Ultrasonographic Evaluation of Therapeutic Effects of Complex Decongestive Therapy in Breast Cancer-Related Lymphedema
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To evaluate the usefulness of ultrasonography as a follow-up tool for evaluating the effects of complex decongestive physiotherapy (CDPT) in breast cancer-related lymphedema (BCRL).Methods Twenty patients with BCRL were enrolled in this study. All patients had undergone therapy in the CDPT program for 2 weeks. Soft tissue thickness of both the affected and unaffected upper limb was measured before and after CDPT. The measurements were taken at 3 points (the mid-point between the medial and lateral epicondyles at the elbow level, 10 cm proximal and 10 cm distal to the elbow) with and without pressure. We then calculated the compliance of soft tissue before and after CDPT. Circumferences of both the affected and unaffected upper limb were also measured before and after CDPT at the 3 defined points.Results After 2 weeks of the CDPT program, the circumference and soft tissue thickness of the unaffected upper limb did not significantly change. In the affected upper limb, the circumference was significantly reduced in the 3 point, when compared with measurements taken prior to treatment. Additionally, soft tissue thickness was significantly reduced at the elbow and 10 cm proximal to the elbow. After CDPT, compliance at each of the 3 points had increased, but this trend was not significantly different.Conclusion Our results showed that arm circumference and ultrasonography-derived soft tissue thickness was useful as a way of assessing therapeutic effects of CDPT.
Abstract
Objective To evaluate the usefulness of ultrasonography as a follow-up tool for evaluating the effects of complex decongestive physiotherapy (CDPT) in breast cancer-related lymphedema (BCRL).Methods Twenty patients with BCRL were enrolled in this study. All patients had undergone therapy in the CDPT program for 2 weeks. Soft tissue thickness of both the affected and unaffected upper limb was measured before and after CDPT. The measurements were taken at 3 points (the mid-point between the medial and lateral epicondyles at the elbow level, 10 cm proximal and 10 cm distal to the elbow) with and without pressure. We then calculated the compliance of soft tissue before and after CDPT. Circumferences of both the affected and unaffected upper limb were also measured before and after CDPT at the 3 defined points.Results After 2 weeks of the CDPT program, the circumference and soft tissue thickness of the unaffected upper limb did not significantly change. In the affected upper limb, the circumference was significantly reduced in the 3 point, when compared with measurements taken prior to treatment. Additionally, soft tissue thickness was significantly reduced at the elbow and 10 cm proximal to the elbow. After CDPT, compliance at each of the 3 points had increased, but this trend was not significantly different.Conclusion Our results showed that arm circumference and ultrasonography-derived soft tissue thickness was useful as a way of assessing therapeutic effects of CDPT.
참고문헌 (11)
- 정호중, "Causes of Shoulder Pain in Women with Breast Cancer-Related Lymphedema: A Pilot Study", Yonsei Medical Journal, 52(4), pp.661~667 (2011), 연세대학교의과대학
- Na-mi Han, "Usefulness of Ultrasound Examination in Evaluation of Breast Cancer-Related Lymphedema", Annals of Rehabilitation Medicine, 35(1), pp.101~109 (2011), 대한재활의학회
- Petrek JA., "Lymphedema : current issues in research and management", CA Cancer J Clin, 50, pp.292~307 (2000)
- Hwang JH., "Lymphscintigraphy predicts response to complex physical therapy in patients with early stage extremity lymphedema", Lymphology, 40, pp.172~176 (2007)
- Deltombe T., "Reliability and limits of agreement of circumferential, water displacement, and optoelectronic volumetry in the measurement of upper limb lymphedema", Lymphology, 40, pp.26~34 (2007)
- Tomczak H., "Lymphoedema : lymphoscintigraphy versus other diagnostic techniques : a clinician’s point of view", Nucl Med Rev Cent East Eur, 8, pp.37~43 (2005)
- Stanton AW., "Non-invasive assessment of the lymphedematous limb", Lymphology, 33, pp.122~135 (2000)
- Lim CY., "Measurement of lymphedema using ultrasonography with the compression method", Lymphology, 44, pp.72~81 (2011)
- Kim W., "Measurement of soft tissue compliance with pressure using ultrasonography", Lymphology, 41, pp.167~177 (2008)
- Hwang JH., "Improvement of lymphatic function after complex physical therapy change of lymphoscintigraphy", J Korean Acad Rehabil Med, 22, pp.698~704 (1998)
- Tassenoy A., "Postmastectomy lymphoedema : different patterns of fluid distribution visualised by ultrasound imaging compared with magnetic resonance imaging", Physiotherapy, 97, pp.234~243 (2011)