Treatment of Post-Mastectomy Lymphedema with Laser Therapy: Double Blind Placebo Control Randomized Study

Omar, Mohammed Taher Ahmed; Ebid, Anwar Abdelgayed; Mohammed, Morsy, Ahmed

doi:10.1016/j.jss.2010.03.050

Cited by 57 publications

(77 citation statements)

References 53 publications

(65 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sixty-one women were selected to participate in the study; the women were required to have undergone BC surgery including axillary node dissection for stage II or III BC and must have subsequently developed PMPS with unilateral mild-to-moderate lymphedema that was defined as an increase in arm circumference at any level by 2 cm and less than 8 cm compared with the contralateral side [19]. All patients signed a form of informed consent; the ages of the women ranged between 45 and 55 years; all of the patients were capable of completing the Cancer Quality of Life Questionnaire version 3.…”

Section: Subjectsmentioning

confidence: 99%

Long-term effect of pulsed high-intensity laser therapy in the treatment of post-mastectomy pain syndrome: a double blind, placebo-control, randomized study

Ebid

Elsodany

2015

Lasers Med Sci

View full text Add to dashboard Cite

We assess the long-term effect of pulsed high-intensity laser therapy (HILT) in the treatment of the post-mastectomy pain syndrome (PMPS). A total of 61 women participated in this study (30 in the laser group and 31 in the placebo laser group), with a mean age of 53.56 ± 1.11 years. Patients who were randomly assigned to the laser group received HILT three times per week for 4 weeks, plus a routine physical therapy program (RPTP). The placebo laser group received placebo HILT plus RPTP. The outcomes measured were pain level by visual analog scale (VAS), shoulder range of motion (ROM), and quality of life (QOL). Statistical analysis was performed by ANOVA with repeated measures to compare the differences between baseline and post-treatment measurements and after 12 weeks of follow-up for both groups. The level of statistical significance was set at P < 0.05. Shoulder ROM significantly increased in the laser group after 4 weeks of treatment and after 12 weeks of follow-up compared with the placebo group. VAS results showed a significant decrease post-treatment in the laser group relative to the placebo group, and QOL results showed a significant improvement in the laser group compared with the placebo group and still improved after 12 weeks of follow-up. HILT combined with an RPTP appears to be more effective in patients with PMPS than a placebo laser procedure with RPTP.

show abstract

Section: Subjectsmentioning

confidence: 99%

Long-term effect of pulsed high-intensity laser therapy in the treatment of post-mastectomy pain syndrome: a double blind, placebo-control, randomized study

Ebid

Elsodany

2015

Lasers Med Sci

View full text Add to dashboard Cite

show abstract

“…All patients had been undergoing unilateral breast cancer surgeries. Subjects who fulfilled the following criteria were eligible for enrollment in the study; (1) unilateral BCRL, (2) mild to moderate lymphedema defined as circumferential difference of 2-8 cm across 3 sites (Omar et al, 2011), and /or a volume difference of 200-750ml between the upper limbs (Carati et al, 2003;Lau & Cheing, 2009;Piller, 2000;Piller & O'Connor, 2002;Petrek et al, 2001;Wilke, McCall, & Posther, 2006). All patients signed an informed consent before participation in the study.…”

Section: Subjectsmentioning

confidence: 99%

“…All patients were given advice to perform daily limb exercise program (Omar, Ebid, & El Morsy, 2011). Participants were instructed in the skin care to maintain the affected area clean and dry to decrease the risk of infection.…”

Section: Therapeutic Interventionmentioning

confidence: 99%

“…Participants were instructed in the skin care to maintain the affected area clean and dry to decrease the risk of infection. All women were instructed to wear pressure garment that provides pressure of (40 to 60 mmHg), and for 20 h daily during the period of the study as reported (Omar, Ebid, & El Morsy, 2011). All patients were given a diary logbook to complete on a daily basis during the intervention period.…”

