Effects of phase I complex decongestive physiotherapy on physical functions and depression levels in breast cancer related lymph edema

Abstract

[Purpose] Breast cancer-related upper extremity lymph edema is known to cause physical, functional and psychological impairments in women after modified radical mastectomy. The aim of this study was to investigate the effects of phase I Complex Decongestive Physiotherapy (CDP) on physical functions and depression levels in women with breast cancer-related upper extremity lymph edema. [Subjects and Methods] Fifty-eight subjects with breast cancer-related upper extremity lymph edema were the subjects of this study. The arm circumference, shoulder range of motion (ROM), muscle strength and depression levels of the subjects were assessed before and after phase I CDP treatment. [Results] After phase I CDP, there was a statistically significant reduction in circumference measurements at all levels of the affected arm. There was not any statistically significant difference in muscle strength after CDP. The shoulder ROM improved after treatment. There was a significant reduction in the Beck Depression Inventory score. A significant positive correlation was found between depression levels and circumference measurement. [Conclusion] Based on the results we suggest that by reducing limb volume, beside improving physical functions, phase I CDP can affect psychological status, especially depression which is very common in women with breast cancer-related upper extremity lymph edema.

Combined-complex Decongestive Therapy Reduces Volume and Improves Quality of Life and Functional Status in Patients with Breast Cancer-related Lymphedema

“…MLD and compression bandaging in the intensive phase may be applied alone, together or combined with pressure pumps or compression garments. The intervals of different procedures can be changed from two times a week to everyday for four weeks (4)(5)(6)(7)(8)(9)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25). In our study we performed CDT in a combined manner with skin care, MLD, multilayer bandaging and supervised lymphedema exercises, and determined a significant reduction in volumes and excess volumes.…”

“…The sessions also differed in whether the compression between sessions supplied by bandaging or compression garment. Sometimes the exercise component of CDT was included, sometimes it was not (10,(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23). In our study we have performed MLD, multilayer short-stretch bandaging and supervised exercises along with meticulous skin care, five times a week for 3 weeks.…”

“…Many of the studies were retrospective and/or the group sizes were small (12,(14)(15)(16)(17). In some studies pneumatic compression pumps were added (18)(19)(20)(21) or exercises were given as a home based program, not supervised by a therapist (15,(22)(23)(24). There remains a paucity of evidence that supports the combined application of skin care, MLD, multilayer bandaging and supervised lymphedema exercises, as phase 1 therapy in the initial stage of the treatment (25,26).…”

Psychological distress in patients with breast cancer after different antitumor treatments

“…stress -напряжение) [1]. Его общими для больных раком молочной железы (РМЖ) прояв-лениями, по данным многих авторов, являются трево-га, депрессия, измененные эмоциональные реакции и межличностные отношения, социальная изоляция [2][3][4][5][6]. Индивидуальные различия в тяжести психоло-гического дистресса в основном связаны с возрастом, уровнем образования, наличием знаний о РМЖ и его лечении, собственной способностью противостоять стрессу, социальным положением и поддержкой окру-жающих [7].…”

Effects of vibration therapy in the musculoskeletal system in post-surgical breast cancer women: longitudinal controlled clinical study

“…), skin care (Rodrick et al, 2013. ), pneumatic compression and compression bandages (Atalay et al, 2015;Stout et al, 2012), and the vibration therapy (Mendes et al, 2014;Souza et al, 2014).…”