Treatment
|
Andersen, 2000
|
Symptoms of lymphedema; 20 mm circumference or 200 ml volume difference between arms
|
C: 22
|
C: 56 (29 to 77)a
|
C: Sleeve and glove compression 32 to 40 mmHg + exercises + skin care + safety precautions
|
| |
I: 20
|
I: 53 (25 to 73)
|
I: C + MLD 8 times in 2 weeks
|
Didem, 2005
|
2-50 mm circumference difference between arms; lymphedema > 12 months after surgery
|
C: 26
|
C: 54.7 ± 12.1
|
C: Bandaging; elevation; head, neck and shoulder exercise, 3 days/week for 4 weeks
|
| |
I: 27
|
I: 53.1 ± 3.05
|
I: C + MLD
|
Johansson, 1998
|
>10% volume difference between arms
|
C: 12
|
C: 57.5 (47.5-69.5)a
|
C: Sleeve compression for 2 weeks + SPC 40 to 60 mmHg 2 hours/day for 2 weeks
|
| |
I: 12
|
I: 64 (52.5-69.5)
|
I: Sleeve compression 2 weeks + MLD for 5 days/weeks for 2 weeks
|
Johansson, 1999
|
>10% volume difference between arms
|
C: 18
|
C: 64 ± 12
|
C: Bandage compression for 3 weeks
|
| |
I: 20
|
I: 58 ± 12
|
I: C + MLD applied for 5 days during final weeks
|
McNeely, 2004
|
150 ml volume difference between arms
|
C: 24
|
C: 58 ± 13
|
C: Bandage compression for 4 weeks
|
| |
I: 21
|
I: 63 ± 13
|
I: C + MLD for 45 minutes/day 5 days/week for 4 weeks
|
Sitzia, 2002
|
Lymphedema of one arm secondary to treatment for breast cancer
|
C: 13
|
C: 75 ± 10.2
|
C: SLD 30 minutes/day, 5 days/weeks for 2 weeks + bandage + exercises
|
| |
I: 15
|
I: 68 ± 10.4
|
I: MLD 90 minutes/day, 5 days/week for 2 weeks + bandage + exercises
|
Williams, 2002
|
>10% volume difference between arms
|
G1: 15
|
A: 63 ± 13
|
G1: MLD for 3 weeks, then no treatment for 6 weeks, then SLD for 3 weeks
|
| |
G2: 16
|
B: 58 ± 13
|
G2: SLD for 3 weeks, then no treatment for 6 weeks, then MLD for 3 weeks
|
Szolnoky, 2009
|
Lymphedema >12 months after surgery
|
G1: 13
|
G1: 54.8
|
G1: MLD 60 minutes/day, 5 days/week for 2 weeks
|
| |
G2: 14
|
G2: 56.6
|
G2: MLD for 30 minutes/day then SPC 50 mmHg for 30 minutes/day, 5 days/week for 2 weeks
|
Prevention
|
Devoogdt, 2011
|
Patients after breast-cancer surgery
|
C: 81
|
C: 54.5 ± 11.1
|
C: Exercise therapy 30 minutes/session
|
| |
I: 77
|
I: 55.8 ± 12.5
|
I: C + MLD 30 minutes/session for 40 sessions
|
Torres Lacomba, 2010
|
Patients after breast-cancer surgery
|
C: 60
|
C: 52.9 ± 12.5
|
C: Educational strategy
|
| |
I: 60
|
I: 52.9 ± 10.7
|
I: C + MLD + massage + exercise
|