期刊
EUROPEAN JOURNAL OF CANCER CARE
卷 11, 期 4, 页码 254-261出版社
BLACKWELL PUBLISHING LTD
DOI: 10.1046/j.1365-2354.2002.00312.x
关键词
manual lymphatic drainage (MLD); breast cancer-related lymphoedema; lymphoedema management; lymphoedema therapy; combined decongestive therapy (CDT); massage
This paper describes a randomized controlled crossover study examining the effects of manual lymphatic drainage (MLD) in 31 women with breast cancer-related lymphoedema. MLD is a type of massage used in combination with skin care, support/compression therapy and exercise in the management of lymphoedema. A modified version of MLD, referred to as simple lymphatic drainage (SLD), is commonly taught as a self-help measure. There has been limited research into the efficacy of MLD and SLD. The study reported here explores the effects of MLD and SLD on a range of outcome measures. The findings demonstrate that MLD significantly reduces excess limb volume (difference, d =71, 95% CI=16-126, P =0.013) and reduced dermal thickness in the upper arm (d =0.15, 95% CI=0.12-0.29, P =0.03). Quality of life, in terms of emotional function (d =7.2, 95% CI=2.3-12.1, P =0.006), dyspnoea (d =-4.6, 95% CI=-9.1 to -0.15, P =0.04) and sleep disturbance (d =-9.2, 95% CI=-17.4 to -1.0, P =0.03), and a number of altered sensations, such as pain and heaviness, were also significantly improved by MLD. The study provides evidence to support the use of MLD in women with breast cancer-related lymphoedema. The limitations of the study are outlined and future areas for study are highlighted.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据