Clinical Effectiveness of Complex Decongestive Physiotherapy for Malignant Lymphedema: A Pilot Study

Hwang, Ki Hun; Jeong, Ho Joong; Kim, Ghi Chan; Sim, Young Joo

doi:10.5535/arm.2013.37.3.396

Cited by 11 publications

(21 citation statements)

References 10 publications

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“…The remaining seven studies were quasiexperimental, observational, or retrospective (Carmeli & Bartoletti, 2011;de Godoy & Godoy, 2013;Hwang, Jeong, Kim, & Sim, 2013;Liao et al, 2013;Randheer et al, 2011;Vignes, Blanchard, Arrault, & Porcher, 2013). In a prospective quasiexperimental study, 35 breast cancer survivors with lymphedema had statistically significant limb volume reduction after CDT intensive therapy (four times weekly) (p < 0.001), but skin irritation after bandaging was reported (Randheer et al, 2011).…”

Section: Likely To Be Effectivementioning

confidence: 95%

“…Complete decongestive therapy Carmeli & Bartoletti, 2011;Dayes et al, 2013;de Godoy & Godoy, 2013;Haghighat et al, 2010;Hwang, Jeong, et al, 2013;Liao et al, 2013;Randheer et al, 2011;Vignes et al, 2013Beck et al, 2012Lasinski et al, 2012;Leal et al, 2009;Ridner, Fu, et al, 2012;Rodrick et al, 2014 Compression bandaging Compression bandaging and compression garments Damstra & Partsch, 2009;Kasseroller & Brenner, 2010;King et al, 2012;Sawan et al, 2009 McNeely et al, 2011…”

Section: Complete Decongestive Therapymentioning

confidence: 98%

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Putting Evidence Into Practice: Cancer-Related Lymphedema

Fu¹,

Deng²,

Armer³

2014

Clinical Journal of Oncology Nursing

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Cancer-related lymphedema is a progressive and chronic syndrome of abnormal swelling and multiple symptoms resulting from cancer treatment. Even with modern medical advances, lymphedema remains a major health problem affecting thousands of cancer survivors. To provide healthcare professionals with evidence-based clinical practice guidelines for lymphedema treatment and management, a systematic review was conducted to evaluate 75 selected articles from 2009-2014 by the Oncology Nursing Society Putting Evidence Into Practice lymphedema team. Findings of the systematic review support complete decongestive therapy, compression bandages, and compression garments with highest evidence for best clinical practice. Weight management, full-body exercise, information provision, prevention, and early intervention protocols are likely to be effective for clinical practice. Historic recommendations for activity restriction and avoidance of aerobic and resistive exercises that limit cancer survivors' daily lives have been challenged with more evidence. Cancer survivors may not need to restrict activities such as resistive or aerobic exercises and weightlifting with gradual exercise progression. Future research should focus on providing high-level evidence using randomized clinical trials with larger samples and studying lymphedema beyond breast cancer.

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Section: Likely To Be Effectivementioning

confidence: 95%

Section: Complete Decongestive Therapymentioning

confidence: 98%

Putting Evidence Into Practice: Cancer-Related Lymphedema

Fu¹,

Deng²,

Armer³

2014

Clinical Journal of Oncology Nursing

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“…However, this treatment option is not beneficial for all of the BCRL patients and therefore alternative treatment modalities need to be investigated [30,31].…”

Section: Bcrlmentioning

confidence: 99%

The use of low-level light therapy in supportive care for patients with breast cancer: review of the literature

et al. 2016

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Breast cancer is the most common cancer in women worldwide, with an incidence of 1.7 million in 2012. Breast cancer and its treatments can bring along serious side effects such as fatigue, skin toxicity, lymphedema, pain, nausea, etc. These can substantially affect the patients' quality of life. Therefore, supportive care for breast cancer patients is an essential mainstay in the treatment. Low-level light therapy (LLLT) also named photobiomodulation therapy (PBMT) has proven its efficiency in general medicine for already more than 40 years. It is a noninvasive treatment option used to stimulate wound healing and reduce inflammation, edema, and pain. LLLT is used in different medical settings ranging from dermatology, physiotherapy, and neurology to dentistry. Since the last twenty years, LLLT is becoming a new treatment modality in supportive care for breast cancer. For this review, all existing literature concerning the use of LLLT for breast cancer was used to provide evidence in the following domains: oral mucositis (OM), radiodermatitis (RD), lymphedema, chemotherapy-induced peripheral neuropathy (CIPN), and osteonecrosis of the jaw (ONJ). The findings of this review suggest that LLLT is a promising option for the management of breast cancer treatment-related side effects. However, it still remains important to define appropriate treatment and irradiation parameters for each condition in order to ensure the effectiveness of LLLT.

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“…23–28 Improved outcomes of CDT using SF-36 have been shown in several studies for both arm and leg lymphedema. 13,22,29,30 …”

Section: Introductionmentioning

confidence: 99%

SF-36 Shows Increased Quality of Life Following Complete Reduction of Postmastectomy Lymphedema with Liposuction

Hoffner

Bagheri

Hansson

et al. 2017

Lymphatic Research and Biology

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AbstractsBackground: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (CCT) reduces the lymphedema completely.Methods and Results: Sixty female patients with arm lymphedema were followed for a 1-year period after surgery. The 36-item short-form health survey (SF-36) was used to assess health-related quality of life (HRQoL). Patients completed the SF-36 questionnaire before liposuction, and after 1, 3, 6, and 12 months. Preoperative excess arm volume was 1365 ± 73 mL. Complete reduction was achieved after 3 months and was sustained during follow-up. The adipose tissue volume removed at surgery was 1373 ± 56 mL. One month after liposuction, better scores were found in mental health. After 3 months, an increase in physical functioning, bodily pain, and vitality was detected. After 1 year, an increase was also seen for social functioning. The physical component score was higher at 3 months and thereafter, while the mental component score was improved at 3 and 12 months. Compared with SF-36 norm data for the Swedish population, only physical functioning showed lower values than the norm at baseline. After liposuction, general health, bodily pain, vitality, mental health, and social functioning showed higher values at various time points.Conclusions: Liposuction of arm lymphedema in combination with CCT improves patients HRQoL as measured with SF-36. The treatment seems to target and improve both the physical and mental health domains.

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Clinical Effectiveness of Complex Decongestive Physiotherapy for Malignant Lymphedema: A Pilot Study

Cited by 11 publications

References 10 publications

Putting Evidence Into Practice: Cancer-Related Lymphedema

Putting Evidence Into Practice: Cancer-Related Lymphedema

The use of low-level light therapy in supportive care for patients with breast cancer: review of the literature

SF-36 Shows Increased Quality of Life Following Complete Reduction of Postmastectomy Lymphedema with Liposuction

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