Manual lymphatic drainage versus exercise in the early postoperative period for breast cancer

Oliveira, Mariana Maia Freire de; Rezende, Laura Ferreira de; Amaral, Maria Teresa Pace do; Silva, Marcela Ponzio Pinto e; Morais, Sirlei Siani; Gurgel, Maria Salete Costa

doi:10.3109/09593985.2013.876695

Cited by 15 publications

(13 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The wound was evaluated 2 months after surgery. ROM, upper limb circumference measurement and upper limb lymphoscintigraphy were performed before surgery, and 2 and 30 months after surgery [ 11 , 30 ].…”

Section: Methodsmentioning

confidence: 99%

“…On the first postoperative day, all participants were provided with information leaflets about proper care for the operated limb to prevent trauma, infection, and to avoid activities that involve too much loading and/or repetition; and daily active exercises to do at home. Furthermore, during the first month after surgery, patients attended lectures delivered by the multidisciplinary team of psychologists, nurses, social service workers and dietitians, composing the Rehabilitation Program for women undergoing breast cancer surgery [ 11 , 30 ] (see S1 and S2 Text).…”

Section: Methodsmentioning

confidence: 99%

“…Women assigned to MLD group began 40-min individual MLD sessions, twice a week, for 30 days, and those women assigned to the exercise group began 40-min group sessions (5–20 women), twice a week, for 30 days. These techniques were thoroughly described in our previous publications [ 11 , 30 ] (see S1 and S2 Text).…”

Section: Methodsmentioning

confidence: 99%

“…Recently, questions regarding the role of exercise and the risk of lymphedema have emerged [ 10 ]. The benefits of active exercise (AE) in shoulder rehabilitation after breast cancer surgery are extensively described in the literature [ 11 – 14 ], and this approach has become standard practice in referral services [ 9 ]. Repercussions of early exercise on the formation of collateral lymphatic vessels and lymphatic flow to promote the prevention of lymphedema are not fully known [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial

et al. 2018

View full text Add to dashboard Cite

Purposeevaluate whether manual lymphatic drainage (MLD) or active exercise (AE) is associated with shoulder range of motion (ROM), wound complication and changes in the lymphatic parameters after breast cancer (BC) surgery and whether these parameters have an association with lymphedema formation in the long run.MethodsClinical trial with 106 women undergoing radical BC surgery, in the Women’s Integrated Healthcare Center—University of Campinas. Women were matched for staging, age and body mass index and were allocated to performed AE or MLD, 2 weekly sessions during one month after surgery. The wound was evaluated 2 months after surgery. ROM, upper limb circumference measurement and upper limb lymphoscintigraphy were performed before surgery, and 2 and 30 months after surgery.ResultsThe incidence of seroma, dehiscence and infection did not differ between groups. Both groups showed ROM deficit of flexion and abduction in the second month postoperative and partial recovery after 30 months. Cumulative incidence of lymphedema was 23.8% and did not differ between groups (p = 0.29). Concerning the lymphoscintigraphy parameters, there was a significant convergent trend between baseline degree uptake (p = 0.003) and velocity visualization of axillary lymph nodes (p = 0.001) with lymphedema formation. A reduced marker uptake before or after surgery predicted lymphedema formation in the long run (>2 years). None of the lymphoscintigraphy parameters were shown to be associated with the study group. Age ≤39 years was the factor with the greatest association with lymphedema (p = 0.009). In women with age ≤39 years, BMI >24Kg/m2 was significantly associated with lymphedema (p = 0.017). In women over 39 years old, women treated with MLD were at a significantly higher risk of developing lymphedema (p = 0.011).ConclusionLymphatic abnormalities precede lymphedema formation in BC patients. In younger women, obesity seems to be the major player in lymphedema development and, in older women, improving muscle strength through AE can prevent lymphedema. In essence, MLD is as safe and effective as AE in rehabilitation after breast cancer surgery.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The literature suggests that active exercise stimulates musculoskeletal contractions, which may be considered a major pumping mechanism for lymphatic and venous drainage (Bicego & al, http://dx.doi.org/10.15405/epsbs.2017.05.02.202 Corresponding Author: Dina-Magdalena Pușcaș Selection and peer-review under (Lane & al. 2005) and promoting lymphangiogenesis (de Oliveira & al. 2014).…”

mentioning

confidence: 99%

Physiotherapy Following Breast Surgery For Cancer

Puscas¹,

Cadariu²,

Vlad³

et al. 2017

The European Proceedings of Social and Behavioural Sciences

View full text Add to dashboard Cite

OBJECTIVE: The aim of the study is to observe the effects of active, guided exercises on postoperative complications, shoulder range of motion (ROM) and functionality of the arm and the in women undergoing radical mastectomy or lumpectomy with axillary lymph node dissection for breast cancer. We compared patients who participated at the recovery exercise program to those who didn't attend any exercise program and patients with different associated therapies (hormone, chemo, chemo+radiotherapy). METHODS: The study was carried out on 140 patients with breast surgery for cancer, divided in two groups: the study group and the control group. Both groups were divided in three categories: patients with associated hormone therapy, patients with chemotherapy and patients with chemotherapy and radiotherapy. RESULTS: The most affected movements after surgery are: flexion and abduction. Also, the most significant changes happen for these two movements after daily participating to the physical therapy program. Postoperative complications are ameliorated and functionality tests for the arm show an improvement. CONCLUSIONS: A structured, patient tailored, well designed and early applied exercise program has several benefits on troublesome symptoms, functionality and range of motion of the ipsilateral arm. There are differences between the three categories of patients regarding the followed aspects, although, physiotherapy influences all of those aspects in well.

show abstract

Shoulder amplitude movement does not influence postoperative wound complications after breast cancer surgery: a randomized clinical trial

Teodózio

Marchito

Fabro

et al. 2020

Breast Cancer Res Treat

View full text Add to dashboard Cite

Manual lymphatic drainage versus exercise in the early postoperative period for breast cancer

Cited by 15 publications

References 15 publications

Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial

Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial

Physiotherapy Following Breast Surgery For Cancer

Shoulder amplitude movement does not influence postoperative wound complications after breast cancer surgery: a randomized clinical trial

Contact Info

Product

Resources

About