Complex Decongestive Therapy in the intensive care of lymphedema: systematic review
DOI:
https://doi.org/10.1590/1809-2950/15002623032016Abstract
Lymphedema is characterized by accumulation of proteins and fluids in the interstice, with physical and psychological changes. Among the physiotherapeutic techniques used to reduce lymphedema we have the complex decongestive therapy. The objective of this review is to identify evidence for the practice of complex decongestive therapy for intensive care of lymphedema. A search was carried out in the PubMed, EMBASE and PEDro databases. The articles chosen were randomized and cohort studies, which have been evaluated and selected independently by two reviewers who evaluated the methodological quality of the studies within the PEDro Scale. The search resulted in 414 studies, reduced to seven eligible studies for quality analysis, classified by PEDro scale as high quality and moderate effectiveness studies. The analyzed articles showed good methodological quality and their results showed the effectiveness of complex decongestive therapy in reducing the volume of lymphedema in intensive care.Downloads
References
Gurdal SO, Kostanoglu A, Cavdar I, Ozbas A, Cabioglu N,
Ozcinar B, et al. Comparison of Intermittent pneumatic
compression with manual lymphatic drainage for treatment
of breast cancer-related lymphedema. Lymphat Res Biol.
;10(3):129-35.
Godoy JMP, Azoubel LM, Godoy MG. Intensive treatment of
leg lymphedema. Indian J Dermatol. 2010;55(2):144-7.
Huang TW, Tseng SH, Lin CC, Bai CH, Chen CS, Hung CS, et
al. Effects of manual lymphatic drainage on breast cancerrelated lymphedema: a systematic review and metaanalysis of randomized controlled trials. World J Surg Oncol.
;11(15):2-8.
Damstra RJ, Partsch H. Prospective, randomized, controlled
trial comparing the effectiveness of adjustable compression
velcro wraps versus inelastic multicomponent compression
bandages in the initial treatment of leg lymphedema. J Vasc
Res. 2013;1(1):13-9.
Sztramko SEN, Kirkham AA, Hung SH, Niksirat N, Nishikawa
K, Campbell KL. Aerobic capacity and upper limb strength
are reduced in women diagnosed with breast cancer: a
systematic review. J Physiother. 2014;60(4):189-200.
International Society of Lymphology. The diagnosis and
treatment of peripheral lymphedema: 2003 Consensus of the
International Society of Lymphology Executive. Lymphology.
;36(2):84-91
Camargo MC, Marx AG. Reabilitação física no câncer de
mama. São Paulo: Roca; 2000
Mondry TE, Riffenburgh RH, Johnstone PA. Prospective
trial of completedecongestive therapy for upper extremity
lymphedema after breast cancer therapy. Cancer
J. 2004;10(1):42-8.
Martín ML, Hernández MA, Avendaño C, Rodríguez F, Martínez
H. Manual lymphatic drainage therapy in patients with breast
cancer related lymphoedema. BMC Cancer. 2011;11(94):1-6.
Dayes IS, Levine MN, Julian JA, Pritchard KI, D’Souza DP,
Kligman L, et al. Lymphedema in women with breast cancer:
characteristics of patients screened for a randomized trial.
Breast Cancer Res Treat. 2008;110(2):337-42.
Lacomba MT, Sanchez MJY, Goñi AZ, Merino DP, Del Moral OM,
Téllez EC, et al. Effectiveness of early physiotherapy to prevent
lymphoedema after surgery for breast cancer: randomised,
single blinded, clinical trial. BMJ. 2010;340(b5396):1-8.
Fife CE, Davey S, Maus EA, Guilliod R, Mayrovitz HN.
A randomized controlled trial comparing two types
of pneumatic compression for breast cancer-related
lymphedema treatment in the home. Support Care Cancer.
;20(12):3279-86.
Ko DS, Lerner R, Klose G, Cosimi AB. Effective treatment of
lymphedema of the extremities. Arch Surg. 1998;133(4):452-8.
Foldi E, Foldi M, Clodius L. The lymphedema chaos: alancet.
Ann Plast Surg. 1989;22(6):505-15.
Murdaca G, Cagnati P, Gulli R, Spano F, Campisi C, Boccardo
F. Current views on diagnostic approach and treatment of
lymphedema. Am J Med. 2012;125(2):134-40.
Lee JH, Shin BW, Jeong HJ, Kim GC, Kim DK, Sim YJ.
Ultrasonographic evaluation of therapeutic effects of
complex decongestive therapy in breast cancer-related
lymphedema. Ann Rehabil Med. 2013;37(5):683-9.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group.
Preferred reporting items for systematic reviews and
meta-analyses: the PRISMA statement. Ann Intern Med.
;151(4):264-9.
PEDro: Physiotherapy Evidence Database [online]. 2006
[acesso em 22 maio 2014]. Disponível em: http://www.pedro.
fhs.usyd.edu.au/index.html
Verhagen AP, De Vet HC, De Bie RA, Kessels AG, Boers M,
Bouter LM, et al. The Delphi list: a criteria list for quality
assessment of randomized clinical trials for conducting
systematic reviews developed by Delphi consensus. J Clin
Epidemiol. 1998;51(12):1235-41.
Paz et al. Terapia descongestiva no linfedema
Van Poppel MN, Hooftman WE, Koes BW. An update of a
systematic review of controlled clinical trials on the primary
prevention of back pain at the workplace. Occup Med (Lond).
;54(5):345-52.
Coury HJCG, Moreira RFC, Dias NB. Evaluation of the
effectiveness of workplace exercise in controlling neck,
shoulder and low back pain: a systematic review. Rev Bras
Fisioter. 2009;13(6):461-79.
Pekyavas NO, Tunay VB, Akbayrak T, Kaya S, Karatas M.
Complex decongestive therapy and taping for patients with
postmastectomy lymphedema: a randomized controlled
study. Eur J Oncol Nurs. 2014;18(6)585-90.
Dayes IS, Whelan TJ, Julian JA, Parpia S, Pritchard KI, D’Souza
DP, et al. Randomized trial of decongestive lymphatic
therapy for the treatment of lymphedema in women with
breast cancer. J Clin Oncol. 2013;31(30)3758-63.
King M, Deveaux A, White H, Rayson D. Compression
garments versus compression bandaging in decongestive
lymphatic therapy for breast cancer-related lymphedema:
a randomized controlled trial. Support Care Cancer.
;20(5):1031-6.
Vignes S, Porcher R, Arrault M, Dupuy A. Factors influencing
breast cancer-related lymphedema volume after intensive
decongestive physiotherapy. Support Care Cancer.
;19(7):935-40.
Vignes S, Porcher R, Arrault M, Dupuy A. Long-term
management of breast cancer-related lymphedema after
intensive decongestive physiotherapy. Breast Cancer Res
Treat. 2007;101(3):285-90.
Vignes S, Porcher R, Champagne A, Dupuy A.
Predictive factors of response to intensive decongestive
physiotherapy in upper limb lymphedema after breast
cancer treatment: a cohort study. Breast Cancer Res Treat.
;98(1):1-6.
Marques AP, Peccin MS. Pesquisa em fisioterapia: a prática
baseada em evidências e modelos de estudo. Fisioter Pesqui.
;11(1):43-8.
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Fisioterapia e Pesquisa

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.