Predictive Factors of Response to Decongestive Therapy in Patients with Breast-Cancer-Related Lymphedema

Forner-Cordero, Isabel; Muñoz-Langa, José; Forner-Cordero, Arturo; DeMiguel-Jimeno, Juan María

doi:10.1245/s10434-009-0778-9

Cited by 54 publications

(54 citation statements)

References 32 publications

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“…Vignes et al [12] found that the chronicity of www.e-arm.org lymphedema was a predictive factor of response when the response was measured in the absolute value of reduction in lymphedema volume; but relative percentage of volume-reduction was same, regardless of the chronicity. Moreover, in many other studies, the chronicity of lymphedema was not a predictive factor of response [11,14,15,29,30]. Based on these studies, there seems to be a low-correlation between the chronicity and CDT outcome.…”

Section: Discussionmentioning

confidence: 81%

“…Previous studies [11,12,14,33] have not assessed the presence of fibrosis, and an explanation for the relationship between fibrosis and CDT response cannot be found. Although there is a study [15] which www.e-arm.org reported that fibrosis is not a predictive factor of CDT response, the study does not specify methods of measuring fibrosis. Therefore, further study is required to validate the qualitative evaluation of tissue character and skin condition with additional instruments, such as ultrasound, tissue tonometer, and bioimpedance.…”

Section: Discussionmentioning

confidence: 99%

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Long Term Effects of Complex Decongestive Therapy in Breast Cancer Patients with Arm Lymphedema after Axillary Dissection

Hwang

Kim

et al. 2013

PM&R

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Objective To investigate the long-term effects of complex decongestive therapy (CDT) on edema reduction in breast cancer-related lymphedema patients after axillary dissection, according to the initial volume of edema. Methods A retrospective review of 57 patients with unilateral arm after an axillary dissection for breast cancer was performed. The patients, treated with two weeks of CDT and self-administered home therapy, were followed for 24 months. Arm volume was serially measured by using an optoelectronic volumeter prior to and immediately after CDT; and there were follow-up visits at 3, 6, 12, and 24 months. Patients were divided into two groups according to the percent excess volume (PEV) prior to CDT: group 1, PEV<20% and group 2, PEV≥20%. Results In group 1, mean PEV before CDT was 11.4±5.0% and 14.1±10.6% at 24 months after CDT with no significant difference. At the end of CDT, PEV was 28.8±15.7% in group 2, which was significantly lower than the baseline (41.9±19.6%). The reduction of PEV was maintained for 24 months in group 2. Conclusion The long-term effects of CDT were well-maintained for 24 months, but there was a difference in progression of PEV between the two groups. The patients with more initial PEV showed significant volumereducing effects of CDT. In patients with less initial PEV, the severity of lymphedema did not progress to higher grades.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Long Term Effects of Complex Decongestive Therapy in Breast Cancer Patients with Arm Lymphedema after Axillary Dissection

Hwang

Kim

et al. 2013

PM&R

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“…11,12,19 Secondary thresholds of two standard deviations were also determined. 20 Intra-rater reliability and normal fluctuation of BIS ratios were determined with intraclass correlation coefficients (ICC (1,1) ) from data collected on two occasions seven days apart. Standard error of the measurement (SEM = SD 1st test O1-ICC) and minimal detectable change (MDC = 1.96 O2 SEM) were determined for each arm segment and the hand.…”

Section: Discussionmentioning

confidence: 99%

“…Intraclass correlation coefficients (ICC (1,1) ) assessed the test-retest (intra-rater) reliability of hand and segmental BIS ratios measured 1 week apart for 20 women without breast cancer and four women with stable lymphedema. The intra-rater reliability of the BIS ratio for the hand and four limb segments was very high (ICC (1,1) range 0.95 and 0.98; Table 4).…”

Section: Reliability Of Bis Ratios For Segments and Handmentioning

confidence: 99%

Segmental Impedance Thresholds for Early Detection of Unilateral Upper Limb Swelling

Svensson

Dylke

Ward

et al. 2015

Lymphatic Research and Biology

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“…It can lead to pain and a sensation of heaviness in the affected area. These symptoms can affect physical functions and also cause psychological distress4 ) . Consequently, it decreases the patient’s quality of life.…”

Section: Introductionmentioning

confidence: 99%

The effects of bandaging with an additional pad and taping on secondary arm lymphedema in a patient after mastectomy

Jeon

Kim

2017

J Phys Ther Sci

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[Purpose] The purpose of this case study was to determine the effectiveness of bandaging the arm of a patient with secondary lymphedema on the patient’s quality of life, arm volume and arm function using an additional pad and taping along with some other standard therapy modalities for lymphedema. [Subjects and Methods] I used a bandage with an additional pad and taping, along with MLD, exercise, and skin care to treat a patient with unilateral breast-cancer-related arm lymphedema who had fibrotic tissue on her lower arm and hand. I made a pad called a “muff” and applied it under tape while using Vodder’s technique. Treatment was performed during 5 therapy sessions a week for 2 weeks. [Results] After the physiotherapy sessions, the excess edema volume decreased to 608 ml, and the percentage of excess volume (PEV) was 9.6%. The therapeutic efficacy, measured as percentage reduction of excess volume (PREV), was −79.5%, meaning that the edema volume was reduced 79.5%. The use of an additional pad and taping on a large edematous site with fibrotic changes can produce more efficacious lymphedema care. [Conclusion] The use of an additional pad and taping on a large edematous site with fibrotic changes has demonstrated a positive result in lymphedema management for a post mastectomy patient and, therefore, further studies on this method are suggested with a larger sample size.

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Predictive Factors of Response to Decongestive Therapy in Patients with Breast-Cancer-Related Lymphedema

Cited by 54 publications

References 32 publications

Long Term Effects of Complex Decongestive Therapy in Breast Cancer Patients with Arm Lymphedema after Axillary Dissection

Long Term Effects of Complex Decongestive Therapy in Breast Cancer Patients with Arm Lymphedema after Axillary Dissection

Segmental Impedance Thresholds for Early Detection of Unilateral Upper Limb Swelling

The effects of bandaging with an additional pad and taping on secondary arm lymphedema in a patient after mastectomy

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