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Related Experiment Videos

Complex physical therapy for the lymphoedematous arm.

R G Morgan1, J R Casley-Smith, M R Mason

  • 1Department of Surgery, Flinder's Medical Centre, Bedford, Australia.

Journal of Hand Surgery (Edinburgh, Scotland)
|August 1, 1992
PubMed
Summary
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Complex physical therapy significantly reduced post-mastectomy lymphoedema in patients. Two treatment courses led to over 50% oedema reduction, with continued improvement observed between therapies.

Area of Science:

  • Oncology
  • Rehabilitation Medicine
  • Lymphedema Management

Background:

  • Post-mastectomy lymphoedema is a common complication affecting quality of life.
  • Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy of a complex physical therapy program for post-mastectomy lymphoedema.
  • To assess the impact of two treatment courses on oedema reduction.

Main Methods:

  • Seventy-eight patients with post-mastectomy lymphoedema (grades 1 and 2) underwent a complex physical therapy regimen.
  • The regimen included skin care, lymphatic massage, compression bandaging/garments, and exercises.
  • Two four-week treatment courses were administered, separated by a one-year interval.

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Main Results:

  • A highly significant reduction in lymphoedema was observed in both grades.
  • The first treatment course achieved over 50% oedema reduction.
  • The second course reduced 50% of the remaining oedema, with further significant decrease noted between courses.

Conclusions:

  • Complex physical therapy is highly effective in managing post-mastectomy lymphoedema.
  • The treatment demonstrates sustained efficacy with repeated courses and during treatment intervals.
  • This therapy offers a significant benefit for patients experiencing lymphoedema after mastectomy.