Aqua Lymphatic Therapy for Postsurgical Breast Cancer Lymphedema

Tidhar, Dorit; Shimony, Avi; Drouin, Jacqueline S.

doi:10.1097/01893697-200422030-00005

Cited by 12 publications

(26 citation statements)

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“…The fact that the edema volume of the arms was measured before and after each session, providing weekly feedback, could be a motivating factor and a reason for the observed high adherence [21].…”

Section: Adherence To Maintenance Treatment and To The Alt Programmentioning

confidence: 99%

“…Exercises were performed in a 1.2-m deep pool with a temperature between 32°C and 33°C [21]. The control group was instructed to continue to perform the self-management measures as usual up to the beginning of the study.…”

Section: Study Controlmentioning

confidence: 99%

“…Performed in a hydrotherapy pool, ALT uses the physical properties of water to enable women to perform selfmassage and exercises to treat lymphedema and to maintain and even improve the volume reduction achieved during the intensive treatment phase with CPT. There is limited data published on the ALT technique, and only observational case series are available [21].…”

Section: Introductionmentioning

confidence: 99%

“…Since water resists movement in any plane, a variety of limb movements can be used and provides altered pressures on the skin and may improve pumping of the lymphatic vessels. The hydrostatic pressure of water gradually increases with greater depth, therefore enhancing and influencing the direction of lymphatic flow [21].…”

Section: Introductionmentioning

confidence: 99%

“…Circumference measurements are taken at the beginning and at the end of each session in order to monitor the efficiency of ALT and to ensure that the session was safe and that no aggravation of lymphedema occurred. Edema volume is calculated and feedback charts are given to the participants every few sessions [21].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Aqua lymphatic therapy in women who suffer from breast cancer treatment-related lymphedema: a randomized controlled study

Tidhar

Katz‐Leurer

2009

Support Care Cancer

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Section: Adherence To Maintenance Treatment and To The Alt Programmentioning

confidence: 99%

Section: Study Controlmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Aqua lymphatic therapy in women who suffer from breast cancer treatment-related lymphedema: a randomized controlled study

Tidhar

Katz‐Leurer

2009

Support Care Cancer

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Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

Reger

Kutschan

Freuding

et al. 2022

J Cancer Res Clin Oncol

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Background Water therapies as hydrotherapy, balneotherapy or aqua therapy are often used in the relief of disease- and treatment-associated symptoms of cancer patients. Yet, a systematic review for the evidence of water therapy including all cancer entities has not been conducted to date. Purpose Oncological patients often suffer from symptoms which in patients with other diseases are successfully treated with water therapy. We want to gather more information about the benefits and risks of water therapy for cancer patients. Method In May 2020, a systematic search was conducted searching five electronic databases (Embase, Cochrane, PsychInfo, CINAHL and PubMed) to find studies concerning the use, effectiveness and potential harm of water therapy on cancer patients. Results Of 3165 search results, 10 publications concerning 12 studies with 430 patients were included in this systematic review. The patients treated with water therapy were mainly diagnosed with breast cancer. The therapy concepts included aqua lymphatic therapy, aquatic exercises, foot bathes and whole-body bathes. Outcomes were state of lymphedema, quality of life, fatigue, BMI, vital parameters, anxiety and pain. The quality of the studies was assessed with the AMSTAR2-instrument, the SIGN-checklist and the IHE-Instruments. The studies had moderate quality and reported heterogeneous results. Some studies reported significantly improved quality of life, extent of lymphedema, neck and shoulder pain, fatigue and BMI while other studies did not find any changes concerning these endpoints. Conclusion Due to the very heterogeneous results and methodical limitations of the included studies, a clear statement regarding the effectiveness of water therapy on cancer patients is not possible.

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Does the speed of aquatic therapy exercise alter arm volume in women with breast cancer related lymphoedema? A cross-over randomized controlled trial

Deacon

Noronha

Shanley

et al. 2019

Brazilian Journal of Physical Therapy

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Objective: To identify whether slow aquatic exercise in the form of modified Ai Chi is more effective than conventional (faster pace) aquatic therapy at reducing arm volume in women with or at risk of breast cancer related lymphoedema. Methods: Randomized, cross-over controlled trial with concealed allocation and blinded assessment. Eighteen women with a history of breast cancer related lymphoedema were recruited. Participants received two intervention sessions (randomized order) with one week apart. Interventions were a 50 min conventional aquatic intervention or a 50 min modified Ai Chi. Arm volume was measured as the difference between affected and unaffected arm; bio-impedance was measured as an index of extracellular fluid; satisfaction was measured via a 12 question form. Outcomes were measured before, immediately after and one hour after intervention. Results: Comparison between interventions showed larger decreased arm volume of 140 mL (95%CI 17-263) immediately after intervention in favor of the Ai Chi intervention, however it was not sustained at 1 h follow-up. A post hoc analysis showed 72% of participants had a decrease in arm volume immediately after Ai Chi compared to 28% immediately after conventional aquatic therapy; with a number needed to treat of 3 (95%CI 1.4-6.6). There were no differences between interventions for bio-impedance. Satisfaction was good for both interventions.

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Aqua Lymphatic Therapy for Postsurgical Breast Cancer Lymphedema

Cited by 12 publications

References 0 publications

Aqua lymphatic therapy in women who suffer from breast cancer treatment-related lymphedema: a randomized controlled study

Aqua lymphatic therapy in women who suffer from breast cancer treatment-related lymphedema: a randomized controlled study

Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

Does the speed of aquatic therapy exercise alter arm volume in women with breast cancer related lymphoedema? A cross-over randomized controlled trial

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