Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation

Ma Yu-hua; Guo Xiao-xia; Zhang Li-tao; Lv Rong-zhao; Li Shi-ting; Tang Wan

doi:doi:10.11648/j.jfmhc.20190504.12

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Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation

Ma Yu-hua, Guo Xiao-xia, Zhang Li-tao, Lv Rong-zhao, Li Shi-ting, Tang Wan

Published in Journal of Family Medicine and Health Care (Volume 5, Issue 4)

Received: 15 August 2019 Accepted: 10 September 2019 Published: 9 October 2019

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Abstract

Objective We aim to explore the clinical effect of manual lymph drainage as a complex decongestive therapy on improving upper limb lymphedema after breast cancer operation. Methods Manual lymph drainage was performed on 28 patients with lymphedema after receiving breast cancer operation. Circumference measurement was done at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease at the first day before treatment and 1 day, 1 week, 2 weeks and 3 weeks after treatment. The movement of shoulder joints, pain and numbness of patients were recorded. Results After 3 weeks of manual lymph drainage, the circumference at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease was significantly lower than that before treatment. The detumescence of the middle segment of forearm (10 cm below transverse cubital crease) was better than that of the middle segment of upper arm (10 cm above transverse cubital crease) and the superior segment of upper arm (20 cm above transverse cubital crease) with a significant difference (P<0.05). After the treatment of manual lymph drainage, the life quality of patients improved greatly and there was a significant difference (P<0.05). Conclusion Manual lymph drainage as a complex decongestive therapy for lymphedema after breast cancer operation is safe, effective and thus well worth clinical application.

Published in	Journal of Family Medicine and Health Care (Volume 5, Issue 4)
DOI	10.11648/j.jfmhc.20190504.12
Page(s)	45-49
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Lymphedema, Manual Lymph Drainage, Complex Decongestive Therapy, Breast Cancer

References

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[6]	Hwang, J. M., Hwang, J. H., Kim, T. W., Chang, H. J., & Chu, I. H. (2013). Long term effects of complex decongestive therapy in breast cancer patients with arm lymphedema after axillary dissection. PM&R, 5 (9), S222.
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[12]	Stéphane Vignes, Porcher, R., Champagne, A., & Dupuy, A. (2006). Predictive factors of response to intensive decongestive physiotherapy in upper limb lymphedema after breast cancer treatment: a cohort study. Breast Cancer Research & Treatment, 98 (1), 1-6.
[13]	Huang, T. W., Tseng, S. H., Lin, C. C., Bai, C. H., Chen, C. S., & Hung, C. S., et al. (2013). Effects of manual lymphatic drainage on breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials. World Journal of Surgical Oncology, 11 (1), 15-15.
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APA Style

Ma Yu-hua, Guo Xiao-xia, Zhang Li-tao, Lv Rong-zhao, Li Shi-ting, et al. (2019). Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation. Journal of Family Medicine and Health Care, 5(4), 45-49. https://doi.org/10.11648/j.jfmhc.20190504.12

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ACS Style

Ma Yu-hua; Guo Xiao-xia; Zhang Li-tao; Lv Rong-zhao; Li Shi-ting, et al. Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation. J. Fam. Med. Health Care 2019, 5(4), 45-49. doi: 10.11648/j.jfmhc.20190504.12

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AMA Style

Ma Yu-hua, Guo Xiao-xia, Zhang Li-tao, Lv Rong-zhao, Li Shi-ting, et al. Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation. J Fam Med Health Care. 2019;5(4):45-49. doi: 10.11648/j.jfmhc.20190504.12

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@article{10.11648/j.jfmhc.20190504.12,
  author = {Ma Yu-hua and Guo Xiao-xia and Zhang Li-tao and Lv Rong-zhao and Li Shi-ting and Tang Wan},
  title = {Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation},
  journal = {Journal of Family Medicine and Health Care},
  volume = {5},
  number = {4},
  pages = {45-49},
  doi = {10.11648/j.jfmhc.20190504.12},
  url = {https://doi.org/10.11648/j.jfmhc.20190504.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20190504.12},
  abstract = {Objective We aim to explore the clinical effect of manual lymph drainage as a complex decongestive therapy on improving upper limb lymphedema after breast cancer operation. Methods Manual lymph drainage was performed on 28 patients with lymphedema after receiving breast cancer operation. Circumference measurement was done at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease at the first day before treatment and 1 day, 1 week, 2 weeks and 3 weeks after treatment. The movement of shoulder joints, pain and numbness of patients were recorded. Results After 3 weeks of manual lymph drainage, the circumference at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease was significantly lower than that before treatment. The detumescence of the middle segment of forearm (10 cm below transverse cubital crease) was better than that of the middle segment of upper arm (10 cm above transverse cubital crease) and the superior segment of upper arm (20 cm above transverse cubital crease) with a significant difference (P<0.05). After the treatment of manual lymph drainage, the life quality of patients improved greatly and there was a significant difference (P<0.05). Conclusion Manual lymph drainage as a complex decongestive therapy for lymphedema after breast cancer operation is safe, effective and thus well worth clinical application.},
 year = {2019}
}

