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Active exercises utilizing a facilitating device in the treatment of lymphedema resulting from breast cancer therapy

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Author(s): de Fátima Guerreiro Godoy, Maria | Oliani, Antonio Helio | Pereira de Godoy, Jose Maria

Journal: GMS German Medical Science
ISSN 1612-3174

Volume: 8;
Start page: Doc31;
Date: 2010;
Original page

Keywords: lymphedema | mamma carcinoma | active exercises | devices

ABSTRACT
The aim of this study was to evaluate the reduction in volume of arm lymphedema secondary to breast cancer therapy utilizing an exercise facilitating device. Twenty-one women with arm lymphedema resulting from the surgical and radiotherapeutic treatment of breast cancer were randomly selected. Evaluation was made by water-displacement volumetry before and after each session. The patients were submitted to a series of active exercises using a facilitating device for four 12-minute sessions with intervals of 3 minutes between sessions in the sitting position with alignment of the spinal column. The lymphedematous arm was maintained under compression using a cotton-polyester sleeve. The active exercising device used was a mobile flexion bar fixed on a metal base at a height of 30 cm from the tabletop and at a distance of 10 cm from the patient’s body. The paired t-test was utilized for statistical analysis with an alpha error of 5% (p-value ≤0.05) being considered significant. The initial mean volume of the arms was 2,089.9 and the final volume was 2,023.0 mL with a mean loss of 66.9 mL (p-value
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