Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema
TL;DR: The results of this study will provide information on the effectiveness of Manual Lymphatic Drainage and its impact on the quality of life and physical limitations of these patients, as well as the improvement of the concomitant symptomatology.
Abstract: Background
Lymphoedema is a common and troublesome condition that develops following breast cancer treatment. The aim of this study is to analyze the effectiveness of Manual Lymphatic Drainage in the treatment of postmastectomy lymphoedema in order to reduce the volume of lymphoedema and evaluate the improvement of the concomitant symptomatology.
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TL;DR: Vibration therapy attenuated pain symptoms, improved shoulder movements, activated muscle contraction mechanism, and increased shoulder strength, which may be benefits of the conducted physical therapy.
Abstract: Introduction The biomechanical changes that arise after breast cancer increase the need for new rehabilitation programs. The aim of this study was to evaluate medium- and long-term effects of vibration therapy on pain intensity, range of motion, myoelectric activity, and muscle strength of post-surgical breast cancer women. Methods This controlled longitudinal clinical study was composed of 14 breast cancer women, who underwent vibration therapy treatment (VTG), and 14 healthy women, who constituted the control group (CG). The VTG performed ten 15-minutes sessions of vibration therapy on their affected upper limb. The volunteers were evaluated before and after treatment protocol, and three months later. Results We observed an attenuation of pain intensity after vibration therapy (p < 0.0001) and significant increase in range of motion during extension, abduction, and adduction movements of the horizontal shoulder. We noticed a trend in the reduction of compensatory movements, which activated the muscle contraction mechanism. The scapular dynamometer values for shoulder strength were significant. The VTG had less muscle strength than the CG in all situations: before treatment (p < 0.0001), after treatment (p = 0.0024), and 3 months later (p = 0.0008). The VTG increased muscle strength after treatment (p = 0.0005) and 3 months later (p = 0.0006). Conclusion Vibration therapy attenuated pain symptoms, improved shoulder movements, activated muscle contraction mechanism, and increased shoulder strength, which may be benefits of the conducted physical therapy.
3 citations
Cites background from "Manual lymphatic drainage therapy i..."
...Multiple therapeutic resources can be used for this purpose, such as manual lymphatic drainage (Martín et al., 2011), kinesiotherapy (Mutrie et al....
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...Multiple therapeutic resources can be used for this purpose, such as manual lymphatic drainage (Martín et al., 2011), kinesiotherapy (Mutrie et al., 2012.)...
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TL;DR: O câncer de mama e a neoplasia de maior ocorrencia no mundo, e o linfedema e uma das complicacoes mais frequentes do tratamento, foi verificar a incidencia de lin fedema em mulheres mastectomizadas com sobrepeso e obesidade.
Abstract: O câncer de mama e a neoplasia de maior ocorrencia no mundo, e o linfedema e uma das complicacoes mais frequentes do tratamento. O aumento do indice de massa corporal e um dos fatores de risco para linfedema apos o tratamento do câncer de mama. O objetivo deste estudo foi verificar a incidencia de linfedema em mulheres mastectomizadas com sobrepeso e obesidade. Os resultados mostraram que o risco de linfedema em mulheres com sobrepeso e obesidade foi quatro vezes maior (Odds Ratio, OR=3,887). Quanto maior o indice de massa corporal, maior a probabilidade de linfedema, com aumento do risco relativo de 40% para obesidade II.
3 citations
TL;DR: The present case suggests association of massage Therapy with the local dissemination of tumor tissues, although influence of massage therapy on metastatic lesions remains unclear.
Abstract: Limited evidence is available regarding the dissemination of tumor tissues due to compression during massage therapy, a routine procedure in patients with various symptoms in Asian countries. A 12-year-old male presented at a massage clinic with pain and swelling of his left knee, which worsened the same night. Consistent with conventional osteosarcoma, radiography revealed cortical bone destruction, osteoblastic changes, and periosteal reactions. Magnetic resonance imaging revealed a tumor in the distal femur, an extraskeletal mass, and an infiltrative lesion in the intramuscular and neurovascular areas surrounding the distal femur; this was considered as hemorrhage and dissemination of the tumor tissue. 18Fluorine-labelled fluorodeoxyglucose-positron emission tomography and computed tomography revealed multiple metastases in the spine, liver, and lung. Consistent with osteosarcoma, histopathological examination revealed tumor cell proliferation with extensive pleomorphism and mitoses. Despite undergoing chemotherapy, radiation therapy, and hip disarticulation, the patient died due to multiple metastases 13 months after the initial diagnosis. The present case suggests association of massage therapy with the local dissemination of tumor tissues, although influence of massage therapy on metastatic lesions remains unclear. Massage therapists should be aware of the possibility for dissemination of hidden malignancies due to the procedure.
