Lymphedema and complex decongestive physiotherapy

Yıl 2015, Cilt: 6 Sayı: 3, 102 - 107, 28.10.2015

Özge Vergili

https://doi.org/10.18663/tjcl.80362

Cited By: 1

Öz

Swelling of soft tissues due to collection of protein rich fluid into extracellular space caused by increased load of lymphatic system or decrease of lymphatic transport capacity is called lympedema. Both primary and secondary lymph edema effects the quality of patient lives. In this review we aimed to give information about lymph edema and its effective treatment approach; complex decongestive physiotherapy

Key words: Physiotheraphy, Techniques, Lymphedema, Manual therapy, Compression bandage.

Anahtar Kelimeler

Physiotheraphy, Techniques, Lymphedema, Manual therapy, Compression bandage

Lenf ödem ve kompleks boşaltıcı fizyoterapi

Öz

Lenfatik sistemin yükünün artması ya da lenfatik transport kapasitesinin azalmasına bağlı olarak proteinden zengin sıvının hücre dışındaki boşluklara dolması sonucunda yumuşak dokularda ortaya çıkan şişme lenf ödem olarak adlandırılmaktadır. Lenf ödemin primer ve sekonder formları bulunmakta olup, hastanın yaşam kalitesini olumsuz yönde etkilemektedir. Bu derlemede lenf ödem ve tedavisinde kullanılan etkin bir tedavi yaklaşımı olan kompleks boşaltıcı fizyoterapi hakkında bilgi verilecektir.

Anahtar kelimeler: Fizyoterapi, Teknikleri, Lenf ödem, Manual terapi, Kompresyon bandajı

