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A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema

Johansson, Karin LU ; Lie, E; Ekdahl, Charlotte LU and Lindfeldt, J (1998) In Lymphology 31(2)(Jun). p.56-64
Abstract
We compared manual lymph drainage (MLD) with sequential pneumatic compression (SPC) for treatment of unilateral arm lymphedema in 28 women previously treated for breast cancer. After 2 weeks of therapy with a standard compression sleeve (Part I) with maintenance of a steady arm volume, each patient was randomly assigned to either one of two treatment regimens (Part II). MLD was performed according to the Vodder technique for 45 min/day and SPC was performed with a pressure of 40-60 mmHg for 2 hours/day. Both treatments were carried out for 2 weeks. Arm volume was measured by water displacement. Arm mobility, strength, and subjective assessments were also determined. Lymphedema was reduced by 49 ml (7% reduction) (p = 0.01) in the total... (More)
We compared manual lymph drainage (MLD) with sequential pneumatic compression (SPC) for treatment of unilateral arm lymphedema in 28 women previously treated for breast cancer. After 2 weeks of therapy with a standard compression sleeve (Part I) with maintenance of a steady arm volume, each patient was randomly assigned to either one of two treatment regimens (Part II). MLD was performed according to the Vodder technique for 45 min/day and SPC was performed with a pressure of 40-60 mmHg for 2 hours/day. Both treatments were carried out for 2 weeks. Arm volume was measured by water displacement. Arm mobility, strength, and subjective assessments were also determined. Lymphedema was reduced by 49 ml (7% reduction) (p = 0.01) in the total group during Part I. During Part II, the MLD group decreased by 75 ml (15% reduction) (p < 0.001) and the SPC group by 28 ml (7% reduction) (p = 0.03). The total group reported a decrease of tension (p = 0.004) and heaviness (p = 0.01) during Part I. During Part II, only the MLD group reported a further decrease of tension (p = 0.01) and heaviness (p = 0.008). MLD and SPC each significantly decreased arm volume but no significant difference was detected between the two treatment methods. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
submitted
subject
in
Lymphology
volume
31(2)
issue
Jun
pages
56 - 64
publisher
International Society of Lymphology
ISSN
0024-7766
language
English
LU publication?
yes
id
a06df509-b7e0-474a-b84a-3376a72f9e56 (old id 3916273)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/9664269
date added to LUP
2013-07-02 14:24:02
date last changed
2016-04-16 11:25:41
@misc{a06df509-b7e0-474a-b84a-3376a72f9e56,
  abstract     = {We compared manual lymph drainage (MLD) with sequential pneumatic compression (SPC) for treatment of unilateral arm lymphedema in 28 women previously treated for breast cancer. After 2 weeks of therapy with a standard compression sleeve (Part I) with maintenance of a steady arm volume, each patient was randomly assigned to either one of two treatment regimens (Part II). MLD was performed according to the Vodder technique for 45 min/day and SPC was performed with a pressure of 40-60 mmHg for 2 hours/day. Both treatments were carried out for 2 weeks. Arm volume was measured by water displacement. Arm mobility, strength, and subjective assessments were also determined. Lymphedema was reduced by 49 ml (7% reduction) (p = 0.01) in the total group during Part I. During Part II, the MLD group decreased by 75 ml (15% reduction) (p &lt; 0.001) and the SPC group by 28 ml (7% reduction) (p = 0.03). The total group reported a decrease of tension (p = 0.004) and heaviness (p = 0.01) during Part I. During Part II, only the MLD group reported a further decrease of tension (p = 0.01) and heaviness (p = 0.008). MLD and SPC each significantly decreased arm volume but no significant difference was detected between the two treatment methods.},
  author       = {Johansson, Karin and Lie, E and Ekdahl, Charlotte and Lindfeldt, J},
  issn         = {0024-7766},
  language     = {eng},
  number       = {Jun},
  pages        = {56--64},
  publisher    = {ARRAY(0x87a11e8)},
  series       = {Lymphology},
  title        = {A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema},
  volume       = {31(2)},
  year         = {1998},
}