Efficacy of manual lymphatic drainage and intermittent pneumatic compression pump use in the treatment of lymphedema after mastectomy: a randomized controlled trial

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dc.contributor.authorUzkeser, Hulya
dc.contributor.authorKaratay, Saliha
dc.contributor.authorErdemci, Burak
dc.contributor.authorKoc, Mehmet
dc.contributor.authorSenel, Kazim
dc.date.accessioned2020-03-26T19:05:54Z
dc.date.available2020-03-26T19:05:54Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThis study has two aims. The first was to investigate the efficacy and contribution of an intermittent pneumatic compression pump in the management of lymphedema, and the second was to evaluate the correlation of our measurement methods. This study was designed as a controlled clinical trial at the Physical Medicine and Rehabilitation Department of Ataturk University Faculty of Medicine. Thirty-one patients with upper extremity lymphedema following mastectomy participated in the study. The patients were divided into two groups. The complex decongestive physical therapy (CDT) group (group 1, n = 15) received allocated treatment, including skin care, manual lymphatic drainage, compression bandages, compression garments, and exercises. The other group had CDT combined with an intermittent pneumatic compression pump (group 2, n = 16). Both groups were treated five times a week for 3 weeks (for a total of 15 sessions). Patients were assessed according to circumference measurements of landmarks, limb volume difference, dermal thickness with ultrasonography (USG), and pain. We observed significant differencse in both groups when comparing them before and after therapy. The baseline median volume difference of group 1 was 630 (180-1,820), and after therapy it was 480 (0-1,410). In group 2, the beginning median volume difference was 840 (220-3,460), and after therapy it was 500 (60-2,160). However, no significant differences were observed between the two groups in terms of the above-mentioned parameters. We concluded that the pneumatic compression pump did not contribute to the reduction of lymphedema. In addition, gauging dermal thickness using USG may prove to be a useful measurement method in the evaluation of lymphedema.en_US
dc.identifier.doi10.1007/s12282-013-0481-3en_US
dc.identifier.endpage307en_US
dc.identifier.issn1340-6868en_US
dc.identifier.issn1880-4233en_US
dc.identifier.issue3en_US
dc.identifier.pmid23925581en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage300en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s12282-013-0481-3
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32092
dc.identifier.volume22en_US
dc.identifier.wosWOS:000353953400013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGER JAPAN KKen_US
dc.relation.ispartofBREAST CANCERen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectLymphedemaen_US
dc.subjectIntermittent pneumatic compressionen_US
dc.subjectManual lymphatic drainageen_US
dc.subjectMeasurement methodsen_US
dc.titleEfficacy of manual lymphatic drainage and intermittent pneumatic compression pump use in the treatment of lymphedema after mastectomy: a randomized controlled trialen_US
dc.typeArticleen_US

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