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

Almir José Sarri, Marta Moriguchi Sonia, Dias RogéRio, Verzinhasse Peres Stela, Eduardo Tinóis da Silva, Hiromoto Koga Kátia, Angelo Gustavo Zucca Matthes, Marcelo José Dos Santos, Euclides Timóteo da Rocha, Luiz Haikel Raphael

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The aim of this study was to confrm the effectiveness of early physiotherapeutic stimulation for lymphatic fow 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, frstly without stimulation and secondly after randomization into two groups: without physiotherapeutic stimulation (WOPS; n=10) and with physiotherapeutic stimulation (WPS; n=12). The lymphoscin-tigraphy 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 signifcant 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.

Original languageEnglish (US)
Pages (from-to)147-152
Number of pages6
JournalExperimental and Therapeutic Medicine
Volume1
Issue number1
DOIs
StatePublished - Jan 1 2010

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Lymphedema
Lymph Node Excision
Breast Neoplasms
Radiopharmaceuticals
Dissection
Lymphoscintigraphy
Whole Body Imaging
Phytic Acid
Axilla
Therapeutics
Random Allocation
Body Mass Index
Arm
Hand
Lymph Nodes
Weights and Measures
Injections

Keywords

  • Lymphedema
  • Lymphoscintigraphy
  • Preventive physiotherapy

ASJC Scopus subject areas

  • Immunology and Microbiology (miscellaneous)
  • Cancer Research

Cite this

Physiotherapeutic stimulation : Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment. / Sarri, Almir José; Sonia, Marta Moriguchi; RogéRio, Dias; Stela, Verzinhasse Peres; da Silva, Eduardo Tinóis; Kátia, Hiromoto Koga; Matthes, Angelo Gustavo Zucca; Santos, Marcelo José Dos; Rocha, Euclides Timóteo da; Raphael, Luiz Haikel.

In: Experimental and Therapeutic Medicine, Vol. 1, No. 1, 01.01.2010, p. 147-152.

Research output: Contribution to journalArticle

Sarri, AJ, Sonia, MM, RogéRio, D, Stela, VP, da Silva, ET, Kátia, HK, Matthes, AGZ, Santos, MJD, Rocha, ETD & Raphael, LH 2010, 'Physiotherapeutic stimulation: Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment', Experimental and Therapeutic Medicine, vol. 1, no. 1, pp. 147-152. https://doi.org/10.3892/etm_00000024
Sarri, Almir José ; Sonia, Marta Moriguchi ; RogéRio, Dias ; Stela, Verzinhasse Peres ; da Silva, Eduardo Tinóis ; Kátia, Hiromoto Koga ; Matthes, Angelo Gustavo Zucca ; Santos, Marcelo José Dos ; Rocha, Euclides Timóteo da ; Raphael, Luiz Haikel. / Physiotherapeutic stimulation : Early prevention of lymphedema following axillary lymph node dissection for breast cancer treatment. In: Experimental and Therapeutic Medicine. 2010 ; Vol. 1, No. 1. pp. 147-152.
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