Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment

  • Authors:
    • Almir J. Sarri
    • Sonia M. Moriguchi
    • Rogério Dias
    • Stela V. Peres
    • Eduardo T. Da Silva
    • Kátia H. Koga
    • Ângelo G.Z. Matthes
    • Marcelo J. Dos Santos
    • Euclides T. Da Rocha
    • Raphael L. Haikel
  • View Affiliations

  • Published online on: January 1, 2010     https://doi.org/10.3892/etm_00000024
  • Pages: 147-152
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Abstract

The aim of this study was to confirm the effectiveness of early physiotherapeutic stimulation for lymphatic flow progression in patients with breast cancer undergoing axillary dissection. This was a randomized experimental study on 22 patients who underwent lymphoscintigraphy in their arms on two different occasions, firstly without stimulation and secondly after randomization into two groups: without physiotherapeutic stimulation (WOPS; n=10) and with physiotherapeutic stimulation (WPS; n=12). The lymphoscintigraphy scan was performed with 99mTc-phytate administered into the second interdigital space of the hand, ipsilaterally to the dissected axilla, in three phases: dynamic, static, and delayed whole body imaging. Physiotherapeutic stimulation was carried out using Földi's technique. In both groups, images from the two examinations of each patient were compared. Flow progression was considered positive when, on the second examination, the radiopharmaceutical reached areas more distant from the injection site. Statistical analysis was used to evaluate frequencies, percentages and central trend measurements, and non-parametric tests were conducted. Descriptive analysis showed that the WPS and WOPS groups were similar in terms of mean age, weight, height, body mass index and number of lymph nodes removed. There were statistically significant associations between physiotherapeutic stimulation and radiopharmaceutical progression at all three phases of the study (p<0.0001). Early physiotherapeutic stimulation in breast cancer patients undergoing radical axillary dissection is effective, and can therefore be indicated as a preventive measure against lymphedema.
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January-February 2010
Volume 1 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Sarri AJ, Moriguchi SM, Dias R, Peres SV, Da Silva ET, Koga KH, Matthes ÂG, Dos Santos MJ, Da Rocha ET, Haikel RL, Haikel RL, et al: Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment . Exp Ther Med 1: 147-152, 2010
APA
Sarri, A.J., Moriguchi, S.M., Dias, R., Peres, S.V., Da Silva, E.T., Koga, K.H. ... Haikel, R.L. (2010). Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment . Experimental and Therapeutic Medicine, 1, 147-152. https://doi.org/10.3892/etm_00000024
MLA
Sarri, A. J., Moriguchi, S. M., Dias, R., Peres, S. V., Da Silva, E. T., Koga, K. H., Matthes, Â. G., Dos Santos, M. J., Da Rocha, E. T., Haikel, R. L."Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment ". Experimental and Therapeutic Medicine 1.1 (2010): 147-152.
Chicago
Sarri, A. J., Moriguchi, S. M., Dias, R., Peres, S. V., Da Silva, E. T., Koga, K. H., Matthes, Â. G., Dos Santos, M. J., Da Rocha, E. T., Haikel, R. L."Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment ". Experimental and Therapeutic Medicine 1, no. 1 (2010): 147-152. https://doi.org/10.3892/etm_00000024