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Ensayo controlado aleatorizado2009Financiación no declarada

Managing postmastectomy lymphedema with low-level laser therapy

Lau RW, Cheing GL, Cheing GL

Photomedicine and laser surgery · 40 citas

Etiquetas de revisión

Financiación no declarada

Datos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2009-10-01 · Photomed Laser Surg · vol. 27 · número 5 · págs. 763–769
Editorial
Mary Ann Liebert, Inc.
Citado
62 citas · más que el 87% de estudios similares · 2.3× el promedio de su campo
Referencias
41 trabajos
Acceso
De pago
Áreas de investigación
Laser Applications in Dentistry and Medicine · Lymphatic System and Diseases · Dermatologic Treatments and Research
Palabras clave
postmastectomy lymphedema, low-level laser therapy, breast cancer, tissue resistance, tonometry, DASH score, lymphedema treatment, functional disability
MeSH
humans, breast neoplasms, lymphedema, disability evaluation, treatment outcome, mastectomy, prospective studies, single-blind method, adult, middle aged, female, low-level light therapy

2 autores

  • Rufina Wing-Lum Lau🇭🇰Hong Kong Polytechnic University
  • Gladys L.Y. Cheing🇭🇰Hong Kong Polytechnic University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

We aimed to investigate the effects of low-level laser therapy (LLLT) in managing postmastectomy lymphedema.

Background data

Postmastectomy lymphedema (PML) is a common complication of breast cancer treatment that causes various symptoms, functional impairment, or even psychosocial morbidity. A prospective, single-blinded, controlled clinical trial was conducted to examine the effectiveness of LLLT on managing PML.

Methods

Twenty-one women suffering from unilateral PML were randomly allocated to receive either 12 sessions of LLLT in 4 wk (the laser group) or no laser irradiation (the control group). Volumetry and tonometry were used to monitor arm volume and tissue resistance; the Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire was used for measuring subjective symptoms. Outcome measures were assessed before and after the treatment period and at the 4 wk follow-up.

Results

Reduction in arm volume and increase in tissue softening was found in the laser group only. At the follow-up session, significant between-group differences (all p < 0.05) were found in arm volume and tissue resistance at the anterior torso and forearm region. The laser group had a 16% reduction in the arm volume at the end of the treatment period, that dropped to 28% in the follow-up. Moreover, the laser group demonstrated a cumulative increase from 15% to 33% in the tonometry readings over the forearm and anterior torso. The DASH score of the laser group showed progressive improvement over time.

Conclusion

LLLT was effective in the management of PML, and the effects were maintained to the 4 wk follow-up.

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