RESUMEN
Fundamento y objetivo: El linfedema secundario es una de las complicaciones más comunes tras cirugía de cáncer de mama. El objetivo del presente trabajo fue analizar la eficacia de la ortesis elástica de contención y drenaje linfático manual en la prevención del linfedema de miembro superior secundario a mastectomía. Pacientes y método: Se realizó un estudio experimental con grupo control. Se asignaron de forma aleatoria 48 pacientes a grupo experimental (ortesis elástica de contención y drenaje linfático manual) y grupo control (medidas posturales). Las dimensiones de estudio fueron la calidad de vida, composición corporal, temperatura, valoración funcional de hombro, dolor y volumen del miembro. Las evaluaciones se realizaron en el momento basal y al finalizar los 8 meses de intervención. Resultados: Finalizado el período de intervención, en el grupo experimental se encontraron diferencias significativas (p<0,05) en la calidad de vida, agua extracelular, valoración funcional y volumen del miembro del lado mastectomizado. Conclusiones: La aplicación de la ortesis elástica de contención y el drenaje linfático manual contribuye a prevenir el linfedema secundario tras cirugía de cáncer de mama, mejorando la calidad de vida de estas pacientes (AU)
Background and objective: Secondary lymphoedema is considered one of the most common complications after breast cancer surgery. The aim of the present study was to analyze the effectiveness of containment elastic orthosis and manual lymphatic drainage in the prevention of lymphoedema secondary to mastectomy. Patients and method: An experimental study was performed with a control group. Forty-eight patients were randomly assigned to experimental (containment elastic orthosis and manual lymphatic drainage) and control (postural measures) groups. Outcomes measures were quality of life, body composition, temperature, functional assessment of the shoulder, pain and limb volume. Measures were performed at baseline and after 8-months intervention. Results: After the intervention period, the experimental group showed significant differences (P<.05) in the quality of life, extracellular water, and functional assessment of the volume of the limb of the mastectomized side. Conclusions: The application of containment elastic orthosis and manual lymphatic drainage contribute to prevent secondary lymphoedema after breast cancer surgery, improving the quality of life in these patients (AU)
Asunto(s)
Humanos , Femenino , Linfedema/prevención & control , Neoplasias de la Mama/cirugía , Mallas Quirúrgicas , Ganglios Linfáticos , Drenaje/métodos , MastectomíaRESUMEN
BACKGROUND AND OBJECTIVE: Secondary lymphoedema is considered one of the most common complications after breast cancer surgery. The aim of the present study was to analyze the effectiveness of containment elastic orthosis and manual lymphatic drainage in the prevention of lymphoedema secondary to mastectomy. PATIENTS AND METHOD: An experimental study was performed with a control group. Forty-eight patients were randomly assigned to experimental (containment elastic orthosis and manual lymphatic drainage) and control (postural measures) groups. Outcomes measures were quality of life, body composition, temperature, functional assessment of the shoulder, pain and limb volume. Measures were performed at baseline and after 8-months intervention. RESULTS: After the intervention period, the experimental group showed significant differences (P<.05) in the quality of life, extracellular water, and functional assessment of the volume of the limb of the mastectomized side. CONCLUSIONS: The application of containment elastic orthosis and manual lymphatic drainage contribute to prevent secondary lymphoedema after breast cancer surgery, improving the quality of life in these patients.