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Turkish Journal of Medical Sciences

DOI

10.3906/sag-1203-78

Abstract

To investigate the effect of intermittent pneumatic compression (IPC) pumps on upper extremity impairments in breast cancer-related lymphedema. Materials and methods: Twenty-five patients with lymphedema were randomized into 2 groups. For 3 weeks, the pneumatic compression group (n = 12) underwent a treatment program including skin care, compression bandage, exercise therapy, manual lymph drainage (MLD), and IPC. The control group (n = 13) participated in the same program, but without IPC. The range of motion (ROM) of the upper extremities was measured with goniometry, and dysfunction of the shoulder was assessed with the Constant-Murley scale. Results: Significant improvements were observed in the ROM of the shoulder when we evaluated pre- and posttreatment values within both groups, and the improvements were still significant at 1-month follow-up. Likewise, we found significant differences in the visual analogue scale (VAS) and the Constant-Murley scores in both groups when we compared pre-treatment and posttreatment values, and significant differences were still present at 1-month follow-up. However, there were no significant differences between the groups in the upper limb's ROM, the VAS, or the Constant-Murley scale after the therapy or at the 1-month follow-up. Conclusion: Upper extremity impairments may improve with conservative treatment of lymphedema. However, the addition of IPC to the therapy may not provide any additional benefit for upper extremity impairments.

Keywords

Upper limb, lymphedema, pneumatic compression, manual lymph drainage, rehabilitation

First Page

99

Last Page

103

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