Low-level laser therapy in secondary lymphedema after breast cancer: systematic review
E Lima MT, E Lima JG, de Andrade MF, Bergmann A
Lasers in medical science · 37 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2012-11-29 · Lasers Med Sci · vol. 29 · número 3 · págs. 1289–1295
- Editorial
- Springer Science+Business Media
- Citado
- 61 citas · más que el 48% de estudios similares · 0.5× el promedio de su campo
- Referencias
- 36 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Lymphatic System and Diseases · Dermatologic Treatments and Research
- Palabras clave
- low-level laser therapy, secondary lymphedema, breast cancer, lymphangiogenesis, limb volume reduction, complex physical therapy, tumor recurrence, metastasis risk, treatment safety
- MeSH
- humans, breast neoplasms, lymphedema, lasers, aged, middle aged, female, low-level light therapy
4 autores
- Mariana Toledo Biscaia Raposo Mourã e Lima🇧🇷University Center Augusto Motta
- Januário Gomes Mourão e Lima🇧🇷Faculdade de Tecnologia e Ciências
- Mauro Andrade🇧🇷Universidade de São Paulo
- Anke K. Bergmann🇧🇷 · autor de correspondenciaUniversity Center Augusto Motta; Instituto Nacional de Câncer - INCA
Resumen
El texto original del estudio, en el idioma en que se publicó.
Complex physical therapy is the main treatment for the secondary lymphedema after breast cancer. The low-level laser therapy (LLLT) has been used in order to stimulate lymphangiogenesis, encourage lymphatic motility, and reduce lymphostatic fibrosis. However, these factors could also favor the development of recurrence and metastasis. The objective of this study is to discuss the use of LLLT in the treatment of lymphedema after breast cancer. This study utilized a systematic review on the use of LLLT in the treatment of lymphedema after breast cancer. Evaluating quality of articles was conducted through the PEDro scale. Of the 41 articles identified, four were considered to be of high methodological quality (score ≥ 5). The low-level laser in the axillary region was performed in all studies. The control group was not similar across studies. The results presented showed that there was a reduction in limb volume in the group subjected to low-power laser when compared with other treatments. No studies have evaluated the risk of metastasis or relapse in the irradiated areas. Because no studies have included the complex physical therapy as the comparison group, we cannot claim that laser treatment is the best efficacy or effectiveness in lymphedema treatment after breast cancer. No studies have evaluated the hypothesis that the LLLT can increase the risk of recurrence or metastasis. Therefore, the questions about the safety of this procedure in cancer patients remain.
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