Bilek Furkan, Deniz Gulnihal, Gulkesen Arif
Muğla Sıtkı Koçman University, Fethiye Faculty of Health Sciences, Department of Gerontology, Muğla 48300, Turkey.
Erzurum Technical University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Erzurum 25050, Turkey.
Clin Biomech (Bristol). 2023 Feb;102:105890. doi: 10.1016/j.clinbiomech.2023.105890. Epub 2023 Jan 13.
The aim of this study was to investigate the effect of complex decongestive therapy on spatio-temporal parameters and balance in individuals with breast cancer-related upper extremity unilateral lymphedema.
The study was designed as a prospective, cross-sectional study. Thirty sessions of complex decongestive therapy were applied. Participants' pre-and post-treatment spatio-temporal parameters and balance parameters were evaluated with the Win Track platform. In addition, the Timed Up and Go test was used to evaluate the dynamic balance. Plethysmography, a water displacement method, was used to measure upper extremity volume.
Significant improvement was observed in limb volume asymmetry after complex decongestive therapy. While the stride length of the affected side was 409.93 mm before the treatment, it increased to 500.93 mm after the treatment, and a significant increase was observed (p = 001). Significant improvements were found in the other spatio-temporal parameters of the participants. Compared to the pre-treatment, a significant decrease was detected in the average cadence value, Timed Up and Go value, double stance time, and maximum plantar pressure point of the participants. Significant improvements were found in the participants' balance.
Complex decongestive therapy applied to individuals with unilateral upper extremity lymphedema provides significant improvement in both spatio-temporal and balance parameters. However, we recommend complex decongestive therapy as an effective and safe treatment to reduce the volume of lymphedema. Patients with unilateral lymphedema that may cause postural asymmetry should be informed about balance and gait disturbance and should be encouraged to receive lymphedema treatment as soon as possible.
本研究旨在探讨综合消肿疗法对乳腺癌相关上肢单侧淋巴水肿患者时空参数和平衡能力的影响。
本研究设计为前瞻性横断面研究。实施了30次综合消肿疗法。使用Win Track平台评估参与者治疗前后的时空参数和平衡参数。此外，采用定时起立行走测试评估动态平衡能力。使用体积描记法（一种排水法）测量上肢体积。
综合消肿疗法后，患肢体积不对称情况有显著改善。治疗前患侧步长为409.93毫米，治疗后增至500.93毫米，差异有统计学意义（p = 0.01）。参与者的其他时空参数也有显著改善。与治疗前相比，参与者的平均步频值、定时起立行走测试值、双支撑时间和最大足底压力点均显著降低。参与者的平衡能力有显著改善。
对单侧上肢淋巴水肿患者实施综合消肿疗法可使时空参数和平衡参数均得到显著改善。然而，我们建议将综合消肿疗法作为一种有效且安全的治疗方法来减轻淋巴水肿的体积。对于可能导致姿势不对称的单侧淋巴水肿患者，应告知其平衡和步态障碍情况，并鼓励他们尽早接受淋巴水肿治疗。
