Effectiveness of early physiotherapy to prevent lymphoedema after surgery for breast cancer: randomised, single blinded, clinical trial
María Torres Lacomba,María José Sánchez,Álvaro Zapico Goñi,David Prieto Merino,Orlando Mayoral del Moral,Ester Cerezo Téllez,Elena Minayo Mogollón +6 more
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TLDR
Early physiotherapy could be an effective intervention in the prevention of secondary lymphoedema in women for at least one year after surgery for breast cancer involving dissection of axillary lymph nodes.Abstract:
Objective To determine the effectiveness of early physiotherapy in reducing the risk of secondary lymphoedema after surgery for breast cancer. Design Randomised, single blinded, clinical trial. Setting University hospital in Alcala de Henares, Madrid, Spain. Participants 120 women who had breast surgery involving dissection of axillary lymph nodes between May 2005 and June 2007. Intervention The early physiotherapy group was treated by a physiotherapist with a physiotherapy programme including manual lymph drainage, massage of scar tissue, and progressive active and action assisted shoulder exercises. This group also received an educational strategy. The control group received the educational strategy only. Main outcome measure Incidence of clinically significant secondary lymphoedema (>2 cm increase in arm circumference measured at two adjacent points compared with the non-affected arm). Results 116 women completed the one year follow-up. Of these, 18 developed secondary lymphoedema (16%): 14 in the control group (25%) and four in the intervention group (7%). The difference was significant (P=0.01); risk ratio 0.28 (95% confidence interval 0.10 to 0.79). A survival analysis showed a significant difference, with secondary lymphoedema being diagnosed four times earlier in the control group than in the intervention group (intervention/control, hazard ratio 0.26, 95% confidence interval 0.09 to 0.79). Conclusion Early physiotherapy could be an effective intervention in the prevention of secondary lymphoedema in women for at least one year after surgery for breast cancer involving dissection of axillary lymph nodes. Trial registration Current controlled trials ISRCTN95870846.read more
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Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis
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Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.
Kathryn H. Schmitz,Rehana L. Ahmed,Andrea B. Troxel,Andrea L. Cheville,Andrea L. Cheville,Lorita Lewis-Grant,Rebecca R. Smith,Cathy J. Bryan,Catherine T. Williams-Smith,Jesse Chittams +9 more
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Upper-body morbidity after breast cancer: incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care.
Sandra C. Hayes,Karin Johansson,Nicole L. Stout,Robert G. Prosnitz,Jane M. Armer,Sheryl G. A. Gabram,Kathryn H. Schmitz +6 more
TL;DR: There is evidence in support of integrating regular surveillance for upper‐body morbidity into the routine care provided to women with breast cancer, with early diagnosis potentially contributing to more effective management and prevention of progression of these conditions.
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A prospective surveillance model for rehabilitation for women with breast cancer
Nicole L. Stout,Jill M. Binkley,Kathryn H. Schmitz,Kimberly S. Andrews,Sandra C. Hayes,Kristin L. Campbell,Margaret L. McNeely,Peter W. Soballe,Ann M. Berger,Andrea L. Cheville,Carol J. Fabian,Lynn H. Gerber,Susan R. Harris,Karin Johansson,Andrea L. Pusic,Robert G. Prosnitz,Robert A. Smith +16 more
TL;DR: In this paper, the authors proposed a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care, which may influence incidence and severity of breast cancer treatment-related physical impairments.
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