Section: Therapeutic Interventionmentioning

confidence: 99%

“…Several therapeutic options have been provided, such as compression garments or bandaging, manual lymphatic drainage (MLD), complex decongestive therapy (CDT), pneumatic compression pump, exercises (Partsch, Stout, & Forner-Cordero, 2010;Andersen, Hojris, Erlandsen, & Andersen, 2000;Badger, Peacock, & Mortimer, 2000;Guerreiro, Oliani, & Pereira, 2010). More recently low level laser therapy has been used, however, the results of these therapies vary widely and are inconsistent (Dirican et al, 2010;Omar, Ebid, & El Morsy, 2011;Carati, Anderson, Gannon, & Piller, 2003).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Single Blinded Randomized Controlled Clinical Trial on the Efficacy of Ozone Therapy on Breast Cancer-Related Lymphedema

Waked¹,

Nagib²,

Omar³

2013

CCO

View full text Add to dashboard Cite

Purpose: The purpose of this study was to evaluate the efficacy of ozone therapy in breast cancer-related Lymphedema (BCRL). Methods:Sixty patients with BCRL were participated in this study and were randomly assigned to one of two groups. Ozone group received ozone therapy in addition to complex physical therapy for lymphedema consisted of pressure garment, remedial exercise, and skin care, while the control group received complex physical therapy only. Limb volume was measured using water displacement and limb circumference. Skin and subcutaneous thickness were measured using Doppler ultrasound. All measurements were carried out at baseline (0wk) and after 12 weeks (12wk) of intervention. Results:The clinical and demographic characteristics of both groups were comparable at baseline. The reduction of limb volume tended to decline in both groups. The trend was more significantly pronounced in ozone group than control at 12 wk (P < 0.05). There was significant reduction in skin and subcutis thickness in both groups. The rate of thickness reduction was more observable in the ozone group than the control group. Conclusion:Ozone therapy was found to be an effective adjunctive modality for reducing limb volume and thickness in the women with BCRL.

show abstract

Investigation of the effect of Low‐Level Laser Therapy on arm lymphedema in breast cancer patients: A noninvasive treatment for an intractable morbidity

Farhan

Samei

Abdshah

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Purpose: This article aims to study the effect of Low-Level Laser Therapy (LLLT) on arm lymphedema in patients who have breast cancer.Methods and Materials: Twenty-three patients were selected in a nonrandomized phase-2 clinical trial. After measuring the circumference of the affected and unaffected limbs at 6-points, the volume of the limbs, the degree of mental symptoms on visual analog scale by the patient upon entering the study, and performing an ultrasound on the patient's axilla to locate the fibrotic areas, a lowlevel laser device at a therapeutic dose of 2 J/cm 2 was used to treat the patients three times a week for 4 weeks, and after an 8-week gap, for another similar period.Measurement of circumference and volume of affected and unaffected limbs and mental symptoms were carried out at the end of the 4th week, the beginning of the 12th week, and the end of the 16th week, and the obtained results were compared with those before the treatment.Results: We noted that the average reductions in the circumference and volume of the affected limb, as compared with the unaffected limb, were about 16% and 21.7%, respectively, and improvement in the patient's mental symptoms was about 32%. Another notable observation was the great enthusiasm of most patients to continue their treatment, particularly from the second cycle onward.Conclusions: LLLT can, at least in association with current standard methods, be used for arm lymphedema to introduce further reductions in pain and volume.

show abstract

Treatment of Post-Mastectomy Lymphedema with Laser Therapy: Double Blind Placebo Control Randomized Study

Cited by 57 publications

References 53 publications

Long-term effect of pulsed high-intensity laser therapy in the treatment of post-mastectomy pain syndrome: a double blind, placebo-control, randomized study

Long-term effect of pulsed high-intensity laser therapy in the treatment of post-mastectomy pain syndrome: a double blind, placebo-control, randomized study

A Single Blinded Randomized Controlled Clinical Trial on the Efficacy of Ozone Therapy on Breast Cancer-Related Lymphedema

Investigation of the effect of Low‐Level Laser Therapy on arm lymphedema in breast cancer patients: A noninvasive treatment for an intractable morbidity

Contact Info

Product

Resources

About