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The Addition of Manual Lymph Drainage to Compression Therapy For Breast Cancer Related Lymphedema: a Randomized Controlled Trial

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Abstract

Purpose. The purpose of this investigation was to compare the reduction in arm lymphedema volume achieved from manual lymph drainage massage (MLD) in combination with multi-layered compression bandaging (CB) to that achieved by CB alone.

Methods and materials. Fifty women with lymphedema (mean age of 59 years ± 13 years) were randomly assigned to 4 weeks of combined MLD/CB or CB alone. The primary study endpoint was the reduction in arm lymphedema volume, which was determined by water displacement volumetry and measurement of circumference. Independent assessors, blinded to subject treatment assignment, performed the outcome measurements.

Results. Arm lymphedema volume decreased significantly after 4 weeks irrespective of treatment assignment (p < 0.001). Individuals with mild lymphedema receiving combined MLD/CB had a significantly larger percentage reduction in volume compared to individuals with mild lymphedema receiving CB alone, and compared to individuals with moderate or severe lymphedema receiving either treatment.

Conclusion. These findings indicate that CB, with or without MLD, is an effective intervention in reducing arm lymphedema volume. The findings suggest that CB on its own should be considered as a primary treatment option in reducing arm lymphedema volume. There may be an additional benefit from the application of MLD for women with mild lymphedema; however, this finding will need to be further examined in the research setting.

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Cross Cancer Institute, 11560 University Avenue, Edmonton, Alberta, Canada, T6G 1Z2

    Margaret L. McNeely

  2. Faculty of Rehabilitation Medicine, Department of Physical Therapy, Cross Cancer Institute, Edmonton, Alberta, Canada

    David J. Magee & Mark Haykowsky

  3. Department of Radiation Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada

    Alan W. Lees

  4. Faculty of Medicine, Department of Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada

    Alan W. Lees

  5. Faculty of Medicine, Division of Anatomy, Cross Cancer Institute, Edmonton, Alberta, Canada

    Keith M. Bagnall

  6. Division of Epidemiology, Cross Cancer Institute, Edmonton, Alberta, Canada

    John Hanson

Authors
  1. Margaret L. McNeely
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  2. David J. Magee
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  3. Alan W. Lees
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  4. Keith M. Bagnall
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  5. Mark Haykowsky
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  6. John Hanson
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Correspondence to Margaret L. McNeely.

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McNeely, M.L., Magee, D.J., Lees, A.W. et al. The Addition of Manual Lymph Drainage to Compression Therapy For Breast Cancer Related Lymphedema: a Randomized Controlled Trial. Breast Cancer Res Treat 86, 95–106 (2004). https://doi.org/10.1023/B:BREA.0000032978.67677.9f

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  • DOI: https://doi.org/10.1023/B:BREA.0000032978.67677.9f

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