The validity of an adjustable compression velcro wrap for the treatment of patients with upper limb lymphedema secondary to breast cancer: a pilot study

Campanholi, Larissa Louise; Lopes, Graziele Chiquette; Mansani, Fábio Postiglione; Bergmann, Anke; Baiocchi, Jaqueline Munaretto Timm

doi:10.5327/z2594539420170000203

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…Bandages, which play an important role in the first stage of lymphedema treatment, can be difficult to apply properly due to loosening of the bandage. Various alternative methods have been devised to overcome this drawback, including the use of non-elastic Velcro or wrapping the limb with a wrap [28]. However, the spica bandaging method used in our study was able to prevent bandage loosening without the use of these alternative strategies and was more effective at reducing the volume of the upper extremity than the conventional spiral method, particularly for the proximal part of the limb.…”

Section: Discussionmentioning

confidence: 74%

Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema

Ryu

Jeong

et al. 2019

Ann Rehabil Med

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Objective To compare the treatment effects, satisfaction with the treatment, and performance improvement following bandage treatment using the spiral method and spica method for breast cancer-related lymphedema (BCRL). Methods A prospective study with 46 patients with BCRL was conducted. All patients were divided into either the spiral or spica group for non-elastic bandage therapy and received the same treatment for 2 weeks, apart from the group-specific bandaging method used. For both groups, the Quality of Life Instrument score before treatment, changes in the volume of lymphedema limb and the Disability of the Arm, Shoulder, and Hand (DASH) score before and after treatment, and treatment satisfaction after treatment were compared. The Student t-test was used to compare the parameters between the two different bandage methods. Results With respect to the treatment outcomes, total volume reduction and proximal part volume reduction after treatment were 98.0±158.3 mL and 56.0±65.4 mL in the spiral method group and 199.0±125.1 mL and 106.1±82.2 mL in the spica method group, respectively. Therefore, the spica method group showed a significantly better improvement (p<0.05). The DASH score changes after treatment showed that the spiral group score increased by 3.8±5.4 and the spica group score increased by 7.7±6.1; thus, a significantly better improvement was noted in the spica group (p<0.05). Conclusion The spica method indicated better volume reduction and DASH score improvement than the spiral method. Therefore, the spica method may be more effective for treating patients with BCRL.

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Section: Discussionmentioning

confidence: 74%

Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema

Ryu

Jeong

et al. 2019

Ann Rehabil Med

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“…32 Although VELCRO® devices are not better than bandage wrapping, they may be an alternative option for patients who do not adhere to other forms of compression, those with significant wounds or skin changes, or for financial reasons. [33][34][35][36][37]…”

Section: Compression Therapymentioning

confidence: 99%

Conservative treatment of lymphedema: the state of the art

Bergmann

Baiocchi²,

Andrade

2021

J. vasc. bras.

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This article aims to discuss the possibilities of conservative and non-pharmacological treatments for lymphedema. A non-systematic review of the literature was carried out, including studies involving human subjects with different types of lymphedema. Several approaches to lymphedema treatment have been reported and Complex Decongestive Therapy (CDT) has been considered the most effective treatment for limb lymphedema. Other conservative treatments have been proposed such as Taping, Extracorporeal Shock Wave Therapy, Acupuncture, Photobiomodulation Therapy, Endermologie, Intermittent Pneumatic Compression, and Low-frequency, Low-intensity Electrotherapy. The choice of the therapeutic approach to be employed should consider lymphedema characteristics, the therapist's experience, and the patient's wishes. In addition, since this is a chronic condition, the patient must adhere to the treatment. To this end, the therapeutic proposal may be the key to better control of limb volume.

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“…Pneumatic compression lacks the ability to be a 96 standalone therapy[27,35] as it only stimulates 97 the lymphatic drainage in working/ intact lymphatic 98 collectors. When combined with CDT it reduced 99 oedema, and pain[35].…”

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confidence: 99%

Common conservative treatments for lymphoedema post breast cancer: A focus article

Gallagher

Connor

Roberts

et al. 2021

PPR

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Breast cancer is the most common type of cancer in women worldwide [1]. Breast cancer-related lymphoedema (BCRL) is a disabling complication with long term impact on quality on life after breast cancer treatment with an incidence of 2–5%in patients post sentinel node procedures [2] up to 40%following axillary lymph node dissection [3]. BCRL results in swelling of the arm, hand, and trunk which can lead to limb pain, heaviness, and altered sensation [4]. These symptoms can result in functional limitations, psychosocial distress and an overall reduction in quality of life [5]. The aim of this review is evaluate the effects of some of the more common conservative rehabilitation interventions in BCRL. Conservative interventions reviewed include early physiotherapy and exercise, Complex decongestive therapy, Manual Lymphatic Drainage, Compression, Electrotherapy & Acupuncture, Self-Treatment & Weight Management. The review may inform policies for treatment within the health service.

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The validity of an adjustable compression velcro wrap for the treatment of patients with upper limb lymphedema secondary to breast cancer: a pilot study

Cited by 5 publications

References 15 publications

Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema

Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema

Conservative treatment of lymphedema: the state of the art

Common conservative treatments for lymphoedema post breast cancer: A focus article

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