Lymph drainage of the cephalic and posterior chains and manual compression along the inside of the arm
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2018, Vol 1, Issue 6
Abstract
Introduction: Breast cancer is a major cause of mortality among women and one complication of treatment is the development of lymphedema. Objective: The objective of the present study was to drain each of these chains separately for one hour each on three different days and compare, using volumetry and bioimpedance, the variations in limb volume with one hour without any intervention. Method: Twenty patients with breast cancer-related lymphedema aged from 49 to 71 years were enrolled in this study in 2013 and 2014. They were subjected to one hour of drainage of either the cephalic chain, the posterior chain, manual compression along the path of vessels affected by lymph node dissection or one hour without the use of therapy (control) on four different days. The draining sequence was decided by lottery with assessment of volume changes being achieved by water displacement volumetry and bioimpedance (InBody S10) before and after each session. Results: Statistically significant reductions of the edema were observed with the three techniques employed (p-value <0.05). Conclusion: When therapies or maneuvers are combined, it is important to individually assess each one. The drainage maneuvers used in this study are effective however care must be taken when there is edema of the hands.
Authors and Affiliations
Maria de Fatima Guerreiro Godoy
Keywords
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