The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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The Effects of Manual Drainage Lymph (MLD) on the Volume of the Upper Extremities of Women with Breast Cancer

림프마사지(MLD)가 유방암 절제술을 한 여성의 상지 부피에 미치는 영향

  • Lee, Min-ji (Dept. of Physical Therapy, Korean Medicine Hospital of Daejeon University) ;
  • Kwon, O-kook (Dept. of Physical Therapy, Pilainfit academy) ;
  • Yang, Young-sik (Dept. of Physical Therapy, Pilainfit academy) ;
  • Kim, Youn-jin (Dept. of Physical Therapy, Pine Pain clinic) ;
  • Lee, Ho-jun (Dept. of Physical Therapy, Good Morning Clinic)
  • 이민지 (대전대학교 둔산한방병원) ;
  • 권오국 (필라인핏아카데미) ;
  • 양영식 (필라인핏아카데미) ;
  • 김용진 (파인통증의학과 물리치료실) ;
  • 이호준 (굿모닝클리닉 물리치료실)
  • Received : 2019.04.30
  • Accepted : 2019.06.25
  • Published : 2019.06.30
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Abstract

Background: This study aimed to investigate the effects of manual lymph drainage (MLD) on women with breast cancer and lymph edema. Methods: This study was carried out with a total of 23 women with breast cancer and lymph edema. By drawing lots, women were assigned to either the manual drainage group (MLD, n=12), a control group (n=11). Outcomes such as the arm size, visual analogue scale, shoulder pain and disability index, and functional assessment cancer therapy-breast (FACT-B) were measured to 0 week, 2 weeks, 4 weeks, and 8 weeks intervention for both groups. Results: A significant difference was found in the arm size, pain, functional disability level, and quality of life between the two groups and time(p<.01). Significant difference in functional disability level between 2 and 8 weeks at 4 weeks and 8 weeks for pain(p<.01), and the quality for life was significantly different at all time points (p<.01). Conclusions: Applying MLD treatment to women with breast cancer proved to have a positive effect.

