Combining Manual Lymph Drainage with Physical Exercise after Modified Radical Mastectomy Effectively Prevents Upper Limb Lymphedema.

@article{Zhang2016CombiningML,
  title={Combining Manual Lymph Drainage with Physical Exercise after Modified Radical Mastectomy Effectively Prevents Upper Limb Lymphedema.},
  author={Lijuan Zhang and Aiqun Fan and Jun Yan and Yan He and Huiting Zhang and Huizhen Zhang and Qiaoling Zhong and Feng Liu and QingHua Luo and Liping Zhang and Hailin Tang and Ming-zhu Xin},
  journal={Lymphatic research and biology},
  year={2016},
  volume={14 2},
  pages={
          104-8
        }
}
OBJECTIVE Upper limb lymphedema is a common complication after radical mastectomy in patients with breast cancer. In this study, we examined the efficacy of self-manual lymph drainage (MLD) after modified radical mastectomy for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients. METHODS Breast cancer patients scheduled for modified radical mastectomy were randomly apportioned to undergo physical exercise only (PE group, the control… 

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References

SHOWING 1-10 OF 31 REFERENCES

Physiotherapy in upper limb lymphedema after breast cancer treatment: a randomized study.

Both treatment groups demonstrated absolute and relative reductions of excess limb volume, and the addition of MLD did not significantly increase the therapeutic response in women with lymphedema after breast cancer.

Effects of compression bandaging with or without manual lymph drainage treatment in patients with postoperative arm lymphedema.

Low stretch compression bandaging is an effective treatment giving volume reduction of slight or moderate arm lymphedema in women treated for breast cancer.

Treatment of Breast-Cancer-related Lymphedema With or Without Manual Lymphatic Drainage: A Randomized Study

The study showed that both groups obtained a significant reduction in edema and that MLD did not contribute significantly to reduce edema volume.

Prevention and management of arm lymphedema in the patient with breast cancer.

The advent of sentinel lymph node biopsy as an alternative to axillary dissection should decrease the rate of lymphedema, and the increasing number of breast cancer survivors and the high prevalence of the disease will continue to make lyMPhedema a significant consequence of Breast cancer treatment.

Lymphedema: A Therapeutic Approach in the Treatment and Rehabilitation of Cancer Patients

There are two phases of lymphedema treatment: the acute "intensive" phase and the maintenance phase, and the effectiveness of the various components in each phase, as well as the motivation and compliance of the patient, differs.

Decongestive lymphatic therapy for patients with cancer-related or primary lymphedema.

Quality of Life, Upper Extremity Function and the Effect of Lymphedema Treatment in Breast Cancer Related Lymphedema Patients

Upper extremity function was correlated with the age of breast cancer patients and QOL was influenced by M-stage, while Lymphedema treatment was found to be effective in reducing edema in patients with breast cancer related lymphedEMA.

Sentinel Lymph Node Biopsy and Axillary Dissection: Added Morbidity of the Arm, Shoulder and Chest Wall After Mastectomy and Reconstruction

The incidence and etiology of these complications are investigated as are the risk factors, and methods of prevention and treatment, and recommendations for avoiding these morbidities for postoperative rehabilitation are discussed.

Risk of breast cancer recurrence in patients receiving manual lymphatic drainage: a hospital-based cohort study

MLD is a gentle procedure that does not increase the risk of breast cancer recurrence in patients who develop BCRL, and receiving MLD therapy was not an outcome factor in multivariate analyses.

The standard of care for lymphedema: current concepts and physiological considerations.

The standard of care for lymphedema encompasses risk reduction, early detection, Phase-I Complete Decongestive Therapy in a clinical setting, and Phase-II Self Management at home, including relevant physiological aspects that form the basis of treatment and which are critical to successful outcomes.