Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective To compare the treatment effects, satisfaction with the treatment, and performance improvement following bandage treatment using the spiral method and spica method for breast cancer-related lymphedema (BCRL). Methods A prospective study with 46 patients with BCRL was conducted. All patients were divided into either the spiral or spica group for non-elastic bandage therapy and received the same treatment for 2 weeks, apart from the group-specific bandaging method used. For both groups, the Quality of Life Instrument score before treatment, changes in the volume of lymphedema limb and the Disability of the Arm, Shoulder, and Hand (DASH) score before and after treatment, and treatment satisfaction after treatment were compared. The Student t-test was used to compare the parameters between the two different bandage methods. Results With respect to the treatment outcomes, total volume reduction and proximal part volume reduction after treatment were 98.0±158.3 mL and 56.0±65.4 mL in the spiral method group and 199.0±125.1 mL and 106.1±82.2 mL in the spica method group, respectively. Therefore, the spica method group showed a significantly better improvement (p<0.05). The DASH score changes after treatment showed that the spiral group score increased by 3.8±5.4 and the spica group score increased by 7.7±6.1; thus, a significantly better improvement was noted in the spica group (p<0.05). Conclusion The spica method indicated better volume reduction and DASH score improvement than the spiral method. Therefore, the spica method may be more effective for treating patients with BCRL.
Abstract
Objective To compare the treatment effects, satisfaction with the treatment, and performance improvement following bandage treatment using the spiral method and spica method for breast cancer-related lymphedema (BCRL). Methods A prospective study with 46 patients with BCRL was conducted. All patients were divided into either the spiral or spica group for non-elastic bandage therapy and received the same treatment for 2 weeks, apart from the group-specific bandaging method used. For both groups, the Quality of Life Instrument score before treatment, changes in the volume of lymphedema limb and the Disability of the Arm, Shoulder, and Hand (DASH) score before and after treatment, and treatment satisfaction after treatment were compared. The Student t-test was used to compare the parameters between the two different bandage methods. Results With respect to the treatment outcomes, total volume reduction and proximal part volume reduction after treatment were 98.0±158.3 mL and 56.0±65.4 mL in the spiral method group and 199.0±125.1 mL and 106.1±82.2 mL in the spica method group, respectively. Therefore, the spica method group showed a significantly better improvement (p<0.05). The DASH score changes after treatment showed that the spiral group score increased by 3.8±5.4 and the spica group score increased by 7.7±6.1; thus, a significantly better improvement was noted in the spica group (p<0.05). Conclusion The spica method indicated better volume reduction and DASH score improvement than the spiral method. Therefore, the spica method may be more effective for treating patients with BCRL.
참고문헌 (29)
- Kim SJ, "Effect of complex decongestive therapy on edema and the quality of life in breast cancer patients with unilateral leymphedema", Lymphology, 40, pp.143~151 (2007)
- Kim DS, "Effect of active resistive exercise on breast cancer-related lymphedema: a randomized controlled trial", Arch Phys Med Rehabil, 91, pp.1844~1848 (2010)
- King M, "Compression garments versus compression bandaging in decongestive lymphatic therapy for breast cancer-related lymphedema: a randomized controlled trial", Support Care Cancer, 20, pp.1031~1036 (2012)
- Tsai HJ, "Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study", Support Care Cancer, 17, pp.1353~1360 (2009)
- Kligman L, "The treatment of lymphedema related to breast cancer: a systematic review and evidence summary", Support Care Cancer, 12, pp.421~431 (2004)
- Karki A, "Lymphoedema therapy in breast cancer patients : a systematic review on effectiveness and a survey of current practices and costs in Finland", Acta Oncol, 48, pp.850~859 (2009)
- Badger C, "Physical therapies for reducing and controlling lymphoedema of the limbs", Cochrane Database Syst Rev, (4), pp.CD003141~ (2004)
- Armer JM, "A comparison of four diagnostic criteria for lymphedema in a post-breast cancer population", Lymphat Res Biol, 3, pp.208~217 (2005)
- Ridner SH, "Quality of life and a symptom cluster associated with breast cancer treatment-related lymphedema", Support Care Cancer, 13, pp.904~911 (2005)
- Zuther JE, "Lymphedema management: the comprehensive guide for practitioners", pp.127~129 (2005), Thieme
- Taylor R, "Reliability and validity of arm volume measurements for assessment of lymphedema", Phys Ther, 86, pp.205~214 (2006)
- Clark B, "Incidence and risk of arm oedema following treatment for breast cancer : a threeyear follow-up study", QJM, 98, pp.343~348 (2005)
- Sang Hyeong Ryu, "Diagnostic Significance of Fibrin Degradation Products and D-Dimer in Patients With Breast Cancer-Related Lymphedema", Annals of Rehabilitation Medicine, 43(1), pp.81~86 (2019), 대한재활의학회[DOI]
- Levenhagen K, "Diagnosis of upper quadrant lymphedema secondary to cancer: clinical practice guideline from the oncology section of the American Physical Therapy Association", Phys Ther, 97, pp.729~745 (2017)
- 김바울, "Quantitative Lymphoscintigraphy to Predict the Possibility of Lymphedema Development After Breast Cancer Surgery: Retrospective Clinical Study", Annals of Rehabilitation Medicine, 41(6), pp.1065~1075 (2017), 대한재활의학회
- Leesuk Kim, "Prediction of Treatment Outcome with Bioimpedance Measurements in Breast Cancer Related Lymphedema Patients", Annals of Rehabilitation Medicine, 35(5), pp.687~693 (2011), 대한재활의학회
- Didem K, "The comparison of two different physiotherapy methods in treatment of lymphedema after breast surgery", Breast Cancer Res Treat, 93, pp.49~54 (2005)
- Casley-Smith JR, "Modern treatment of lymphoedema. I. Complex physical therapy: the first 200 Australian limbs", Australas J Dermatol, 33, pp.61~68 (1992)
- Matthews K, "Effectiveness of modified complex physical therapy for lymphoedema treatment", Aust J Physiother, 42, pp.323~328 (1996)
- Damstra RJ, "Compression therapy in breast cancer-related lymphedema: a randomized, controlled comparative study of relation between volume and interface pressure changes", J Vasc Surg, 49, pp.1256~1263 (2009)
- Partsch H, "Classification of compression bandages : practical aspects", Dermatol Surg, 34, pp.600~609 (2008)
- Mayrovitz HN, "The standard of care for lymphedema: current concepts and physiological considerations", Lymphat Res Biol, 7, pp.101~108 (2009)
- Benigni JP, "Compression bandages : influence of techniques of use on their clinical efficiency and tolerance", Int Angiol, 27, pp.68~73 (2008)
- Devoogdt N, "Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema(Lymph-ICF-LL) : reliability and validity", Phys Ther, 94, pp.705~721 (2014)
- Viehoff PB, "Functioning in lymphedema from the patients’ perspective using the International Classification of Functioning, Disability and health (ICF) as a reference", Acta Oncol, 54, pp.411~421 (2015)
- Do JH, "Effects of resistance exercises and complex decongestive therapy on arm function and muscular strength in breast cancer related lymphedema", Lymphology, 48, pp.184~196 (2015)
- Ezzo J, "Manual lymphatic drainage for lymphedema following breast cancer treatment", Cochrane Database Syst Rev, (5), pp.CD003475~ (2015)
- Campanholi LL, "The validity of an adjustable compression Velcro wrap for the treatment of patients with upper limb lymphedema secondary to breast cancer: a pilot study", Mastology, 27, pp.206~212 (2017)
- International Society of Lymphology, "The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology", Lymphology, 46, pp.1~11 (2013)