Back to Search
Start Over
Role of intermittent pneumatic compression in the treatment of breast cancer–related lymphoedema: a randomized controlled trial.
- Source :
- Clinical Rehabilitation; Feb2020, Vol. 34 Issue 2, p220-228, 9p, 1 Diagram, 3 Charts
- Publication Year :
- 2020
-
Abstract
- Objective: To evaluate the role of intermittent pneumatic compression in the treatment of breast cancer–related lymphoedema. Design: Randomized controlled trial. Setting: Physical medicine and rehabilitation clinic at a university hospital. Subjects: Seventy-six patients with lymphoedema. Interventions: Patients were allocated into Group 1 (complex decongestive treatment, n = 38) and Group 2 (complex decongestive treatment + intermittent pneumatic compression, n = 38). The complex decongestive treatment involved skin care, manual lymphatic drainage, compression bandaging, and exercise for 20 sessions. Group 2 additionally received intermittent pneumatic compression. Main measures: Quantitative outcomes consisted of volumetric measures prior to and after the treatment. Clinical assessments included severity of pain, heaviness and tightness, disability, grip strength, and depression. Results: Lymphoedema was similar at baseline, but treatments significantly reduced the excess volume (from 373 mL to 203 mL in Group 1 and 379.5 mL to 189.5 mL in Group 2). Percentage excess volumes (PEVs) decreased in both groups. The percentage reduction of excess volume was better in Group 2 than Group 1, but the intergroup difference was not significant. The clinical scores reflected improvements, but the heaviness and tightness read significantly lower in Group 2 than Group 1. Conclusion: Intermittent pneumatic compression seems to add no benefit when combined with complex decongestive treatment of lymphoedema, but, may be functional in reducing the sensations of heaviness and tightness for the patients with pitting oedema. [ABSTRACT FROM AUTHOR]
- Subjects :
- LYMPHEDEMA treatment
BREAST tumors
CHI-squared test
COMPARATIVE studies
MENTAL depression
EXERCISE
GRIP strength
LYMPHEDEMA
STATISTICAL sampling
SKIN care
T-test (Statistics)
STATISTICAL power analysis
QUANTITATIVE research
RANDOMIZED controlled trials
TREATMENT effectiveness
PRE-tests & post-tests
LYMPHATIC massage
COMPRESSION therapy
DATA analysis software
DESCRIPTIVE statistics
COMPRESSION bandages
MANN Whitney U Test
DISEASE complications
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 34
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 141487595
- Full Text :
- https://doi.org/10.1177/0269215519888792