Volume 8, Issue 6, December 2019, Page: 351-355
Manual Lymphatic Drainage Ccombined with Functional Exercise in the Treatment of Lymphedema After Modified Radical Mastectomy
Li Shiting, Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ma Yuhua, Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Received: Nov. 24, 2019;       Accepted: Dec. 9, 2019;       Published: Dec. 18, 2019
DOI: 10.11648/j.ajns.20190806.20      View  337      Downloads  122
Objective We aim to investigate the effect of manual lymphatic drainage in combination with functional exercise in the recovery from modified radical mastectomy. The outcome measurements are the incidence of lymphedema, function of upper limb, pain and life quality after operation. Methods We included 198 patients diagnosed with breast cancer in pathological examination and having received modified radical mastectomy in the First Affiliated Hospital of Jinan University from January 2016 to December 2017. The patients were randomized into experimental and control groups with 99 cases in each group. The control group was given guidance on functional exercise and health education. The control group, based on the treatment of control group was also given manual lymphatic drainage and the patients or their family members were ensured to master the practice of manual lymphatic drainage so that they could perform it after discharge. The incidence of lymphedema, pain, range of motion of shoulder joint and life quality among patients at three, six, twelve months postoperatively were recorded. Results There was no significant difference in the incidence of lymphedema at three months after operation (P<0.05) while there was significant difference in the incidence of lymphedema, range of motion of shoulder joint, pain score and life quality at six and twelve months postoperatively between the two groups (P>0.05). Conclusions Manual lymphatic drainage in combination with functional exercise is effective to reduce the incidence of lymphedema, difficulty in motion of shoulder joint and pain and numbness of affected limb, and improve life quality after breast cancer operation.
Breast Cancer, Manual Lymphatic Drainage, Functional Exercise, Life Quality
To cite this article
Li Shiting, Ma Yuhua, Manual Lymphatic Drainage Ccombined with Functional Exercise in the Treatment of Lymphedema After Modified Radical Mastectomy, American Journal of Nursing Science. Vol. 8, No. 6, 2019, pp. 351-355. doi: 10.11648/j.ajns.20190806.20
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Desantis, C. E., Ma, J., Gaudet, M. M., Newman, L. A., Miller, K. D., & Sauer, A. G., et al. (2019). Breast cancer statistics, 2019. CA: A Cancer Journal for Clinicians, 69 (suppl 12), 7-34.
Hua, Alexandra, Sesto, Mary E., Zhang, Xiao, Wassenaar, Timothy R., & Tevaarwerk, Amye J. (2019). Impact of survivorship care plans and planning on breast, colon, and prostate cancer survivors in a community oncology practice. Journal of Cancer Education (11), 1-7.
Smoot, B., Kober, K. M., Paul, S. M., Levine, J. D., Abrams, G., & Mastick, J., et al. (2017). Potassium channel candidate genes predict the development of secondary lymphedema following breast cancer surgery. Nursing Research, 66 (2), 85-94.
Shao, Y., & Zhong, D. S. (2016). Manual lymphatic drainage for breast cancer-related lymphoedema. European Journal of Cancer Care. 13 (5): 12517-12532.
Disipio, T., Rye, S., Newman, B., & Hayes, S. (2013). Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. The Lancet Oncology, 14 (6), 500-515.
Pusic, A. L., Cemal, Y., & Claudia Albornoz…. (2013). Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes. Journal of Cancer Survivorship, 7 (1), 83-92.
Kang, Y., Jang, D. H., Jeon, J. Y., Lee, S. J., Jeong, S. Y., & Shin, D. I., et al. (2012). Pressure monitoring of multilayer inelastic bandaging and the effect of padding in breast cancer–related lymphedema patients. American Journal of Physical Medicine & Rehabilitation, 91 (9), 768-773.
Ezzo, J., Manheimer, E., Mcneely, M. L., Howell, D. M., & Karadibak, D. (2015). Manual lymphatic drainage for lymphedema following breast cancer treatment. Cochrane database of systematic reviews, 21 (5), CD003475.
Uzkeser, H., Karatay, S., Erdemci, B., Koc, M., & Senel, K. (2015). Efficacy of manual lymphatic drainage and intermittent pneumatic compression pump use in the treatment of lymphedema after mastectomy: a randomized controlled trial. Breast Cancer, 22 (3), 300-307.
Galantino, ML., Stout, NL.(2013).Exercise interventions for upper limb dysfunction due to breast cancer treatment. Phys Ther. 2013, 93 (10), 1291-7.
Sat-Muñoz, D., Contreras-Hernández, I., Balderas-Peña, L. M., Hernández-Chávez, G. A., Solano-Murillo, P., & Mariscal-Ramírez, I., et al. (2011). [quality of life in mexican women with breast cancer at different stages and its association with sociodemographic characteristics, comorbidities and procedural factors at the mexican institute of social security]. Value in Health, 14 (5 Suppl 1), S133-6.
Bozkurt, M., Palmer, L. J., & Guo, Y. (2017). Effectiveness of decongestive lymphatic therapy in patients with lymphedema resulting from breast cancer treatment regardless of previous lymphedema treatment. Breast Journal, 23 (2), 154-158.
De, O. M. M. F., Costa, G. M. S., Amorim Bárbara Juarez, Dario, R. C., Sophie, D., & Natachie, F. S., et al. (2018). Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: a clinical trial. PLOS ONE, 13 (1), e0189176.
Norman, S. A., Localio, A. R., Potashnik, S. L., Simoes Torpey, H. A., Kallan, M. J., & Weber, A. L., et al. (2008). Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms. Journal of Clinical Oncology, 27 (3), 390-397.
Rupp, J., Hadamitzky, C., Henkenberens, C., Christiansen, H., Steinmann, D., & Bruns, F. (2019). Frequency and risk factors for arm lymphedema after multimodal breast-conserving treatment of nodal positive breast cancer-a long-term observation. Radiation Oncology, 14 (1), 39.
Bhatt, N. R., Boland, M. R., Mcgovern, R., Lal, A., Tormey, S., & Lowery, A. J., et al. (2017). Upper limb lymphedema in breast cancer patients in the era of z0011, sentinel lymph node biopsy and breast conservation. Ir J Med Sci, 187 (2), 1-5.
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