Effectiveness of complex decongestive therapy for lymphedema

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Effectiveness of complex decongestive therapy for lymphedema

Postby patoco » Thu Dec 20, 2007 8:07 pm

Effectiveness of the treatment-phase of two-phase complex decongestive physiotherapy for the treatment of extremity lymphedema.

Int J Clin Oncol. 2007 Dec

Yamamoto R, Yamamoto T.
Rhythmic Obstetrics and Gynecology Clinic, 4F-1, No. 26 Keiwa bldg.,
Kita 24, Nishi 4, Kita-Ku, Sapporo, 001-0024, Japan,
rhyth...@minos.ocn.ne.jp.

BACKGROUND: Complex decongestive physiotherapy (CDP) consists of a two- phase treatment program and is the international standard therapy for lymphedema. However, this therapy is not performed at most hospitals in Japan.

METHODS: The subjects of the present study were 82 Japanese women with lymphedema of an extremity (median age, 64 years; range, 40-86 years).

The volume of the affected extremity was compared before and after
therapy, and the duration of the CDP treatment phase and rate of edema
reduction were ascertained. The associations between the effect of CDP
and duration of lymphedema, operative procedure, and radiotherapy were also investigated.

RESULTS: For patients with upper-extremity lymphedema, the median duration of the CDP treatment phase was 6 treatment days (range, 3-26 days), median reduction of edema volume was 328.7 ml (range, 76.6-1258.0 ml; P = 0.0014), and median rate of edema reduction was 58.9% (range, 42.7%-97.1%). For patients with lower-extremity lymphedema, the median duration of the CDP treatment phase was 10 treatment days (range, 2-35 days), median reduction of edema volume was 1573.7 ml (range, 293.9-3471.1 ml; P < 0.0001), and median rate of edema reduction was 73.4% (range, 29.2%-117.3%).

Although no correlation was seen between duration of lymphedema and
duration of the CDP treatment phase or rate of edema reduction, the
degree of lymph node dissection tended to influence rate of edema
reduction in patients with lower-extremity lymphedema.

CONCLUSION: In a study of Japanese women with lymphedema, CDP comprising a two-phase treatment program was clearly effective.

Key words Combined physical therapy - Complex decongestive physiotherapy - Complete decongestive therapy - Complex decongestive therapy - Lymphedema


Springer Link

http://www.springerlink.com/content/f6283q55841l4540/

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