A pilot randomized trial evaluating low-level laser therapy as an alternative treatment to manual lymphatic drainage for breast cancer-related lymphedema
Ridner SH, Poage-Hooper E, Kanar C, Doersam JK, Bond SM, Dietrich MS
Oncology nursing forum · 44 citas
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 independiente
- Organización sin fines de lucro
- Oncology Nursing Society Foundation
- Universidad u hospital
- Vanderbilt University
- Gobierno
- National Institutes of Health
- Gobierno
- National Center for Research Resources
- Gobierno
- NCRR NIH HHS
- Subvenciones
- National Center for Research Resources (UL1-RR024975)
Según 5 financiadores declarados.
Publicación
- Publicado
- 2013-06-26 · Oncol Nurs Forum · vol. 40 · número 4 · págs. 383–393
- Editorial
- Oncology Nursing Society
- Citado
- 81 citas · más que el 93% de estudios similares · 3.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 37 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Lymphatic System and Diseases · Lymphatic Disorders and Treatments · Diagnosis and Treatment of Venous Diseases
- Palabras clave
- Medicine, Lymphedema, Breast cancer, Quality of life (healthcare), Randomized controlled trial, Low level laser therapy, Lymphatic system, Physical therapy, Laser therapy, Cancer, Internal medicine, Nursing, Laser, Pathology
- MeSH
- humans, breast neoplasms, lymphedema, treatment outcome, musculoskeletal manipulations, drainage, pilot projects, bandages, psychological tests, quality of life, aged, middle aged, female, oncology nursing, low-level light therapy
6 autores
- Sheila Hedden Ridner🇺🇸Vanderbilt University
- Ellen Poage-Hooper🇺🇸Naples Anesthesia & Physician Associates
- Collin Kanar🇺🇸Naples Anesthesia & Physician Associates
- Jennifer K. Doersam🇺🇸Naples Anesthesia & Physician Associates
- Stewart M. Bond🇺🇸Vanderbilt University
- Mary S. Dietrich🇺🇸Boston College
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose/objectives
To examine the impact of advanced practice nurse (APN)-administered low-level laser therapy (LLLT) as both a stand-alone and complementary treatment for arm volume, symptoms, and quality of life (QOL) in women with breast cancer-related lymphedema.
Design
A three-group, pilot, randomized clinical trial.
Setting
A private rehabilitation practice in the southeastern United States.
Sample
46 breast cancer survivors with treatment-related lymphedema.
Methods
Patients were screened for eligibility and then randomized to either manual lymphatic drainage (MLD) for 40 minutes, LLLT for 20 minutes, or 20 minutes of MLD followed by 20 minutes of LLLT. Compression bandaging was applied after each treatment. Data were collected pretreatment, daily, weekly, and at the end of treatment.
Main research variables
Independent variables consisted of three types of APN-administered lymphedema treatment. Outcome variables included limb volume, extracellular fluid, psychological and physical symptoms, and QOL.
Findings
No statistically significant between-group differences were found in volume reduction; however, all groups had clinically and statistically significant reduction in volume. No group differences were noted in psychological and physical symptoms or QOL; however, treatment-related improvements were noted in symptom burden within all groups. Skin improvement was noted in each group that received LLLT.
Conclusions
LLLT with bandaging may offer a time-saving therapeutic option to conventional MLD. Alternatively, compression bandaging alone could account for the demonstrated volume reduction.
Implications for nursing
APNs can effectively treat lymphedema. APNs in private healthcare practices can serve as valuable research collaborators.
Knowledge translation
Lasers may provide effective, less burdensome treatment for lymphedema. APNs with lymphedema certification can effectively treat this patient population with the use of LLLT. In addition, bioelectrical impedance and tape measurements can be used to assess lymphedema.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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