Effects of a physical therapy program combined with manual lymphatic drainage on shoulder function, quality of life, lymphedema incidence, and pain in breast cancer patients with axillary web syndrome following axillary dissection

Cho, Youngki; Do, Junghwa; Jung, Sun‐Young; Kwon, Oh-Yun; Jeon, Jae Yong

doi:10.1007/s00520-015-3005-1

Cited by 123 publications

(143 citation statements)

References 36 publications

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“…In the other variables, with no statistically significant effect after adjustment, the Experimental Group maintained the favorable estimate effect. This matches other studies that report a statistically significant GHS improvement in the same postsurgery period in the group submitted to physiotherapy or to an exercise program when compared to a Control Group [19,29,31,47]. In the other function and symptoms scales there were no statistically significant differences between groups.…”

Section: Discussionsupporting

confidence: 89%

“…This matches the results of other studies in which, during the same period, there were no statistically significant differences between groups in the scales for Arm Symptoms [48], Breast Symptoms [48,49], Physical Functioning, Role Functioning, and Social Functioning [28,48]. However, in some studies over the same period, there was a statistically significant improvement in the Experimental versus Control Group in Physical Functioning [19,22,31], Role Functioning [19,22,25], Emotional Functioning [19,22], Social Functioning [19,22], Pain [19,25,29], Breast Symptoms [19], Arm Symptoms [19,31], and Fatigue [25].…”

Section: Discussionsupporting

confidence: 88%

“…There is evidence that it is possible to prevent some complications (or minimize their effect) throughout the acute phase of cancer treatment with oncological therapies through an early rehabilitation program [13][14][15][16][17][18][19] and it is known that physiotherapy and a program with specific exercises can contribute to the improvement in QoL in women with breast cancer throughout the acute phase of survival [20][21][22][23][24][25][26][27][28][29][30][31][32]. However, clinical practice suggests that patients undergoing SLNB surgery are rarely included in a functional rehabilitation program because it is assumed that in this surgery there is an absence of morbidity and consequently a minimal impact in their QoL.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Physiotherapy Intervention on the Quality of Life of Women with Breast Cancer who Underwent Sentinel Lymph Node Biopsy.

Duarte¹,

Aguiar

Faria

et al. 2017

OSJ

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Purpose: To evaluate if physiotherapy can contribute to the quality of service provided to Women with Breast Cancer who underwent sentinel lymph node biopsy (SLNB).Methods: This Quasi-experimental study addressed a sample of 172 women with breast cancer who underwent surgery with SLNB, 90 were included in the control group and 82 in the experimental group. We used the EORTC C30 and BR23 questionnaires to collect data about the quality of life (QoL) in the course of the first 9 months after surgery. The experimental group was submitted to specific physiotherapy techniques while the control group was the target of assessments only. Poisson regression was used to perform the calculation of the Relative Benefit (aRB) and Relative Risk (aRR) adjusted for several confounding factors at the baseline of the study.Results: In the third month after surgery the experimental group showed a higher proportion of patients with substantial clinical improvement in the Global Health Status (GHS) (aRB=2.230; p=0.014) and a lower risk of degradation of the GHS (aRR=0.384; p=0.011), Physical Function (PF) (aRR=0.484; p=0.035), and Arm Symptoms (BRAS) (aRR=0.159; p=0.007), when compared to the control group. Between the 1st and 6th month after surgery, physiotherapy seems to act as a protective factor on the degradation of GHS and PF. Between the 1st and 9th month after surgery the experimental group showed a higher proportion of patients with notable clinical improvement in the GHS (aRB=1.905; p=0.038) and in the BRAS (aRB=1.761; p=0.029) and a lower risk of degradation of the GHS (aRR=0.287; p=0.010) and BRAS (aRR=0.265; p=0.0421) scales.Conclusions: In the course of the acute survival phase, physiotherapy can help to improve the QoL of women with breast cancer who underwent surgeries with SLNB, giving a positive contribution to the quality of service provided to this group of patients.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of Physiotherapy Intervention on the Quality of Life of Women with Breast Cancer who Underwent Sentinel Lymph Node Biopsy.

