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Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema

OBJECTIVE: To compare the treatment effects, satisfaction with the treatment, and performance improvement following bandage treatment using the spiral method and spica method for breast cancer-related lymphedema (BCRL). METHODS: A prospective study with 46 patients with BCRL was conducted. All patie...

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Autores principales: Oh, Se Hyun, Ryu, Sung Hwan, Jeong, Ho Joong, Lee, Jung Hyun, Sim, Young-Joo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6960079/
https://www.ncbi.nlm.nih.gov/pubmed/31918530
http://dx.doi.org/10.5535/arm.2019.43.6.677
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author Oh, Se Hyun
Ryu, Sung Hwan
Jeong, Ho Joong
Lee, Jung Hyun
Sim, Young-Joo
author_facet Oh, Se Hyun
Ryu, Sung Hwan
Jeong, Ho Joong
Lee, Jung Hyun
Sim, Young-Joo
author_sort Oh, Se Hyun
collection PubMed
description OBJECTIVE: To compare the treatment effects, satisfaction with the treatment, and performance improvement following bandage treatment using the spiral method and spica method for breast cancer-related lymphedema (BCRL). METHODS: A prospective study with 46 patients with BCRL was conducted. All patients were divided into either the spiral or spica group for non-elastic bandage therapy and received the same treatment for 2 weeks, apart from the group-specific bandaging method used. For both groups, the Quality of Life Instrument score before treatment, changes in the volume of lymphedema limb and the Disability of the Arm, Shoulder, and Hand (DASH) score before and after treatment, and treatment satisfaction after treatment were compared. The Student t-test was used to compare the parameters between the two different bandage methods. RESULTS: With respect to the treatment outcomes, total volume reduction and proximal part volume reduction after treatment were 98.0±158.3 mL and 56.0±65.4 mL in the spiral method group and 199.0±125.1 mL and 106.1±82.2 mL in the spica method group, respectively. Therefore, the spica method group showed a significantly better improvement (p<0.05). The DASH score changes after treatment showed that the spiral group score increased by 3.8±5.4 and the spica group score increased by 7.7±6.1; thus, a significantly better improvement was noted in the spica group (p<0.05). CONCLUSION: The spica method indicated better volume reduction and DASH score improvement than the spiral method. Therefore, the spica method may be more effective for treating patients with BCRL.
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spelling pubmed-69600792020-01-22 Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema Oh, Se Hyun Ryu, Sung Hwan Jeong, Ho Joong Lee, Jung Hyun Sim, Young-Joo Ann Rehabil Med Original Article OBJECTIVE: To compare the treatment effects, satisfaction with the treatment, and performance improvement following bandage treatment using the spiral method and spica method for breast cancer-related lymphedema (BCRL). METHODS: A prospective study with 46 patients with BCRL was conducted. All patients were divided into either the spiral or spica group for non-elastic bandage therapy and received the same treatment for 2 weeks, apart from the group-specific bandaging method used. For both groups, the Quality of Life Instrument score before treatment, changes in the volume of lymphedema limb and the Disability of the Arm, Shoulder, and Hand (DASH) score before and after treatment, and treatment satisfaction after treatment were compared. The Student t-test was used to compare the parameters between the two different bandage methods. RESULTS: With respect to the treatment outcomes, total volume reduction and proximal part volume reduction after treatment were 98.0±158.3 mL and 56.0±65.4 mL in the spiral method group and 199.0±125.1 mL and 106.1±82.2 mL in the spica method group, respectively. Therefore, the spica method group showed a significantly better improvement (p<0.05). The DASH score changes after treatment showed that the spiral group score increased by 3.8±5.4 and the spica group score increased by 7.7±6.1; thus, a significantly better improvement was noted in the spica group (p<0.05). CONCLUSION: The spica method indicated better volume reduction and DASH score improvement than the spiral method. Therefore, the spica method may be more effective for treating patients with BCRL. Korean Academy of Rehabilitation Medicine 2019-12 2019-12-31 /pmc/articles/PMC6960079/ /pubmed/31918530 http://dx.doi.org/10.5535/arm.2019.43.6.677 Text en Copyright © 2019 by Korean Academy of Rehabilitation Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Oh, Se Hyun
Ryu, Sung Hwan
Jeong, Ho Joong
Lee, Jung Hyun
Sim, Young-Joo
Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema
title Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema
title_full Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema
title_fullStr Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema
title_full_unstemmed Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema
title_short Effects of Different Bandaging Methods for Treating Patients With Breast Cancer-Related Lymphedema
title_sort effects of different bandaging methods for treating patients with breast cancer-related lymphedema
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6960079/
https://www.ncbi.nlm.nih.gov/pubmed/31918530
http://dx.doi.org/10.5535/arm.2019.43.6.677
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