Retrospective trial of complete decongestive physical therapy for lower extremity secondary lymphedema in melanoma patients
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Melanoma is a malignant tumour of melanocytes, which are found predominantly in skin, and at least 10–45% of patients develop secondary lymphedema (SL).
This study seeks to investigate if individual’s lymphatic system can benefit from complete decongestive physical therapy (CDPT) 1 year after discharge from CDPT and consequently endorsing a better quality of life.
Male and female(n = 12) melanoma survivors 1–4 years post diagnosis with unilateral SL. Questionnaire and limb measurements were used to asses retrospective outcomes.
A significant improvements (p < 0.05) has been in the categories of localisation, staging, disability and symptoms of SL.
CDPT provides relief in signs and symptoms for patients with SL following groyne dissection.
KeywordsLymphedema Melanoma Physical therapy
- 9.Adamsen L, Midtgaard J, Rorth M, Borregaard N, Andersen C, Quist M, Møller T, Zacho M, Madsen JK, Knutsen L (2003) Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy. Support Care Cancer 11(11):707–716CrossRefPubMedGoogle Scholar
- 17.Bernas MJ, Witte CL, Witte MH (2001) International society of lymphology executive committee. The diagnosis and treatment of peripheral lymphedema: draft revision of the 1995 consensus document of the international society of lymphology executive committee for discussion at the September 3-7, 2001, XVIII international congress of lymphology in Genoa, Italy. Lymphology 34(2):84–91PubMedGoogle Scholar
- 18.ISL- International Society of Lymphology The diagnosis and treatment of peripheral lymphedema (2003) Consensus document of the International Society of Lymphology. Lymphology 36(2):84–91Google Scholar
- 20.Chiarion-Sileni V, Del Bianco P, De Salvo GL, Lo Re G, Romanini A, Labianca R, Nortilli R, Corgna E, Dalla Palma M, Lo Presti G, Ridolfi R, Italian Melanoma Intergroup (IMI) (2003) Quality of life evaluation in a randomised trial of chemotherapy versus bio-chemotherapy in advanced melanoma patients. Eur J Cancer 39(11):1577–1585CrossRefPubMedGoogle Scholar
- 25.Sagen A, Kåresen R, Risberg MA (2009) Physical activity for the affected limb and arm lymphedema after breast cancer surgery. A prospective, randomized controlled trial with two years follow-up. Acta Oncol 23:1–9Google Scholar
- 27.Balch C, Buzaid A, Soong S, Atkins M, Cascinelli N, Coit D, Fleming I, Gershenwald J, Houghton A, Kirkwood J, McMasters K, Mihm M, Morton D, Reintgen D, Ross M, Sober A, Thompson J, Thompson J (2001) Final version of the American joint committee on cancer staging system for cutaneous melanoma. J Clin Oncol 19(16):3635–3648PubMedGoogle Scholar