scholarly journals Responsiveness of the Lymphedema Functioning, Disability, and Health Questionnaire for Upper Limb Lymphedema in Patients with Breast Cancer-Related Lymphedema

2020 ◽  
Vol 18 (4) ◽  
pp. 365-373
Author(s):  
Tessa De Vrieze ◽  
Nick Gebruers ◽  
Ines Nevelsteen ◽  
Wiebren A.A. Tjalma ◽  
Sarah Thomis ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Upper Limb ◽  
Health Questionnaire ◽  
Disability And Health ◽  
Breast Cancer Related Lymphedema

scholarly journals Electronic Moxibustion for Breast Cancer-Related Lymphedema: A Pilot Clinical Trial

2020 ◽  
Vol 19 ◽  
pp. 153473542096285
Author(s):  
Kyungsun Han ◽  
Ojin Kwon ◽  
Hyo-Ju Park ◽  
Ae-Ran Kim ◽  
Boram Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Range Of Motion ◽  
Upper Limb ◽  
Life Questionnaire ◽  
Breast Cancer Patients ◽  
Shoulder Range Of Motion ◽  
Breast Cancer Related Lymphedema ◽  
Shoulder Range

This is a preliminary study to investigate the feasibility of electronic moxibustion in breast cancer patients with upper limb lymphedema. As current treatment options for lymphedema are unsatisfactory and time consuming, there have been attempts to manage symptoms using integrative treatments. Electronic moxibustion was developed to compensate for the shortcomings of conventional moxibustion and is widely used in clinical practice. However, there have been no studies on using electronic moxibustion in breast cancer-related lymphedema. To investigate the feasibility of electronic moxibustion in treating breast cancer-related lymphedema, this study included subjects who completed primary cancer treatment at least 6 months ago and had more than 10 mm difference in arm circumference of upper limbs. All subjects were assigned to the treatment group. Subjects were treated with 16 sessions (30 minutes/session) of electronic moxibustion for 8 weeks followed by 4 weeks of follow-up. For outcome measures, upper limb circumferences, shoulder range of motion, bioimpedance analysis, and quality of life questionnaire were assessed. All 10 subjects completed the study. The effective index showed 38.21% reduction after treatment ( P = .0098) and 29.35% ( P = .0039) after 4 weeks of follow-up compared to the baseline. The reduction of lymphedema was most prominent at 10 cm above the elbow crease, where the mean reduction of circumference difference was 7.5 mm ( P = .0430) and continued to improve after treatment (mean reduction of 8.3 mm, P = .0156). There was significant improvement in shoulder range of motion only in flexion and internal rotation at week 9. There were 7 adverse events, and most were irrelevant to the treatment. Only 1 participant had a mild burn on the acupuncture point. Here, we demonstrate for the first time that electronic moxibustion treatment is a feasible treatment for breast cancer-related lymphedema. Electronic moxibustion may reduce differences in upper limb circumference and improve shoulder range of motion. A future comparative clinical trial is needed to confirm the clinical efficacy of this treatment.

scholarly journals Revision of the Lymphedema Functioning, Disability and Health Questionnaire for Upper Limb Lymphedema (Lymph-ICF-UL): Reliability and Validity

2019 ◽  
Vol 17 (3) ◽  
pp. 347-355 ◽  
Author(s):  
Tessa De Vrieze ◽  
Lore Vos ◽  
Nick Gebruers ◽  
An De Groef ◽  
Lore Dams ◽  
...  
Keyword(s):  
Upper Limb ◽  
Reliability And Validity ◽  
Health Questionnaire ◽  
Disability And Health

Complex Decongestive Therapy Enhances Upper Limb Functions in Patients with Breast Cancer-Related Lymphedema

2018 ◽  
Vol 16 (5) ◽  
pp. 446-452 ◽  
Author(s):  
Didem Sezgin Ozcan ◽  
Meltem Dalyan ◽  
Sibel Unsal Delialioglu ◽  
Ulku Duzlu ◽  
Cemile Sevgi Polat ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Upper Limb ◽  
Complex Decongestive Therapy ◽  
Breast Cancer Related Lymphedema ◽  
Decongestive Therapy

scholarly journals Upper extremity function and quality of life in patients with breast cancer related lymphedema

2016 ◽  
Vol 73 (9) ◽  
pp. 825-830 ◽  
Author(s):  
Dragana Bojinovic-Rodic ◽  
Svetlana Popovic-Petrovic ◽  
Sanja Tomic ◽  
Stanislava Markez ◽  
Dobrinka Zivanic
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Mental Health ◽  
Upper Extremity ◽  
Upper Limb ◽  
Limb Function ◽  
Upper Limb Function ◽  
Upper Extremity Function ◽  
Breast Cancer Related Lymphedema

