The Effect of Education on Upper Extremity Function in Patients with Lymphedema after Breast Cancer Treatments

Imamoğlu, Nail; Karadibak, Didem; Ergin, Gülbin; Yavuzşen, Tuğba

doi:10.1089/lrb.2015.0010

Cited by 12 publications

(12 citation statements)

References 30 publications

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“…Eighteen ADL/IADL studies (31%) reported non-significant findings with interventions including resistance training, aerobic exercise, toileting behavior and biofeedback, pelvic floor exercises, patient education, swallowing rehabilitation, dietary instruction and training, manual therapy and upper extremity exercise. [150][151][152][153][154][155][156][157][158][159][160][161][162][163][164][165][166][167] .…”

Section: Activities Of Daily Living and Instrumental Activities Of Daily Living (Adl/iadl)mentioning

confidence: 99%

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Sleight

Gerber

Marshall³

et al. 2022

Archives of Physical Medicine and Rehabilitation

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Section: Activities Of Daily Living and Instrumental Activities Of Daily Living (Adl/iadl)mentioning

confidence: 99%

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Sleight

Gerber

Marshall³

et al. 2022

Archives of Physical Medicine and Rehabilitation

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“…Several validated measures are available for the assessment of patient reported outcomes in lymphedema. Some tools, such as the Disabilities of Arm Shoulder and Hand questionnaire (DASH), are non-specific and measure the degree of disability resulting from functional changes in the upper extremity resulting from lymphedema [38,39]. Other outcome measures, such as the LLIS, lymphedema quality of life questionnaire (LYMQOL), or the ULL27, have been specifically developed to assess the degree of disability in various scales resulting from lymphedema [24,25,40].…”

Section: Promsmentioning

confidence: 99%

Preoperative Assessment of Upper Extremity Secondary Lymphedema

Wiser

Mehrara

Coriddi

et al. 2020

Cancers

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Introduction: The purpose of this study was to evaluate the most commonly used preoperative assessment tools for patients undergoing surgical treatment for secondary upper extremity lymphedema. Methods: This was a prospective cohort study performed at a tertiary cancer center specializing in the treatment of secondary lymphedema. Lymphedema evaluation included limb volume measurements, bio-impedance, indocyanine green lymphography, lymphoscintigraphy, magnetic resonance angiography, lymphedema life impact scale (LLIS) and upper limb lymphedema 27 (ULL-27) questionnaires. Results: 118 patients were evaluated. Limb circumference underestimated lymphedema compared to limb volume. Bioimpedance (L-Dex) scores highly correlated with limb volume excess (r2 = 0.714, p < 0.001). L-Dex scores were highly sensitive and had a high positive predictive value for diagnosing lymphedema in patients with a volume excess of 10% or more. ICG was highly sensitive in identifying lymphedema. Lymphoscintigraphy had an overall low sensitivity and specificity for the diagnosis of lymphedema. MRA was highly sensitive in diagnosing lymphedema and adipose hypertrophy as well as useful in identifying axillary vein obstruction and occult metastasis. Patients with minimal limb volume difference still demonstrated significantly impaired quality of life. Conclusion: Preoperative assessment of lymphedema is complex and requires multimodal assessment. MRA, L-Dex, ICG, and PROMs are all valuable components of preoperative assessment.

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“…It is known that lymphedema is an important complication seen in many women after BCT [23]. Pasket and Stark, conducted a study about general information given to people diagnosed with cancer, treatment, and effects on participants that survive and reached the conclusion that the use of the affected arm after surgery increased lymphedema by 40% [24].…”

Section: Discussionmentioning

confidence: 99%

“…Breast cancer can lead to different losses of function due to radical surgical interventions and radiotherapy after treatment [23]. Loss of function may include pain limitations in the shoulder area, loss of muscle strength in the upper limb, and locomotor system disorders such as lymphedema and psychological and cosmetic problems.…”

Section: Discussionmentioning

confidence: 99%

“…Loss of function may include pain limitations in the shoulder area, loss of muscle strength in the upper limb, and locomotor system disorders such as lymphedema and psychological and cosmetic problems. As a result, a decrease in the QoL can be expected [23,33]. Bouyo et al conducted a systematic review designed to assess the QoL of Iranian women with breast cancer and indicated a moderate level [33].…”

Section: Discussionmentioning

confidence: 99%

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The relationship between lymphedema, posture, respiratory functions, exercise capacity, and the quality of life after breast cancer treatment

Kutlu¹,

Ergin²,

Alptuğ³

et al. 2022

Physiother Quart.

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Introduction. To evaluate the relationship between lymphedema, posture, respiratory functions, exercise capacity, and the quality of life after breast cancer treatment. Methods. This cross-sectional study consisted of 38 women who had unilateral breast cancer treatment. Pulmonary function with a spirometer, functional exercise capacity via 6-minute walking test, postural alignment changes, and quality of life were evaluated. Circumferential measurements were used to determine the severity of lymphedema. Results. The median age of female participants was 53 years (range, 40-64). The mean body mass index was 26.66 ± 2.96 kg/m 2 , of which 76% had lymphedema. The expected changes in posture were moderate. The mean of the 6-minute walking distance decreased, which corresponded to 58.55% of normative values. MIP and MEP values were significantly lower than expected values. An intermediate negative correlation was observed between postural changes and body mass index (r = -0.348; p = 0.05). Moreover, there was a positive correlation between forced expiration volume and forced vital capacity values and walking distance (p < 0.05). Conclusion. After breast cancer treatment, 76% of female patients had lymphedema, the functional exercise capacity, MIP and MEP were below the expected values in all of them, and as functional capacity decreases, respiratory parameters affected negatively.

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The Effect of Education on Upper Extremity Function in Patients with Lymphedema after Breast Cancer Treatments

Abstract: This study underscores the need to develop and implement strategies for LE prevention and education for all breast cancer patients.

Cited by 12 publications

References 30 publications

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Preoperative Assessment of Upper Extremity Secondary Lymphedema

The relationship between lymphedema, posture, respiratory functions, exercise capacity, and the quality of life after breast cancer treatment

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