Diode Cluster Laser versus Complete Decongestive Therapy in Postmastectomy Lymphedema
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- Category: Vol. 85, March 2017
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Diode Cluster Laser versus Complete Decongestive Therapy in Postmastectomy Lymphedema, CHRISTINA S. AYOUB, SOHEIR S. REZKALLAH, MAHER A. EL-KABALAWY and SAMY R. SHEHATA
Abstract
Background: Secondary upper limb lymphedema is a chronic disease that affects patient's quality of life or even a life threatening case.
Propose of the Study: To compare the effectiveness of Diode Cluster Laser (DCL) and Complete Decongestive Therapy (CDT) in the treatment of secondary post mastectomy lymphedema.
Methods: 45 female patients with upper limb lymphedema (stage II, III lymphedema according to Foldi classification), Their age was ranged from 45 to 60 years. They were divided into 3 groups, 15 patients for each group.
Procedures: Study Group A (n=15) received DCL with a selected traditional program of physical therapy including; cryotherapy, manual massage, and range of motion exercise. Study Group B (n=15) received CDT including manual lymph drainage, short stretch bandage, free active exercises and skin care program and the selected traditional program. Control Group C (n=15) received the selected traditional program only. Treatment program was given with the frequency of 3 sessions per week for 2 months. Round measurements by tape and water displacement by the volumetry were taken before, at the mid (after a month) and after finishing the study at three points; wrist joint, elbow joint and at the end of the arm just below the axillary fold.
Results: Comparison between Groups A & B revealed a significant improvement of tape measurement at wrist (p=0.014), there was a significant difference between groups B & C (p=0.001), while there was no significant difference between A & C (p=0.154). Comparison between Groups A & B revealed a significant reduction at Elbow (p=0.003), there was a significant difference between Groups B & C (p=0.001), while there was no significant difference between A & C (p=0.422). Comparison between Groups A & B revealed a significant reduction at End of arm (p=0.043), there was a significant difference between Groups B & C (p=0.003), while there was no significant difference between A & C (p=0.307). Comparison between Groups A & B revealed a significant