Document Detail

Comparing two treatment methods for post mastectomy lymphedema: complex decongestive therapy alone and in combination with intermittent pneumatic compression.
MedLine Citation:
PMID:  20552817     Owner:  NLM     Status:  MEDLINE    
There is no cure for breast cancer related lymphedema. This study was conducted to compare two treatment methods for postmastectomy lymphedema: Complex Decongestive Therapy (CDT) and Modified CDT (MCDT) combined with Intermittent Pneumatic Compression (IPC). One hundred and twelve patients referred to the Lymphedema Clinic of the Iranian Center for Breast Cancer in 2008, were included in a randomized clinical trial. They were randomly allocated into two equal groups receiving daily CDT alone or in combination with IPC. The volume reduction of the upper limb was measured by water displacement volumetry. No statistically significant differences in demographic and clinical variables between the two groups were observed. During the intensive phase (phase I) of treatment, CDT alone yielded a significantly higher mean volume reduction than the combination modality (43.1% vs. 37.5%; p = 0.036). Limb volume measured three months following treatment, showed 16.9% volume reduction by CDT alone, and 7.5% reduction by MCDT plus IPC. This study demonstrated that the use of CDT alone, or in combination with IPC significantly reduced limb volume in patients with post mastectomy lymphedema. CDT alone provided better results in both treatment phases. Further studies will help to define the role of multidisciplinary approaches in the management of postmastectomy lymphedema.
S Haghighat; M Lotfi-Tokaldany; M Yunesian; M E Akbari; F Nazemi; J Weiss
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lymphology     Volume:  43     ISSN:  0024-7766     ISO Abbreviation:  Lymphology     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-06-17     Completed Date:  2010-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0155112     Medline TA:  Lymphology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  25-33     Citation Subset:  IM    
Breast Research Department, Iranian Center for Breast Cancer, Tehran, Iran.
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MeSH Terms
Breast Neoplasms / psychology,  surgery*
Lymphedema / therapy*
Mastectomy / adverse effects*
Middle Aged
Physical Therapy Modalities*
Quality of Life

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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