Combining Manual Lymph Drainage with Physical Exercise after Modified Radical Mastectomy Effectively Prevents Upper Limb Lymphedema

Lymphatic Research and Biology
Lijuan ZhangMingzhu Xin

Abstract

Upper limb lymphedema is a common complication after radical mastectomy in patients with breast cancer. In this study, we examined the efficacy of self-manual lymph drainage (MLD) after modified radical mastectomy for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients. Breast cancer patients scheduled for modified radical mastectomy were randomly apportioned to undergo physical exercise only (PE group, the control; n = 500) or self-MLD as well as exercise (MLD group; n = 500) after surgery. In the PE group, patients started to undertake remedial exercises and progressive weight training after recovery from anesthesia. In the MLD group, in addition to receiving the same treatments as in the PE group, the patients were trained to perform self-MLD on the surgical incision for 10 min/session, 3 sessions/day, beginning after suture removal and incision closure (10 to 30 days after the surgery). Scar formation was evaluated at one week, and 1, 3, 6, and 12 months after the surgery, respectively. Upper limb circumference and shoulder abduction were measured 24 h before surgery, and at one week, and 1, 3, 6 and 12 months after the surgery. Compared to those in the PE group, ...Continue Reading

References

Sep 1, 1995·The Journal of Burn Care & Rehabilitation·M J Baryza, G A Baryza
Jan 5, 1999·Cancer·J A Petrek, M C Heelan
Apr 29, 1999·American Journal of Surgery·V Velanovich, W Szymanski
Sep 21, 2000·The American Journal of Medicine·A SzubaS G Rockson
Dec 26, 2001·Archives of Physical Medicine and Rehabilitation·A M MegensD C McKenzie
Apr 7, 2005·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sheila H Ridner
Apr 27, 2005·Brain Research. Brain Research Reviews·Jerome J A HendriksChristine D Dijkstra
Dec 29, 2005·Lymphatic Research and Biology·Jane M Armer, Bob R Stewart
Jun 16, 2009·Lymphatic Research and Biology·Harvey N Mayrovitz
Nov 11, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Nicholas J PetrelliBarnett Kramer
Feb 11, 2010·Lymphatic Research and Biology·Waldemar L OlszewskiMarta Cakala
Jul 27, 2011·American Journal of Physical Medicine & Rehabilitation·Marta I KorpanVeronika Fialka-Moser
Dec 6, 2012·Journal of Cancer Survivorship : Research and Practice·Andrea L PusicBabak Mehrara
Feb 6, 2015·CA: a Cancer Journal for Clinicians·Lindsey A TorreAhmedin Jemal
Mar 15, 2015·Therapeutics and Clinical Risk Management·Pei-Chi HsiaoShiang-Ru Lu

❮ Previous
Next ❯

Citations

Jun 12, 2018·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Gary H LymanLorenzo Cohen
Feb 2, 2019·Tropical Medicine & International Health : TM & IH·Janet DouglassPatricia Graves
Mar 27, 2020·JAMA Surgery·Adeyemi A OgunleyeGordon K Lee
Aug 25, 2016·Plastic and Reconstructive Surgery·David W ChangPeter C Neligan
Aug 28, 2020·British Journal of Hospital Medicine·Kai Yuen Wong, Dominic Furniss
Mar 23, 2021·Lymphatic Research and Biology·Franz-Josef SchingaleDamla Ünal
Aug 17, 2021·Turkish Journal of Physical Medicine and Rehabilitation·Ayşegül YamanSevilay Karahan
Sep 26, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Xia LuoJun Yan

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.