedema with low level laser therapy: a 2.5 year follow-up.

Auteurs : N B Piller [Australie] ; A. Thelander

Source :

Lymphology [ 0024-7766 ] ; 1998.

RBID : pubmed:9664272

Descripteurs français

KwdFr :
- Bras (anatomopathologie), Enquêtes et questionnaires, Femelle, Humains, Impédance électrique, Lymphoedème (anatomopathologie), Lymphoedème (radiothérapie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Mesure de la douleur, Thérapie laser, Tonométrie oculaire, Études de suivi.
MESH :
- anatomopathologie : Bras, Lymphoedème.
- effets indésirables : Mastectomie.
- radiothérapie : Lymphoedème.
- étiologie : Lymphoedème.
- Enquêtes et questionnaires, Femelle, Humains, Impédance électrique, Mesure de la douleur, Thérapie laser, Tonométrie oculaire, Études de suivi.

English descriptors

KwdEn :
- Arm (pathology), Electric Impedance, Female, Follow-Up Studies, Humans, Laser Therapy, Lymphedema (etiology), Lymphedema (pathology), Lymphedema (radiotherapy), Mastectomy (adverse effects), Pain Measurement, Surveys and Questionnaires, Tonometry, Ocular.
MESH :
- adverse effects : Mastectomy.
- etiology : Lymphedema.
- pathology : Arm, Lymphedema.
- radiotherapy : Lymphedema.
- Electric Impedance, Female, Follow-Up Studies, Humans, Laser Therapy, Pain Measurement, Surveys and Questionnaires, Tonometry, Ocular.

Abstract

Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30-36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.

PubMed: 9664272

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Le document en format XML

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<placeName><region type="state">Australie-Méridionale</region>
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<wicri:cityArea>Department of Public Health, School of Medicine, Flinders Medical Centre, Bedford Park</wicri:cityArea>
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<term>Humans</term>
<term>Laser Therapy</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (radiotherapy)</term>
<term>Mastectomy (adverse effects)</term>
<term>Pain Measurement</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Bras (anatomopathologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (radiothérapie)</term>
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<term>Mastectomie (effets indésirables)</term>
<term>Mesure de la douleur</term>
<term>Thérapie laser</term>
<term>Tonométrie oculaire</term>
<term>Études de suivi</term>
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<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Electric Impedance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Laser Therapy</term>
<term>Pain Measurement</term>
<term>Surveys and Questionnaires</term>
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<term>Mesure de la douleur</term>
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<front><div type="abstract" xml:lang="en">Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30-36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.</div>
</front>
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<Title>Lymphology</Title>
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<Abstract><AbstractText>Ten women with unilateral arm lymphedema after axillary clearance (radical mastectomy) and radiotherapy for breast cancer received 16 treatment sessions with Low Level Laser Therapy (LLLT) over 10 weeks and seven patients were followed for 36 months. The effect of LLLT was monitored by arm circumference, plethysmography, tonometry, bioimpedance and a questionnaire dealing with subjective symptoms. After treatment, edema volume (both extracellular and intracellular) was decreased, the tissue (except for the upper arm) progressively softened or approached a normal texture, and the patients reported improvement in aches/pains, tightness, heaviness, cramps, pins/needles, and mobility of the arm. Skin integrity was also improved and the index for risk of infection decreased. Follow-up assessment at 1, 3, 6, and 30-36 months showed varying trends although at 30-36 months most subjective parameters and bioimpedance derived data on ECF and ICF tended to return toward pre-treatment levels. Arm circumference continued to show overall improvement, however, with a volume reduction of the affected arm reaching 29%. Tonometry also showed maintenance of near normal values for the involved forearm and anterior and posterior chest; however, the upper arm showed progressive induration. The data suggest that laser treatment, at least initially, improved most objective and subjective parameters of arm lymphedema.</AbstractText>
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Treatment of chronic postmastectomy lymphedema with low level laser therapy: a 2.5 year follow-up.

Treatment of chronic postmastectomy lymphedema with low level laser therapy: a 2.5 year follow-up.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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Pour générer des pages wiki