Keywords

References

  1. Barsotti J, Gaisne E. Surgical treatment of lymphedema. J Mal Vasc, 1990;15(2):163-169. https://doi.org/10.1515/med-2016-0023
  2. Cella D. Assessment methods for quality of life in cancer patients: The FACIT measurement system. J Pharm med. 2000;14(2):78-81. https://doi.org/10.2165/00124363-200004000-00007
  3. Cho SG, Song SW, Kim HH, et al. A case of thymic hyperplasia after high-dose chemotherapy in a patient with malignant lymphoma. Korean J Med. 2002;62(3):293-297.
  4. Dennis B. Acquired lymphedema: A chart review of nine women's responses to intervention. Am J Occup Ther. 1993;47(10):8 https://doi.org/10.5014/ajot.47.10.891
  5. Deutsch M, Flickinger JC. Arm edema after lumpectomy and breast irradiation. Am J Clin Oncol. 2003;26(3):229-231. https://doi.org/10.1097/01.COC.0000018177.75673.06
  6. Didem K, Ufuk YS, Serdar S, et al. The comparison of two different physiotherapy methods in treatment of lymphedema after breast surgery. Breast Cancer Res Treat. 2005;93(1):49-54. https://doi.org/10.1007/s10549-005-3781-2
  7. Franzeck UK, Spiegel I, Fischer M, et al. Combined physical therapy for lymphedema evaluated by fluorescence microlymphography and lymph capillary pressure measurements. J Vasc Res. 1997;34(4):306-311. https://doi.org/10.1159/000159238
  8. Henoch I, Bergman B, Gustafsson M, et al. The impact of symptoms, coping capacity, and social support on quality of life experience over time in patients with lung cancer. Journal of Pain and symptom management. J Pain Symptom Manage. 2007;34(4):370-379. https://doi.org/10.1016/j.jpainsymman.2006.12.005
  9. Holzner B, Kemmler G, Kopp M, et al. Quality of life in breast cancer patients-not enough attention for long term survivors. Psychosomatics. 2001;42(2):117-23. https://doi.org/10.1176/appi.psy.42.2.117
  10. Janwantanakul P, Magarey ME, Jones MA, et al. Variation in shoulder position sense at mid and extreme range of motion. Arch Phys Med Rehabil. 2001;82(6):840-844. https://doi.org/10.1053/apmr.2001.21865
  11. Karki A, Simonen R, Malkia E, et al, Postoperative education concerning the use of the upper limb and exercise and treatment of the upper limb: cross-sectional survey of 105 breast cancer patients. Supportive Care Cancer. 2004;12(5):347-354. https://doi.org/10.1007/s00520-004-0612-7
  12. Kim SJ. Lymphedema. Seoul, Jungdam media, 2002;109-207.
  13. Kim SM. The effects of Exercise Program on Leptin, Insulin and Immune Function for Breast cancer Patients. Sookmyung University. Doctoral Dissertation. 2009.
  14. Ko DS, Lerner R, Klose G, et al. Effective treatment of lymphedema of the extremities. Arch Surg. 1998;133(4):452-458. https://doi.org/10.1001/archsurg.133.4.452
  15. Kolden GG, Strauman TJ, Ward A, et al. A pilot study of group exercise training (GET) for women with primary breast cancer: feasibility and health benefits. Psycho-Oncology. 2002;11(5):447-456.https://doi.org/10.1002/pon.591
  16. Lee BK, Lee JS, Kim TS. The influence of 4 wks complex therapeutic exercises on visual analog scale of pain and range of motion for middle-aged women with breast cancer-related lymphedema. J Korean Soc Phys Med.2013;8(2):153-161. http://dx.doi.org/10.13066/kspm.2013.8.2.153
  17. MacDermid JC, Solomon P, Prkachin K. The shoulder pain and disability index demonstrates factor, construct and longitudinal validity. BMC Musculoskelet Disord. 2006;7(1):12. https://doi.org/10.1186/1471-2474-7-12
  18. McNeely ML, Magee DJ, Lees AW, et al. The addition of manual lymph drainage to compression therapy for breast cancer related lymphedema: A randomized controlled trial. Breast Cancer Res Tret. 2004;86(2):95-106. https://doi.org/10.1023/B:BREA.0000032978.67677.9f
  19. Mortimer PS, Bates DO, Brassington HD, et al. The prevalence of arm edema following treatment for breast cancer. Q J Med. 1996;89:377-380. https://doi.org/10.1093/qjmed/89.5.377
  20. Mondry TE, Riffenburgh RH, Johnstone PA. Prospective trial of complete decongestive therapy for upper extremity lymphedema after breast cancer therapy. Cancer J. 2004;10(1):42-48.https://doi.org/10.1002/jso.21035
  21. Pakseresht S, Ingle GK, Garg S. Quality of life of women with breast cancer at the time of diagnosis in New Delhi. J Canc Sci Ther. 2011;3:66-69. https://doi.org/10.4172/1948-5956.1000060
  22. Roach KE, Budiman-Mak E, Songsiridej N, et al. Development of a shoulder pain and disability index. Arthritis Care Res. 1991;4(4):143-149. https://doi.org/10.1002/art.1790040403
  23. Seo HD, Lee KW, Jung KS, et al. Reliability and validity of the Korean version of shoulder pain and disability index. J Spec Educ Rehabil Sci. 2012;51(2):319-336. https://doi.org/10.5535/arm.2013.37.6.814
  24. Shih YC, Xu Y, Cormier JN, et al. Incidence, treatment costs, and complications of lymphedema after breast cancer among women of working age: A 2-year follow-up study. J Clin Oncol. 2009;27:2007-2014. https://doi.org/10.1200/JCO.2008.18.3517
  25. Taylor R, Jayasinghe UW, Koelmeyer L, et al. Reliability and validity of arm volume measurements for assessment of lymphedema. Phys Ther. 2006;86(2):205-214. https://doi.org/10.1093/ptj/86.2.205
  26. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  27. Wilkinson S. Aromatherapy and massage in palliative care. Int J Palliati Nurs. 1995;1(1):21-30. https://doi.org/10.12968/ijpn.1995.1.1.21
  28. Williams AF, Vadgama A, Franks PJ, et al. A randomized controlled crossover study of manual lymphatic drainage therapy in women with breast with breast cancer related lymphoedema. Eur J Cancer Care. 2002;11(4):254-261. https://doi.org/10.1046/j.1365-2354.2002.00312.x
  29. Yoo HJ, Ahn SH, Eremenco S, et al. Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Qual Life Res. 2005;14(6):1627-1632. https://doi.org/10.1007/s11136-004-7712-1