THE INTERVENTIONAL EFFECT OF COMBINED REDUCING OCCUPATIONAL UPPER EXTREMITY USE AND PNEUMATIC PUMP ON BREAST CANCER RELATED LYMPHEDEMA | ||||
| Egyptian Journal of Occupational Medicine | ||||
| Article 3, Volume 40, Issue 2, July 2016, Page 185-204 PDF (242.2 K) | ||||
| Document Type: Study paper | ||||
| DOI: 10.21608/ejom.2016.840 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mansour N1; Kahla Z2; Ewies M3 | ||||
| 1Department of Occupational and Environmental Medicine, Faculty of Medicine, Cairo University | ||||
| 2Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University | ||||
| 3Physical Therapist, National Cancer Institute, Egypt | ||||
| Abstract | ||||
| Introduction: Breast cancer related lymphedema (BCRL) treatment continues to be a distressing and frequent problem. Aim of Work: To detect the relation between the level of hand use in different occupation and both the grade and stage of BCRL and to determine whether the combined effect of decreased occupational work load of the upper extremities and the use of pneumatic compression pumps could manage BCRL effectively. Materials and Methods: 68 patients with BCRL were selected. Age, body mass index (BMI), history of infection, lymphedema grade and stage, sequential circumferential arm measurements, Visual Analog Scale (VAS), handgrip strength were assessed. All patients underwent pneumatic compression pumping for 3 months combined with changing in their level of hand use. Results: Before intervention, the grades and stages of lymphedema showed statistically significant differences among the different occupational groups (p< 0.05). After applying our interventional measures, statistical significant decrease was detected regarding the VAS and significant increase in right hand grip was observed among one group while the difference of sequential circumferential measurements showed decrease in their values but not to the significant level. Conclusion: Occupations requiring more upper extremity activity had the worst lymphedema clinical grade and stage status. More researches are needed to support our findings and to assess the combined effect of decreased occupational work load of the upper extremities and the use of pneumatic compression pumps. | ||||
| Keywords | ||||
| Breast cancer related lymphedema; Occupation; Pneumatic pumps; Visual Analog Scale; Handgrip Strength | ||||
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