THE VALIDITY OF AN ADJUSTABLE COMPRESSION VELCRO WRAP FOR THE TREATMENT OF PATIENTS WITH UPPER LIMB LYMPHEDEMA SECONDARY TO BREAST CANCER
A PILOT STUDY
Keywords:
Physiotherapy, lymphedema, breast cancerAbstract
Objective: To analyze the efficacy of an adjustable compression Velcro wraps used to reduce limb volume as a form of treatment for upper limb lymphedema secondary to breast cancer. Methods: Women with lymphedema who had already undergone conventional treatment with compression bandaging were included. These patients were recruited through an evaluation in which the manual perimetry was applied using the truncated cone formula, and in which lymphedema were considered as a difference greater than 10% and/or 200 mL between the limbs. Patients wore their compression devices daily, taking them off only for a shower. In a period of one month of use, manual lymphatic drainage was not applied. Performing exercises was allowed 3 times a day. Patients returned after one month to have their limb volume reassessed and also to respond to a questionnaire. Results: A total of 9 patients were evaluated, and the median volume difference between the affected limb and the control during the first evaluation was 564.4 (SD=443.2) mL. At the reevaluation, the median difference was 390.6 (SD=306.8) mL. There was a significant difference when comparing the volumes at the evaluation and reevaluation (p=0.008). The degree of satisfaction was 9 (SD=1.3). Conclusion: The adjustable compression Velcro wrap was effective in the reduction of limb volume in with lymphedema. In addition, the patients reported that the device was more practical and more comfortable compared to the compression bandage. Patients who live in other cities or who are not available to perform daily treatment can benefit from the use of the device.
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Copyright (c) 2017 Larissa Louise Campanholi, Graziele Chiquette Lopes, Fábio Postiglione Mansani, Anke Bergmann, Jaqueline Munaretto Timm Baiocchi
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