Background/Aim. Upper limb lymphedema is one of the most frequent chronic complications after breast cancer treatment with a significant impact on the upper extremity function and quality of life (QoL). The aim of this study was to estimate health-related quality of life (HRQoL) in patients with breast-cancer-related lymphedema and its correlation with upper limb function and the size of edema. Methods. The cross-sectional study included 54 breast-cancer-related lymphedema patients. The quality of life was evaluated by the Short Form 36-Item Health Survey (SF-36). Upper limb function was assessed by the Quick Disability of the Arm, Shoulder and Hand questionnaire (Quick DASH). The size of lymphedema was determined by the arm circumference. Results. The higher HRQoL score was assessed for mental health (47.0 ? 12.2) than for physical one (42.2 ? 7.5). The highest values of SF-36 were found in the domains of Mental Health (67.7 ? 22.9) and Social Function (70.1 ? 23.1). The lowest scores were registered in the domains of Role Physical (46.9 ? 39.1) and General Health (49.3 ? 20.1). Upper extremity function statistically significantly correlated with the domains Role Physical, Bodily Pain and Physical Composite Summary and also, with the domain Role Emotional (p < 0.01). There was no statistically significant correlation between size of lymphedema and tested domains of quality of life (p > 0.05). Conclusions. Physical disability in patients with breast cancer-related lymphedema influences quality of life more than mental health. Upper limb function has a significant impact on quality of life, not only on the physical, but also on the mental component. The presence of breast-cancer-related lymphedema certainly affects upper limb function and quality of life, but in this study no significant correlation between the size of edema and quality of life was found.

scholarly journals Upper Limb Sensory Evaluations in Women With Breast Cancer Related Lymphedema Receiving Complex Decongestive Physiotherapy: An Ultrasonographic Study

2021 ◽  
Author(s):  
Emine Baran ◽  
Levent Özçakar ◽  
Serap Özgül ◽  
Sercan Aksoy ◽  
Türkan Akbayrak
Keyword(s):  
Breast Cancer ◽  
Upper Limb ◽  
Phase 1 ◽  
Subcutaneous Fat ◽  
Pressure Pain Threshold ◽  
Clinical Trial Registration ◽  
Tactile Localization ◽  
Complex Decongestive Physiotherapy ◽  
Registration Number ◽  
Breast Cancer Related Lymphedema

Abstract Purpose: The aim of this study was to investigate if/how the presence of lymphedema affected the sensation of the upper limb, and to assess whether complex decongestive physiotherapy (CDP) had a favorable impact on the sensory testings.Methods: A total of 27 patients with unilateral stage 2 breast cancer related lymphedema (BCRL) were included in the study. Bilateral ultrasonographic (epidermis, dermis, and subcutaneous fat thicknesses) and circumferential measurements were peformed at 10 cm distal to the elbow crease. Semmes-Weinstein monofilament (SWM), static and moving two-point discrimination, pressure pain threshold (PPT) and tactile localization tests were also applied at the same site. After their initial evaluation, all patients underwent CDP phase 1 program (five times a week, for three weeks). All the evaluations were repeated at the end of their treatment as well.Results: Before CDP, affected sides had significantly higher values than the unaffected sides in terms of SWM (p<0.001), static (p=0.002) and moving two-point discrimination (p=0.011), PPT (p=0.001), and tactile localization (p<0.001) values. After CDP, SWM (p=0.002), static (p=0.009) and moving two-point discrimination (p=0.024), PPT (p=0.014) and tactile localization (p<0.001) values decreased significantly on the affected sides.Conclusion: BCRL seem to reduce light touch, static and moving two-point discrimination, PPT and tactile localization sensations whereas CDP seems to improve these sensory perceptions in women with BCRL. Of note, ultrasonographic measurements also appear to be promising for prompt and convenient follow up in the management of these patients. Clinical Trial Registration Number: NCT04296929Date of registration: March 5, 2020

Kinesio taping versus compression garments for treating breast cancer–related lymphedema: a randomized, cross-over, controlled trial

2019 ◽  
Vol 33 (12) ◽  
pp. 1887-1897 ◽  
Author(s):  
Violeta Pajero Otero ◽  
Esther García Delgado ◽  
Concepción Martín Cortijo ◽  
Helena María Romay Barrero ◽  
Esperanza de Carlos Iriarte ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Upper Limb ◽  
Volume Change ◽  
Controlled Trial ◽  
Relative Volume ◽  
Point Scale ◽  
Compression Garments ◽  
Kinesio Taping ◽  
Breast Cancer Related Lymphedema

Objective: To determine the effectiveness of Kinesio taping compared to compression garments during maintenance phase of complex decongestive therapy for breast cancer–related lymphedema. Design: Randomized, cross-over, controlled trial. Setting: Outpatient tertiary-level hospital rehabilitation setting. Subjects: Randomized sample of 30 women with breast cancer–related lymphedema. Interventions: Participants received two interventions, Kinesio taping and compression garment, both lasting four weeks, whose order was randomized by blocks. A four-week washout period was established prior to the interventions and between them. Measurements: The main outcome was the lymphedema Relative Volume Change. Secondary outcomes were range of motion of arm joints, self-perception of comfort, and lymphedema-related symptoms (pain, tightness, heaviness, and hardness). Results: The decrease in the Relative Volume Change was greater in the Kinesio taping intervention (–5.7%, SD = 2.0) compared to that observed using compression garments (–3.4%, SD = 2.9) ( P < 0.001). The range of motion of five upper-limb movements increased after applying taping (between 5.8° and 16.7°) ( P < 0.05), but not after compression ( P > 0.05). In addition, taping was perceived as more comfortable by patients (between 2.4 and 3 points better than compression in four questions with a 5-point scale ( P < 0.001)) and further reduced lymphedema-related symptoms compared to compression (between 0.96 and 1.40 points better in four questions with a 6-point scale ( P < 0.05)). Conclusion: Kinesio taping was more effective than compression garments for reducing the lymphedema volume, with less severe lymphedema-related symptoms, better improvement of upper-limb mobility, and more comfort.

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