Duarte¹,

Aguiar

Faria

et al. 2017

OSJ

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“…Though volumetric measurements serve as the most commonly used clinical mechanism for quantifying treatment impact, there is question whether this indirect volumetric measurement is sensitive enough to discern the impact of the CDT components. Multiple studies have been designed in attempts to investigate volumetric changes as a response to MLD over time and some find MLD successful at reducing limb volume 28,29 while others have found no effect. 30,31 BIS has been used to investigate its potential to identify early signs of lymphedema before overt edema is detected and before the early symptoms of arm heaviness and generalized ache.…”

Section: Quantitative Changes After Mldmentioning

confidence: 99%

Bilateral Changes in Deep Tissue Environment After Manual Lymphatic Drainage in Patients with Breast Cancer Treatment-Related Lymphedema

Donahue

Crescenzi

Scott

et al. 2017

Lymphatic Research and Biology

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Background: Breast cancer treatment-related lymphedema (BCRL) arises from a mechanical insufficiency following cancer therapies. Early BCRL detection and personalized intervention require an improved understanding of the physiological processes that initiate lymphatic impairment. Here, internal magnetic resonance imaging (MRI) measures of the tissue microenvironment were paired with clinical measures of tissue structure to test fundamental hypotheses regarding structural tissue and muscle changes after the commonly used therapeutic intervention of manual lymphatic drainage (MLD). Methods and Results: Measurements to identify lymphatic dysfunction in healthy volunteers (n = 29) and patients with BCRL (n = 16) consisted of (1) limb volume, tissue dielectric constant, and bioelectrical impedance (i.e., non-MRI measures); (2) qualitative 3 Tesla diffusion-weighted, T 1 -weighted and T 2 -weighted MRI; and (3) quantitative multi-echo T 2 MRI of the axilla. Measurements were repeated in patients immediately following MLD. Normative control and BCRL T 2 values were quantified and a signed Wilcoxon Rank-Sum test was applied (significance: two-sided p < 0.05). Non-MRI measures yielded significant capacity for discriminating between arms with versus without clinical signs of BCRL, yet yielded no change in response to MLD. Alternatively, a significant increase in deep tissue T 2 on the involved (pre T 2 = 0.0371 -0.003 seconds; post T 2 = 0.0389 -0.003; p = 0.029) and contralateral (pre T 2 = 0.0365 -0.002; post T 2 = 0.0395 -0.002; p < 0.01) arms was observed. Trends for larger T 2 increases on the involved side after MLD in patients with stage 2 BCRL relative to earlier stages 0 and 1 BCRL were observed, consistent with tissue composition changes in later stages of BCRL manifesting as breakdown of fibrotic tissue after MLD in the involved arm. Contrast consistent with relocation of fluid to the contralateral quadrant was observed in all stages. Conclusion: Quantitative deep tissue T 2 MRI values yielded significant changes following MLD treatment, whereas non-MRI measurements did not vary. These findings highlight that internal imaging measures of tissue composition may be useful for evaluating how current and emerging therapies impact tissue function.

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“…Many previous studies showed that physical therapy has efectiveness in breast cancer patients [25,26]. In general, combined physical therapy is efective to treat postoperative lymphedema, Clinical Physical Therapypain, and impaired ROM after treatment for breast cancer [26].…”

Section: Physical Therapymentioning

confidence: 99%

Physical Therapy in Patients with Cancer

Morishita¹,

Tsubaki²

2017

Clinical Physical Therapy

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Physical therapists often treat cancer patients. Cancer treatment includes chemotherapy, radiotherapy, and surgery, which are being continuously developed and thus increase survival of patients with each cancer diagnosis. More speciically, 5-year survival rates increase with each cancer diagnosis. Cancer patients have many problems including muscle weakness, pulmonary dysfunction, fatigue, and pain. In the end, patients with cancer tend to have a decline in activities of daily living (ADL) and quality of life (QOL). Additionally, cancer patients often have progressive disease, depression, and anxiety. Physical therapy often helps patients regain strength and physical function and improve their QOL and independence of daily living that they may have lost due to cancer or its treatment. Physical therapy has an important role in increasing physical function of cancer patients, cancer survivors, and children with cancer. In the future, physical therapy may be progressively needed for management of cancer patients.

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Effects of a physical therapy program combined with manual lymphatic drainage on shoulder function, quality of life, lymphedema incidence, and pain in breast cancer patients with axillary web syndrome following axillary dissection

Abstract: PT improves shoulder function, pain, and QOL in breast cancer patients with AWS and combined with MLD decreases arm lymphedema.

Cited by 123 publications

References 36 publications

Effectiveness of Physiotherapy Intervention on the Quality of Life of Women with Breast Cancer who Underwent Sentinel Lymph Node Biopsy.

Effectiveness of Physiotherapy Intervention on the Quality of Life of Women with Breast Cancer who Underwent Sentinel Lymph Node Biopsy.

Bilateral Changes in Deep Tissue Environment After Manual Lymphatic Drainage in Patients with Breast Cancer Treatment-Related Lymphedema

Physical Therapy in Patients with Cancer

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