Anahtar Kelimeler

Fizyoterapi, Teknikleri, Lenf ödem, Manual terapi, Kompresyon bandajı

Kaynakça

• Foldi E. The treatment of lymphedema. Cancer 1998; 83: 2833-4.
• International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema. 2009 Consensus Document of the International Society of Lymphology. Lymphology 2009; 42: 51-60.
• Poage E, Singer M, Armer J, Poundall M, Shellabarger MJ. Demystifying lymphedema: Development of the lymphedema putting evidence into practice card. Clin J Oncol Nurs 2008; 12: 951-64.
• Foldi M, Foldi E, Kubik S. Textbook of Lymphology: For Physicians and Lymphedema Therapists. San Francisco, CA: Urban & Fischer; 2006.
• Goodman CC, Fuller KS. Pathology: implications for the physical therapist. Philadelphia: W.B. Saunders Co, 2008.
• Cheville AL, McGarvey, Petrek JA, Russo SA, Tayler ME, Thiadens SR. Lymphedema management. Semin Radiat Oncol 2003; 13: 290-301.
• Casley-Smith, ‘Other techniques: compression pumps and devices, and heating’, Proceedings of the conference ‘The lymphatic system, lymphoedema and its physical therapy. Australia, 1990; 132-139.
• Ward RS. Role of physical therapists in the treatment of lymphedema. The American Physical Therapy Association 2009.
• National Lymphedema Network Position Paper: Training of Lymphedema Therapists. 2013.
• Foldi M, Strosenreuther R. Foundations of manual lymph drainage. Germany: Elsevier Mosby, 2005.
• Foldi M, Foldi E, Kubik S. Textbook of lymphology. Munich, Germany: Elsevier; 2003.
• Boris M, Weindorf S, Lasinkski S. Persistence of lymphedema reduction after noninvasive complex lymphedema therapy. Oncology 1997; 11: 99-110.
• Ko DSC, Lerner R, Klose G, et al. Effective treatment of lymphedema of the extremities. Arch Surg 1998; 133: 452-8.
• Badger CM, Peacock JL, Mortimer PS. A randomized, controlled, parallel-group clinical trial comparing multilayer bandaging followed by hosiery versus hosiery alone in the treatment of patients with lymphedema of the limb. Cancer 2000; 88: 2832-7.
• Devoogdt N, Van Kampen M, Geraerts I, et al. Different physical treatment modalities for lymphoedema developing after axillary lymph node dissection for breast cancer: a review. Eur J Obstet Gynecol Reprod Biol 2009; 149: 3-9.
• Hamner JB, Fleming MD. Lymphedema therapy reduces the volume of edema and pain in patients with breast cancer. Ann Surg Oncol 2007; 14: 1904-1908.
• Kim S, Park Y. Effects of complex decongestive physiotherapy on the oedema and the quality of life of lower unilateral lymphoedema following treatment for gynecological cancer.
• Eur J Cancer Care 2009; 17: 463-8.
• Karadibak D, Yavuzsen T, Saydam S. Prospective trial of intensive decongestive physiotherapy for upper extremity lymphedema. J Surg Oncol 2008; 97: 572-577.
• Kim SJ, Yi CH, Kwon OY. Effect of complex decongestive therapy on edema and the quality of life in breast cancer patients with unilateral leymphedema. Lymphology 2007; 40: 143-151.
• Mondry TE, Riffenburgh RH, Johnstone PAS. Prospective trial of complete decongestive therapy for upper extremity lymphedema after breast cancer therapy. Cancer J 2004; 10: 42-48.
• O’Neill J, Beatus J. The effects of complete decongestive physical therapy treatment on edema reduction, quality of life, and functional ability of persons with upper extremity lymphedema. J Womens Health Phys Ther 2006; 30: 5-10.
• McCallin M, Johnston J, Bassett S. How effective are physiotherapy techniques to treat established secondary lymphoedema following surgery for cancer? A critical analysis of the literature. N Z J Physiol 2005; 33: 101-112.
• Karadibak D, Ufuk YS, Serdar S, et al. The comparison of two different physiotherapy methods in treatment of lymphedema after breast surgery. Breast Cancer Res Treat 2005; 93: 49-54.
• Vignes S, Porcher R, Champagne A, et al. Predictive factors of response to intensive decongestive physiotherapy in upper limb lymphedema after breast cancer treatment: a cohort study. Breast Cancer Res Treat 2006; 98: 1-6.
• Vignes S, Porcher R, Arrault M, et al. Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy. Breast Cancer Res Treat 2007; 101: 285-290.
• Lymphoedema Framework. Best practice for the management of lymphoedema: an international consensus. London: MEP Ltd; 2006. Available at: http://www.woundsinternational.com/pdf/content_175.pdf [accessed February 27, 2015].
• Cheville AL. Current and future trends in lymphedema management: implications for women’s health. Phys Med Rehabil Clin N Am 2007; 18: 539-53.
• Moseley AL, Carati CJ, Piller NB. A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment. Ann Oncol 2007; 18: 639-46.
• Andersen L, Højris I, Erlandsen M, Andersen J. Treatment of breast-cancerrelated lymphedema with or without manual lymphatic drainage–a randomized study. Acta Oncol 2000; 39: 399–405.
• Devoogdt N, Christiaens MR, Geraerts I, Truijen S, Smeets A, Leunen K, Neven P, Van Kampen M. Effect of manual lymph drainage in addition to guidelines and exercise therapy on arm lymphoedema related to breast cancer: randomised controlled trial. BMJ 2011; 343: d5326.
• Johansson K, Lie E, Ekdahl C, Lindfeldt J. A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema. Lymphology 1998; 31: 56–64.
• Johansson K, Albertsson M, Ingvar C, Ekdahl C. Effects of compression bandaging with or without manual lymph drainage treatment in patients with postoperative arm lymphedema. Lymphology 1999; 32: 103–110.
• Bakar Y, Akbayrak T. Kompleks boşaltıcı fizyoterapinin alt ekstremite lenf ödemi üzerine etkisi: pilot çalışma. Fizyoterapi Rehabilitasyon 2005; 16: 95-101.
• Liao S-F, Li S-H, Huang H-Y. The efficacy of complex decongestive physiotherapy [CDP] and predictive factors of response to CDP in lower limb lymphedema [LLL] after pelvic cancer treatment. Gynecologic Oncology 2012; 712-5.
