지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 229 - 234 (6page)
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초록· 키워드
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Objective To investigate the clinical effect of extracorporeal shock wave therapy (ESWT) in patients with secondary lymphedema after breast cancer treatment.Methods In a prospective clinical trial, ESWT was performed consecutively 4 times over two weeks in 7 patients who were diagnosed with stage 3 secondary lymphedema after breast cancer treatment. Each patient was treated with four sessions of ESWT (0.056—0.068 mJ/mm2, 2,000 impulses). The parameters were the circumference of the arm, thickness of the skin and volume of the arm. We measured these parameters with baseline values before ESWT and repeated the evaluation after each ESWT treatment. Subjective data on skin thickness, edema and sensory impairment were obtained using a visual analogue scale (VAS). Results The mean volume of the affected arm after four consecutive ESWT was significantly reduced from 2,332 to 2,144 mL (p<0.05). The circumference and thickness of the skin fold of the affected arm were significantly decreased after the fourth ESWT (p<0.05). The three VAS scores were significantly improved after the fourth ESWT. Almost all patients were satisfied with this treatment and felt softer texture in their affected arm after treatment.Conclusion ESWT is an effective modality in the treatment of stage 3 lymphedema after breast cancer treatment. ESWT reduced the circumference and the thickness of arms with lymphedema and satisfied almost all patients with lymphedema. Therefore, this treatment provides clinically favorable outcome to patients with breast cancer-related lymphedema.
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참고문헌 (23)
참고문헌 신청
Andersen L. / 2000 / Treatment of breast-cancer-related lymphedema with or without manual lymphatic drainage : a randomized study / Acta Oncol 39 : 399 ~ 405
Boris M. / 1997 / Persistence of lymphedema reduction after noninvasive complex lymphedema therapy / Oncology(Williston Park) 11 : 99 ~ 109
Casley-Smith JR. / 1993 / Treatment of lymphedema of the arms and legs with 5, 6-benzo-[alpha]-pyrone / N Engl J Med 329 : 1158 ~ 1163
Casley-Smith JR. / 1996 / Treatment of lymphedema by complex physical therapy, with and without oral and topical benzopyrones : what should therapists and patients expect / L
Casley-Smith JR. / 1998 / Treatment for lymphedema of the arm : the Casley-Smith method. A noninvasive method produces continued reduction. Cancer, 83(12 Suppl) / 2843-60
Boris M. / 1997 / Persistence of lymphedema reduction after noninvasive complex lymphedema therapy / Oncology(Williston Park) 11 : 99 ~ 109
Casley-Smith JR. / 1993 / Treatment of lymphedema of the arms and legs with 5, 6-benzo-[alpha]-pyrone / N Engl J Med 329 : 1158 ~ 1163
Casley-Smith JR. / 1996 / Treatment of lymphedema by complex physical therapy, with and without oral and topical benzopyrones : what should therapists and patients expect / L
Casley-Smith JR. / 1998 / Treatment for lymphedema of the arm : the Casley-Smith method. A noninvasive method produces continued reduction. Cancer, 83(12 Suppl) / 2843-60
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