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TY  - JOUR
T1  - Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation
AU  - Ma Yu-hua
AU  - Guo Xiao-xia
AU  - Zhang Li-tao
AU  - Lv Rong-zhao
AU  - Li Shi-ting
AU  - Tang Wan
Y1  - 2019/10/09
PY  - 2019
N1  - https://doi.org/10.11648/j.jfmhc.20190504.12
DO  - 10.11648/j.jfmhc.20190504.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 45
EP  - 49
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20190504.12
AB  - Objective We aim to explore the clinical effect of manual lymph drainage as a complex decongestive therapy on improving upper limb lymphedema after breast cancer operation. Methods Manual lymph drainage was performed on 28 patients with lymphedema after receiving breast cancer operation. Circumference measurement was done at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease at the first day before treatment and 1 day, 1 week, 2 weeks and 3 weeks after treatment. The movement of shoulder joints, pain and numbness of patients were recorded. Results After 3 weeks of manual lymph drainage, the circumference at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease was significantly lower than that before treatment. The detumescence of the middle segment of forearm (10 cm below transverse cubital crease) was better than that of the middle segment of upper arm (10 cm above transverse cubital crease) and the superior segment of upper arm (20 cm above transverse cubital crease) with a significant difference (P<0.05). After the treatment of manual lymph drainage, the life quality of patients improved greatly and there was a significant difference (P<0.05). Conclusion Manual lymph drainage as a complex decongestive therapy for lymphedema after breast cancer operation is safe, effective and thus well worth clinical application.
VL  - 5
IS  - 4
ER  -

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Author Information

Ma Yu-hua

Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Guo Xiao-xia

The First Affiliated Hospital of Jinan University, Guangzhou, China
Zhang Li-tao

Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Lv Rong-zhao

Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Li Shi-ting

Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Tang Wan

Department of Breast Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Ma Yu-hua, Guo Xiao-xia, Zhang Li-tao, Lv Rong-zhao, Li Shi-ting, et al. (2019). Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation. Journal of Family Medicine and Health Care, 5(4), 45-49. https://doi.org/10.11648/j.jfmhc.20190504.12

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ACS Style

Ma Yu-hua; Guo Xiao-xia; Zhang Li-tao; Lv Rong-zhao; Li Shi-ting, et al. Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation. J. Fam. Med. Health Care 2019, 5(4), 45-49. doi: 10.11648/j.jfmhc.20190504.12

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AMA Style

Ma Yu-hua, Guo Xiao-xia, Zhang Li-tao, Lv Rong-zhao, Li Shi-ting, et al. Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation. J Fam Med Health Care. 2019;5(4):45-49. doi: 10.11648/j.jfmhc.20190504.12

Copy | Download

@article{10.11648/j.jfmhc.20190504.12,
  author = {Ma Yu-hua and Guo Xiao-xia and Zhang Li-tao and Lv Rong-zhao and Li Shi-ting and Tang Wan},
  title = {Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation},
  journal = {Journal of Family Medicine and Health Care},
  volume = {5},
  number = {4},
  pages = {45-49},
  doi = {10.11648/j.jfmhc.20190504.12},
  url = {https://doi.org/10.11648/j.jfmhc.20190504.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20190504.12},
  abstract = {Objective We aim to explore the clinical effect of manual lymph drainage as a complex decongestive therapy on improving upper limb lymphedema after breast cancer operation. Methods Manual lymph drainage was performed on 28 patients with lymphedema after receiving breast cancer operation. Circumference measurement was done at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease at the first day before treatment and 1 day, 1 week, 2 weeks and 3 weeks after treatment. The movement of shoulder joints, pain and numbness of patients were recorded. Results After 3 weeks of manual lymph drainage, the circumference at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease was significantly lower than that before treatment. The detumescence of the middle segment of forearm (10 cm below transverse cubital crease) was better than that of the middle segment of upper arm (10 cm above transverse cubital crease) and the superior segment of upper arm (20 cm above transverse cubital crease) with a significant difference (P<0.05). After the treatment of manual lymph drainage, the life quality of patients improved greatly and there was a significant difference (P<0.05). Conclusion Manual lymph drainage as a complex decongestive therapy for lymphedema after breast cancer operation is safe, effective and thus well worth clinical application.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Manual Lymph Drainage as a Complex Decongestive Therapy for Upper Limb Lymphedema After Breast Cancer Operation
AU  - Ma Yu-hua
AU  - Guo Xiao-xia
AU  - Zhang Li-tao
AU  - Lv Rong-zhao
AU  - Li Shi-ting
AU  - Tang Wan
Y1  - 2019/10/09
PY  - 2019
N1  - https://doi.org/10.11648/j.jfmhc.20190504.12
DO  - 10.11648/j.jfmhc.20190504.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 45
EP  - 49
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20190504.12
AB  - Objective We aim to explore the clinical effect of manual lymph drainage as a complex decongestive therapy on improving upper limb lymphedema after breast cancer operation. Methods Manual lymph drainage was performed on 28 patients with lymphedema after receiving breast cancer operation. Circumference measurement was done at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease at the first day before treatment and 1 day, 1 week, 2 weeks and 3 weeks after treatment. The movement of shoulder joints, pain and numbness of patients were recorded. Results After 3 weeks of manual lymph drainage, the circumference at transverse palmar crease, transverse carpal crease, 10cm below transverse cubital crease, 10 cm above transverse cubital crease and 20 cm above transverse cubital crease was significantly lower than that before treatment. The detumescence of the middle segment of forearm (10 cm below transverse cubital crease) was better than that of the middle segment of upper arm (10 cm above transverse cubital crease) and the superior segment of upper arm (20 cm above transverse cubital crease) with a significant difference (P<0.05). After the treatment of manual lymph drainage, the life quality of patients improved greatly and there was a significant difference (P<0.05). Conclusion Manual lymph drainage as a complex decongestive therapy for lymphedema after breast cancer operation is safe, effective and thus well worth clinical application.
VL  - 5
IS  - 4
ER  -

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