Aqua lymphatic therapy in women who suffer from breast cancer treatment-related lymphedema: a randomized controlled study

Tidhar, Dorit; Katz‐Leurer, Michal

doi:10.1007/s00520-009-0695-2

Cited by 14 publications

(34 citation statements)

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“…We identified 157 papers, of which 48 were considered potentially relevant. Independent review of these 48 papers led to the inclusion of 25 studies involving 1018 participants 13‐37. Studies were carried out in 14 different countries/regions worldwide.…”

Section: Resultsmentioning

confidence: 99%

“…The strongest qualitative evidence came from 3 studies,27, 31, 35 totaling 203 participants, that examined the effect of exercise on upper extremity lymphedema volume in breast cancer. Whereas exercise was not found to improve or exacerbate existing upper extremity lymphedema volume, significant benefit was found for lymphedema symptoms of pain/tenderness31 and quality of life 27, 35…”

Section: Resultsmentioning

confidence: 99%

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Conservative and dietary interventions for cancer‐related lymphedema

McNeely

Peddle

Yurick³

et al. 2010

Cancer

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The findings support the use of compression garments and compression bandaging for reducing lymphedema volume in upper and lower extremity cancer-related lymphedema. Specific to breast cancer, a statistically significant, clinically small beneficial effect was found from the addition of manual lymph drainage massage to compression therapy for upper extremity lymphedema volume. Cancer 2011;117:1136-48. V C 2010 American Cancer Society.KEYWORDS: cancer-related lymphedema, dietary interventions, conservative interventions, manual lymph drainage.Lymphedema remains a prevalent and potentially debilitating side effect of cancer treatment. Although data on the prevalence of lymphedema are limited, it is estimated that over 3 million people in the United States suffer from lymphedema, with a significant proportion developing the disease secondary to cancer and/or cancer treatment. 1 When treated conservatively in the earliest stages, complications of lymphedema may be diminished or reversed. 2 Unfortunately, lymphedema may progress to irreversible swelling and fibrosis requiring lifelong attention and management. 1,3,4 Thus, the impact of chronic lymphedema for the cancer survivor is often profound, resulting in significant psychosocial morbidity and poorer quality of life. 5,6 The effectiveness of conservative interventions for lymphedema has been assessed in several systematic reviews; however, these reviews have been limited in scope. 7,8 Kligman et al performed a systematic review of randomized controlled trials (RCTs) examining conservative and medical therapies for breast cancer related lymphedema. 7 This review included 10 studies examining both conservative (6 studies) and medical therapies (4 studies) for lymphedema. The authors reported positive findings from use of a compression garment, early evidence in support of pneumatic compression pumps, and conflicting/no evidence for medical therapies. Moseley et al performed a systematic review examining the effect of conservative therapies for breast cancer related lymphedema. 8 The review included 43 trials examining conservative and pharmacological interventions that included randomized and controlled clinical trials, as well as case control and cohort studies. In contrast to the Kligman review, the authors concluded that all conservative therapies produced improvements in upper extremity lymphedema volume, with more intensive therapies resulting in greater volume reductions. 8 It is known, however, that the inclusion of nonrandomized and uncontrolled trials may result in an overestimate of treatment effect 9 ; therefore, it is recommended that systematic reviews be limited to RCTs whenever possible. The aim of this systematic review was to update the evidence from RCTs concerning the benefits of conservative and dietary interventions for all cancer-related lymphedema.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Conservative and dietary interventions for cancer‐related lymphedema

McNeely

Peddle

Yurick³

et al. 2010

Cancer

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“…2) Exercise: Aqua lymphatic therapy (pool hydrotherapy) significantly reduces limb volume in lymphedema [158] . In addition to improving strength and bone mineral density, whole body vibration (WBV) improves peripheral circula tion [159,160] and increases lymph flow, raising the threshold level for edema formation in the legs [161] .…”

Section: Lipedema Treatments Recommendationsmentioning

confidence: 99%

Rare adipose disorders (RADs) masquerading as obesity

2012

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Rare adipose disorders (RADs) including multiple symmetric lipomatosis (MSL), lipedema and Dercum's disease (DD) may be misdiagnosed as obesity. Lifestyle changes, such as reduced caloric intake and increased physical activity are standard care for obesity. Although lifestyle changes and bariatric surgery work effectively for the obesity component of RADs, these treatments do not routinely reduce the abnormal subcutaneous adipose tissue (SAT) of RADs. RAD SAT likely results from the growth of a brown stem cell population with secondary lymphatic dysfunction in MSL, or by primary vascular and lymphatic dysfunction in lipedema and DD. People with RADs do not lose SAT from caloric limitation and increased energy expenditure alone. In order to improve recognition of RADs apart from obesity, the diagnostic criteria, histology and pathophysiology of RADs are presented and contrasted to familial partial lipodystrophies, acquired partial lipodystrophies and obesity with which they may be confused. Treatment recommendations focus on evidencebased data and include lymphatic decongestive therapy, medications and supplements that support loss of RAD SAT. Associated RAD conditions including depression, anxiety and pain will improve as healthcare providers learn to identify and adopt alternative treatment regimens for the abnormal SAT component of RADs. Effective dietary and exercise regimens are needed in RAD populations to improve quality of life and construct advanced treatment regimens for future generations.

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“…112,115,116 There have been several investigations evaluating the role of exercise on lymphedema status, with various methodological qualities. Randomized, controlled trials have evaluated the role of combined exercise and relaxation therapy, 117 aqua therapy, 118 combined aerobic-and resistance-based exercise, 119 and weight training. 120,121 Sample size within these studies ranged between 31 and 141, intervention duration ranged from 8 weeks to 12 months, and lymphedema status as well as other physical and psychosocial outcomes were typically assessed.…”

Section: Lymphedemamentioning

confidence: 99%

Upper‐body morbidity after breast cancer

Hayes

Johansson

Stout

et al. 2012

Cancer

310

141

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The purpose of this paper is to review the incidence of upper‐body morbidity (arm and breast symptoms, impairments, and lymphedema), methods for diagnosis, and prevention and treatment strategies. It was also the purpose to highlight the evidence base for integration of prospective surveillance for upper‐body morbidity within standard clinical care of women with breast cancer. Between 10% and 64% of women report upper‐body symptoms between 6 months and 3 years after breast cancer, and approximately 20% develop lymphedema. Symptoms remain common into longer‐term survivorship, and although lymphedema may be transient for some, those who present with mild lymphedema are at increased risk of developing moderate to severe lymphedema. The etiology of morbidity seems to be multifactorial, with the most consistent risk factors being those associated with extent of treatment. However, known risk factors cannot reliably distinguish between those who will and will not develop upper‐body morbidity. Upper‐body morbidity may be treatable with physical therapy. There is also 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. Cancer 2012;118(8 suppl). © 2012 American Cancer Society.

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Aqua lymphatic therapy in women who suffer from breast cancer treatment-related lymphedema: a randomized controlled study

Cited by 14 publications

References 0 publications

Conservative and dietary interventions for cancer‐related lymphedema

Conservative and dietary interventions for cancer‐related lymphedema

Rare adipose disorders (RADs) masquerading as obesity

Upper‐body morbidity after breast cancer

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