A Systematic Review of the Evidence for Complete Decongestive Therapy in the Treatment of Lymphedema From 2004 to 2011

Lasinski, Bonnie B.; Thrift, Kathryn Mc Killip; Squire, De Courcy; Austin, Melanie K.; Smith, Kandis M.; Wanchai, Ausanee; Green, Jason M.; Stewart, Bob R.; Cormier, Janice N.; Armer, Jane M.

doi:10.1016/j.pmrj.2012.05.003

Cited by 239 publications

(215 citation statements)

References 41 publications

Supporting

Mentioning

201

Contrasting

Unclassified

Order By: Relevance

“…14 Larger reductions of 62.8% in ULL and 68.8% in LLL were reported in a systematic review by Lasinski and colleagues that included all study designs, from case series through to RCTs. 15 However, edema will worsen over time without high adherence to self-management (including exercise and compression). Vignes and colleagues 16 found that after 12 months, the risk of volume increase (defined as an increase of b10%) was >50% for women with breast cancer-related lymphedema who did not bandage or wear a compression garment compared to those who did.…”

mentioning

confidence: 99%

A Lymphedema Self-Management Programme: Report on 30 Cases

Tidhar

Hodgson

Shay

et al. 2014

Physiotherapy Canada

View full text Add to dashboard Cite

Purpose: Compression therapy is the most important element in the treatment and long-term management of moderate and severe lymphedema, but it is not universally accessible in Canada. For those unable to access private lymphedema treatment, physiotherapists at the McGill University Health Centre (MUHC) Lymphedema Clinic began teaching patients and caregivers how to use compression bandages safely and effectively. Methods: A retrospective chart review was combined with structured telephone or in-person interviews with 30 people who had attended a self-bandaging clinic in the MUHC Lymphedema Clinic between 2011 and 2012. Patients were monitored weekly until limb volume plateaued, and a compression garment was then fitted for ongoing maintenance. Monthly or quarterly surveillance continued for 1 year. Follow-up interviews were conducted 3 to 18 months after patients had received their garments. Results: The majority of participants had moderate to severe lymphedema; all achieved reduction of edema in the range of 48% to 92%. More than three-quarters of participants reported a global rate of change (GRC) of b80%. Themes derived from the interviews included the importance of bandaging, the feeling of being in control, and difficulties with compression garments. Participants spontaneously expressed satisfaction about having tools to manage their condition themselves. Conclusion: For selected patients with lymphedema, a self-bandaging programme can be a route to lymphedema reduction, independence, and self-efficacy.

show abstract

mentioning

confidence: 99%

A Lymphedema Self-Management Programme: Report on 30 Cases

Tidhar

Hodgson

Shay

et al. 2014

Physiotherapy Canada

View full text Add to dashboard Cite

show abstract

“…In the treatment of lymphedema, despite the lack of consensus [32][33][34][35][36][37][38][39] regarding additional benefits of IPC, it is an integral part of complete decongestive therapy. This comprehensive procedure is useful in the treatment and prevention of lymphedema after breast cancer surgery, but it turns out effective in any case of lymphedema not only because of its very action but also owing to good patient compliance.…”

Section: Complete Decongestive Therapymentioning

confidence: 99%

Usefulness of intermittent pneumatic compression in medicine

Sutkowska¹

2017

Physiotherapy

View full text Add to dashboard Cite

Many studies exist that document the use of intermittent pneumatic compression in lymphedema, venous ulcers, prophylaxis of deep vein thrombosis and limb ischaemia. This article discusses the basics and usefulness of this therapy on the basis of available studies and recommendations. As the method is characterized by lack of serious side effects, good patient compliance, and high effectiveness, intermittent pneumatic compression should be taken into consideration as an alternative or additional treatment in many conditions.

show abstract

“…Nevertheless, MLD might have an important role in CVD by improving HRQL, symptoms [134,135], and range of motion [24] when edema/lymphedema is present. In palliative treatment, MLD improves pain and dyspnea [25].…”

Section: Manual Lymphatic Drainage In Lymph Edemamentioning

confidence: 99%

“…This method may reveal itself as effective in the treatment of lymphedema of the lower limb as it is for that affecting the upper limb as a result of cancer [135,141].…”

Section: Manual Lymphatic Drainage In Lymph Edemamentioning

confidence: 99%

Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Crisóstomo¹,

Armada-da-Silva²

2017

Clinical Physical Therapy

View full text Add to dashboard Cite

Chronic venous disease (CVD) is a chronic condition that is associated with venous hypertension, vein's valves damage, venous obstruction, and calf muscle pump impairment. This blood circulatory condition is also characterized by important inflammatory changes affecting the skin, the subcutaneous tissue and the muscles, which are probably triggered by blood stasis and venous edema. With disease progression, severe ulcerative skin damage might occur, which when present represent the more severe stage of this condition. CVD has a significant economic, social and health impact, mostly due to raised morbidity and chronicity.The treatment of patients with CVD might focus on both the symptoms and secondary changes of the disease, such as edema, skin and subcutaneous changes or ulcers.Usually, initial treatment of CVD patients involves a non-invasive, conservative treatment to reduce symptoms, treat secondary changes, and help prevent the development of secondary complications and the progression of the disease. Complementary, some interventional or surgical treatments can be undertaken.There are several conservative treatments to treat and prevent complications associated with CVD that have been described in the literature, like manual lymphatic drainage (MLD) and compression, physical exercise, intermittent pneumatic pressure, kinesio taping, electrical muscle stimulation, transcutaneous electrical nerve stimulation, hydrotherapy, and health education. Most of these techniques are complementary to compression therapy or pharmacological treatment. This chapter will address the role of physical therapists in the management of CVD. The chapter will begin by reviewing the basic physiopathology of CVD, including the role of calf muscle pump. The CEAP classification system and the chronic venous severity score will be presented, as these are main tools for clinical assessment of CVD severity. In the remainder of the chapter will address the physiological effects and recommendations for treating CVD of MLD, based on our clinical experience and own research.

show abstract

A Systematic Review of the Evidence for Complete Decongestive Therapy in the Treatment of Lymphedema From 2004 to 2011

Cited by 239 publications

References 41 publications

A Lymphedema Self-Management Programme: Report on 30 Cases

A Lymphedema Self-Management Programme: Report on 30 Cases

Usefulness of intermittent pneumatic compression in medicine

Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Contact Info

Product

Resources

About