3 citations
TL;DR: Os artigos analisados apresentaram boa qualidade metodologica, e seus resultados evidenciaram a efetividade da terapia complexa descongestiva na reducao do volume do linfedema no tratamento intensivo.
Abstract: O linfedema caracteriza-se por acumulo de proteinas e fluidos no intersticio, com alteracoes fisicas e psicologicas. Entre as tecnicas fisioterapeuticas utilizadas para reducao do linfedema esta a terapia complexa descongestiva. O objetivo desta revisao e identificar evidencias para a pratica da terapia complexa descongestiva no tratamento intensivo do linfedema. Realizou-se uma busca nas bases de dados PubMed, EMBASE e PEDro. Os artigos selecionados foram estudos randomizados e de coorte, os quais foram avaliados e selecionados de forma independente por dois revisores, que avaliaram a qualidade metodologica dos estudos com a escala PEDro. As buscas resultaram em 414 estudos, depois foram reduzidos a sete estudos elegiveis para analise de qualidade, classificados pela escala PEDro como qualidade alta e eficacia moderada. Os artigos analisados apresentaram boa qualidade metodologica, e seus resultados evidenciaram a efetividade da terapia complexa descongestiva na reducao do volume do linfedema no tratamento intensivo.
3 citations
Journal Article•
TL;DR: Prophylactic physical activities are essential measures post-mastectomy to reduce lymphedema associated symptoms and the study group had a better level of physical activities than the control group.
Abstract: Background : Lymphedema is the build-up of lymph fluid in the tissues just under the skin. Lymphedema following mastectomy as a treatment for breast cancer is a major concern for most women who experience it. Physical activities are very helpful for lymphedema control. Aim : To evaluate the effect of prophylactic physical activities on reducing lymphedema among women post-mastectomy. Subjects & Method : Design : A Quasi-experimental design was utilized. Setting: This study was carried out in Minia oncology center- outpatient and inpatient surgical department. Affiliated by Secretariat of Specialized Medical Centres, at Minia Governorate, Egypt. Subjects : Included a total of 200 women have had a mastectomy. Tools : Five tools were used. 1) structured questionnaire; 2) scale for pitting edema measurement; 3) scale for lymphedema stage assessment; 4) international physical activity Questionnaire; 5) observational checklist for Physical Activities performance. Results : The mean age of the sample was 58.9 years old and 52.5% of them were elderly women. During the first assessment, more than eighty percent of the sample complained from a stage1 lymphedema. However, there was a significant reduction in this percentage among the study group during post-test. Likewise, there was a statistically significant difference between the groups regarding the lymphedema time and stage of development during the first assessment, after 6 weeks and 16 weeks (P<0.001*). Moreover, 49.0% of the study group compared to 29.0% of the control group had a moderate level of physical activity during the post-test. This indicated an increase in the level of a total pattern of physical activity between the two groups during the post-test. Conclusion: Prophylactic physical activities can reduce lymphedema associated symptoms. Also, the study group had a better level of physical activities than the control group. Recommendations: Early detection and nursing interventions have been gradually advocated to prevent lymphedema progression. So, the prophylactic physical activities are essential measures post-mastectomy to reduce lymphedema. Keywords : Lymphedema, Prophylactic, Physical activities, Mastectomy. DOI : 10.7176/JHMN/61-10 Publication date : April 30 th 2019
2 citations
Cites result from "Manual lymphatic drainage therapy i..."
...On another hand, this finding comes in accordance with (Martín et al., 2011) and (Uzkeser, 2012) who documented that the practice of physical exercises and knowledge acquired from the attendance of the class education decreased the symptoms associated with the appearance of lymphedema The existing…...
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TL;DR: Chronic oedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.
Abstract: Summary Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient’s quality of life.
