ISSN 2564-7784 | E-ISSN 2564-7040
Original Article
The Efficacy of Pneumatic Compression Devices in the Treatment of Patients with Lymphedema After Mastectomy
1 Department of Physiotherapy and Rehabilitation, İstanbul Bilgi University School of Health Sciences, İstanbul, Turkey  
Eur J Ther ; : -
DOI: 10.5152/EurJTher.2018.503
Key Words: Lymphedema, pneumatic compression, mastectomy
Abstract

Objective: The aim of this study is to compare the efficacy of compression bandage and compression device in the treatment of breast cancer patients with mild to moderate upper extremity secondary mastectomy with secondary lymphedema.


Methods: This study was carried out with 80 female patients with unilateral upper extremity lymphadenopathy diagnosed postoperatively in women with breast cancer who underwent mastectomy operation. Only bandage was applied to control group(n=40);intermittent pneumatic compression(IPC) and bandage (n=40) were applied to the treatment group. All patients received treatment for a total of 15 sessions for 5 weeks, 3 days a week. After all the patients' age, body mass index(BMI) were recorded the shoulder joint range of motions (ROM) were measured by goniometer, circumferential measurements were measured by tape measure 4 times,5th,10th, and 15th day and the Q-Dash functional disability scale was evaluated. The SPSS 22.0 Package Program was used for the statistical analyses.The statistical significance value was accepted as p<0.05.

 

Results: The average age of the patients participating in the study was 54.80±10.36,BMI was 28.78±4.65 kg/m2.When the circumferential and ROM measurements of the patients were 
examined, improvement was observed in both groups, but only in the bandaged group was better than IPC group (p=0.030;0.019;0.044;<0.001;<0.001). In the case of functional status 
assessments, improvement was observed only in patients who received bandages (p<0.001).

 

Conclusion: As a result of this study, there was no significant difference between compression bandage and intermittent compression device applications in the treatment of patients with lymphedema after mastectomy. Even in some measurements, it was seen that there was more improvement in patients who had only bandages applied.

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AVES | Copyright © 2018 European Journal of Therapeutics | Latest Update: 09.10.2018