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Einfluss der manuellen lymphdrainage auf die schulterbeweglichkeit nach brustkrebsoperation [German]
Zimmermann A, Szklarska A, Lipowicz A, Wozniewski M
pt Zeitschrift fuer Physiotherapeuten 2009 Jul;61(7):602-604,606,608,610-614
clinical trial
3/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Reduced shoulder range of movement and function is a potential problem for women after breast cancer treatment. This study investigated the incidence of functional disorder of the arm following breast cancer surgery to determine the effect of early manual lymphatic drainage intervention. METHOD: Sixty-seven women were randomly assigned to receive standard therapy or standard therapy plus an early use of manual lymphatic drainage (MLD). Six assessments were made: before surgery, on day 2, 7 and 14 after surgery and at three and six months thereafter. Two measurements were used: arm volume (VOL) and shoulder movement. RESULTS: The study showed that six months after surgery the experimental group obtained clinically significant increase of shoulder movement in all directions as well as significant reduction of lymphedema on the operated arm. CONCLUSION: The early use of manual lymphatic drainage avoided not only the development of lymphedema, but had also a positive influence of shoulder movement on the operated and the not-operated arm.

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