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综合消肿物理治疗对乳腺癌改良根治术后上肢淋巴水肿患者上肢周径及感觉功能的影响:一项半实验性研究

Effects of complex decongestive physical therapy on upper limb circumference and sensory function in post-mastectomy lymph oedema, A quasi-experimental study.

作者信息

Nawaz Momena, Bashir Muhammad Salman, Noor Rabiya, Ikram Mehwish

机构信息

Riphah International University, Lahore, Pakistan.

出版信息

J Pak Med Assoc. 2024 Dec;74(12):2168-2170. doi: 10.47391/JPMA.11419.

Abstract

The quasi-experimental study was conducted at the Allied Hospital, Faisalabad to investigate the effect of complex decongestive physical therapy on sensory testing in postmastectomy- related lymphoedema patients. The sample comprised 18 participants enrolled using convenience sampling technique. All the participants received complex decongestive physical therapy during 5 sessions per week for 3 weeks. The intervention comprised manual lymphatic drainage, multi-layered compression bandages, skin care and patient-oriented exercises for breast cancer-related lymphoedema. Upper limb circumference of the subjects was measured, while twopoint discrimination test, pressure pain threshold test and tactile localisation test were also conducted. Complex decongestive physical therapy showed a significant difference in pre- and post-intervention values (p<0.05). Complex decongestive physical therapy was found to be effective in improving sensory perceptions, like discrimination, tactile and pain pressure threshold, as well as oedema.

摘要

该准实验研究在费萨拉巴德的联合医院进行,旨在调查综合消肿物理治疗对乳房切除术后相关淋巴水肿患者感觉测试的影响。样本包括采用便利抽样技术招募的18名参与者。所有参与者每周接受5次综合消肿物理治疗,持续3周。干预措施包括手法淋巴引流、多层加压绷带、皮肤护理以及针对乳腺癌相关淋巴水肿的以患者为导向的锻炼。测量了受试者的上肢周长,同时还进行了两点辨别试验、压痛阈值试验和触觉定位试验。综合消肿物理治疗在干预前后的值上显示出显著差异(p<0.05)。结果发现,综合消肿物理治疗在改善感觉认知方面有效,如辨别、触觉和疼痛压力阈值,以及水肿情况。

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