对头颈部淋巴水肿治疗中应用的物理治疗方式的回顾性研究。
Retrospective study of the physical therapy modalities applied in head and neck l ymphedema treatment.
作者信息
Tacani Pascale Mutti, Franceschini Juliana Pereira, Tacani Rogério Eduardo, Machado Aline Fernanda Perez, Montezello Débora, Góes João Carlos Guedes Sampaio, Marx Angela
机构信息
Physical Therapy Department, Brazilian Institute of Cancer Control (IBCC), São Paulo, Brazil.
Physical Therapy Department, Sao Camilo University Centre, São Paulo, Brazil.
出版信息
Head Neck. 2016 Feb;38(2):301-8. doi: 10.1002/hed.23899. Epub 2015 Jun 16.
BACKGROUND
Secondary lymphedema after head and neck cancer treatment is a serious complication and its management can be a challenge. The purpose of this study was to verify which physical therapy modalities were applied in the treatment of head and neck lymphedema through a retrospective analysis.
METHODS
A retrospective study was developed, based on the analysis of medical records of 32 patients treated in the physiotherapy outpatient department of the Brazilian Institute of Cancer Control (IBCC).
RESULTS
The physiotherapy included manual lymphatic drainage, massage, exercises, patient education, and compression therapy with an average of 23.9 ± 14.8 sessions. Measurement results showed a significant reduction of face and neck lymphedema (p < .05) and pain (from 7.8 ± 2.2 to 3.6 ± 1.6; p < .001).
CONCLUSION
The physical therapy modalities based on strategic manual lymphatic drainage, shoulder girdle massage, facial, tongue and neck exercises, compressive therapy at home, and patient education showed reduction of the lymphedema and pain, both of them secondary to head and neck cancer treatment.
背景
头颈癌治疗后的继发性淋巴水肿是一种严重的并发症，其治疗可能具有挑战性。本研究的目的是通过回顾性分析来验证哪些物理治疗方式应用于头颈淋巴水肿的治疗。
方法
开展了一项回顾性研究，基于对巴西癌症控制研究所（IBCC）物理治疗门诊治疗的32例患者的病历分析。
结果
物理治疗包括手动淋巴引流、按摩、运动、患者教育和压迫疗法，平均疗程为23.9±14.8次。测量结果显示面部和颈部淋巴水肿显著减轻（p<0.05），疼痛也减轻（从7.8±2.2降至3.6±1.6；p<0.001）。
结论
基于策略性手动淋巴引流、肩带按摩、面部、舌头和颈部运动、家庭压迫疗法以及患者教育的物理治疗方式显示，继发于头颈癌治疗的淋巴水肿和疼痛均有所减轻。
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