499 citations
"Manual lymphatic drainage therapy i..." refers background in this paper
...Problems associated with lymphoedema include: pain, altered sensations such as discomfort and heaviness, difficulties with physical mobility, physiological distress, recurrent infections and social isolation [3,4]....
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TL;DR: Treatment for breast cancer is associated with considerable arm morbidity, which has a negative impact on QOL, andArm morbidity should be carefully monitored in future studies involving local treatment modalities for Breast cancer.
Abstract: PURPOSE: To determine the prevalence of and contributing factors for chronic arm morbidity including lymphedema in breast cancer patients after treatment and to assess the impact of arm morbidity on quality of life (QOL). PATIENTS AND METHODS: A four-question screening questionnaire was developed and mailed to a random sample of 744 breast cancer patients treated curatively in two cancer centers from 1993 to 1997. Patients were without recurrence and at least 2 years from diagnosis. Respondents were classified as with or without arm-related symptoms on the basis of the survey. Stratified random samples from each group were then invited for a detailed assessment of their symptoms and signs, including the presence of lymphedema. Their QOL was assessed by the European Organization for Research and Treatment of Cancer QOL Questionnaire C-30 and by a detailed arm problem questionnaire that assessed various aspects of daily arm functioning. RESULTS: Approximately half of all screened patients were symptomatic a...
344 citations
"Manual lymphatic drainage therapy i..." refers background in this paper
...In a study in which 744 patients with breast cancer were assessed with these quality of life scales, some imbalances regarding the quality of life in those patients with lymphoedema were found [ 8 ]....
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TL;DR: HRQOL was lower for BrCa survivors with diagnosed lymphedema and for those with arm symptoms without diagnosed lyMPhedema in the IWHS, according to a dose-response relation between number of arm symptoms and lower HRQOL.
Abstract: Purpose The impact of lymphedema or related arm symptoms on health-related quality of life (HRQOL) in breast cancer (BrCa) survivors has not been examined using a large population-based cohort. Patients and Methods The Iowa Women’s Health Study (IWHS) collected self-report data for lymphedema, arm symptoms, and HRQOL (Medical Outcomes Study Short Form-36) in 2004 and data for cancer diagnosis, treatment, and behavioral and health characteristics between 1986 and 2003. We studied 1,287 women, age 55 to 69 years at baseline, who developed unilateral BrCa. We used cross-sectional analyses to describe the prevalence of lymphedema and arm symptoms and multivariate-adjusted generalized linear models to compare HRQOL (physical functioning, bodily pain, general health, physical and emotional role limitations, vitality, social functioning, and mental health) between the following three survivor groups: women with lymphedema (n 104), women with arm symptoms without diagnosed lymphedema (n 475), and women without lymphedema or arm symptoms (n 708).
343 citations
TL;DR: It is suggested that CB on its own should be considered as a primary treatment option in reducing arm lymphedema volume, as well as manual lymph drainage massage in combination with multi-layered compression bandaging.
Abstract: Purpose. The purpose of this investigation was to compare the reduction in arm lymphedema volume achieved from manual lymph drainage massage (MLD) in combination with multi-layered compression bandaging (CB) to that achieved by CB alone.
235 citations
"Manual lymphatic drainage therapy i..." refers background in this paper
...On the other hand, the fact that CPT implies several techniques (manual lymph drainage, skin care and multilayer compression bandaging followed by a compression garment to reduce oedema and therapeutic exercises) makes it difficult to recognize which of them is the truly effective one in the treatment of lymphoedema [ 12-14 ]....
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TL;DR: The study showed that both groups obtained a significant reduction in edema and that MLD did not contribute significantly to reduce edema volume.
Abstract: A prospective randomized study was carried out to investigate whether the addition of manual lymphatic drainage (MLD) to the standard therapy could improve treatment outcome in women with lymphedema of the ipsilateral arm after breast cancer treatment. Forty-two patients were randomly assigned to receive standard therapy or standard therapy plus MLD 8 times in 2 weeks and training in self-massage. The standard therapy consisted of use of a compression garment, exercises and information about lymphedema and skin care. The efficacy of treatment was evaluated by reduction in lymphedema volume during treatment and by improvement in symptoms potentially related to lymphedema. The patients were followed-up for a total of 12 months. The study showed that both groups obtained a significant reduction in edema and that MLD did not contribute significantly to reduce edema volume.
220 citations