• Molski P, Kruczynski J, Molski A, Molski S. Manual lymphatic drainage improves the quality of life in patients with chronic venous disease:arandomized controlled trial. Archieves of Medical Science 2013; 452-8.
• Bakar Y, Öztürk A, Çalısal M.A, Ertürk K, Dağlar B. Complete decongestive physiotherapy for older people with chronic venous insufficiency. Topics in Geriatric Rehabilitation 2010; 26: 164-70.
• Criso´stomo R.S, Costa D.S.A, Martins C.L.B, Fernandes T.I.S, Armada-da-Silva P. Influence of manual lymphatic drainage on health-related quality of life and symptoms of chronic venous insufficiency: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation 2015; 96: 283-91.
• Criso´stomo R.S, Candeias M.S, Ribeiro A.M.M, Martins C.L.B, Armada-da-Silva P.A. Manual lymphatic drainage in chronic venous disease: A duplex ultrasound study. Phlebology
• ; 29: 667-76.
• Molski P, Ossowski R, Hagner W, Molski S. Patients with venous disease benefit from manual lymphatic drainage. International Angiology 2009; 28: 151-5.
• Ebert J.R, Joss B, Jardine B, Wood D.J. Randomized trial investigating the efficacy of manual lymphatic drainage to improve early outcome after total knee arthroplasty. Archives of Physical Medicine and Rehabilitation 2013; 94: 2103-11.
• Haren K, Backman C, Wiberg M. Effect of manual lymph drainage as described by
• Vodder on oedema of the hand after fracture of the distal radius: A prospective clinical
• study. Scand J Plast Reconstr Surg Hand Surg 2000; 34: 367-72.
• Weiss JM. Treatment of leg edema and wounds in a patient with severe musculoskeletal
• injuries. Phys Ther 1998; 78: 1104-13.
• Eisenhart AW, Gaeta TJ, Yens DP. Osteopathic manipulative treatment in the emergency
• department for patients with acute ankle sprains. J Am Osteopath Assoc 2003; 103: 417-21.
• Partsch H, Flour M, Smith PC. Indications for compression therapy in venous and lymphatic disease consensus based on experimental data and scientific evidence. Under the auspices of the IUP. Int Angiol 2008; 27: 193-219.
• Cheville AL. Current and future trends in lymphedema management: implications for women’s health. Phys Med Rehabl Clin Am 2007; 18: 539-53.
• Moseley AL, Carati CJ, Piller NB. A systematic review of common conservative treatments for arm lympoedema secondary to breast cancer treatment. Ann Oncol 2007; 18: 639-46.
• Johnstone PA, Hawkins K, Hood S. Role of patient adherence in maintenance of results after manipulative therapy for lymphedema. J Soc Integr Oncol 2006; 4: 125-9.
• Harris SR, Hugi MR, Olivotto IA, Levine M. Clinical practice guidelines for the care and treatment of breast cancer. 11. Lymphedema. CMAJ 2001; 164: 191-9.
• Best Practice for the Management of Lymphoedema: an international consensus. English language edition. London: MEP Ltd, 2006: 53-54.
• Bakar Y, Berdici B, Şahin N, Pala Ö.O. Meme kanseri ile ilişkili lenf ödem ve tedavisi. J. Breast Health 2014; 10: 6-14.
• Lasinski B.B. Decongestive therapy for treatment of lymphedema. Seminars in Oncology Nursing 2013; 29: 20-27.
• International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema. 2009 Consensus document of the International Society of Lymphology. Lymphology 2009; 42: 51-60.
• Lymphoedema Framework. Best practice for the management of lymphoedema: an international consensus. London: MEP Ltd; 2006.
• Doyle C, Kushi LH, Byers T, et al. Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 2006; 56: 323-53.
• World Cancer Research Fund / American Institute for Cancer Research. Food, nutrition, physical activity and the prevention of cancer: a global perspective. Washington, DC: World Cancer Research Fund / American Institute for Cancer Research; 2007.
• Kwan ML, Cohn JC, Armer JM, et al. Exercise in patients with lymphedema: a systematic review of the contemporary literature. J Cancer Surviv 2011; 5: 320-36.
• Erickson VS, Pearson ML, Ganz PA, et al. Arm edema in breast cancer patients. J Natl Cancer Inst 2001; 93: 96-111.
• McKenzie DC, Kalda AL. Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study. J Clin Oncol 2003; 21: 463-6.
• Schmitz KH, Ahmed RL, Troxel A. Weight lifting in women with breast-cancer-related lymphedema. N Engl J Med 2009; 361: 664-73.
• Schmitz KH, Ahmed RL, Troxel AB. Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial. JAMA 2010; 304: 2699-705.
• Ahmed RL, Thomas W, Yee D. Randomized controlled trial of weight training and lymphedema in breast cancer survivors. J Clin Oncol 2006; 24: 2765-72.
• Sagen A, Karesen R. Physical activity for the affected limb and arm lymphedema after breast cancer surgery. A prospective, randomized controlled trial with two years follow-up. Acta Oncol 2009; 48: 1102-10.
• Kilbreath SL, Refshauge KM, Beith JM. Progressive resistance training and stretching following surgery for breast cancer: study protocol for a randomised controlled trial. BMC Cancer 2006; 6: 273.
• Irdesel J, Celikatas SK. Effectiveness of exercise and compression garments in the treatment of breast cancer related lymphedema. Turk J Phys Med Rehab 2007; 53: 16-21.
• Sander AP. A safe and effective upper extremity resistive exercise program for woman post breast cancer treatment. Rehabil Oncol 2008; 26: 3-10.
• Courneya KS, Segal RJ, Mackey JR. Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol 2007; 25: 4396-404.
• Hayes SC, Reul-Hirche H, Turner J. Exercise and secondary lymphedema: safety, potential benefits, and research issues. Med Sci Sports Exerc 2009; 41: 483-9.
• Portela ALM, Santaella CLC, Gomez CC, et al. Feasibility of an exercise program for Puerto Rican women who are breast cancer survivors. Rehabil Oncol 2008; 26: 20-31.
• consensus. English language edition. London: MEP Ltd, 2006: 47.
• de Godoy JM, de Godoy Mde F. Godoy& Godoy technique in the treatment of lymphedema for under-privileged populations. Int J Med Sci 2010; 7: 68-71.
• -
• National Lymphedema Network, Position Paper. The diagnosis and treatment of lymphedema 2011.