A Comparative Study of Lymphatic Manipulation Versus Intermittent Pneumatic Compression Pump to Reduce Lymphedema and Its Related Functional Limitation in Post Radical Mastectomy.
2013
INTRODUCTION :
Cancer known medically as a malignant neoplasm, is a broad group of various
diseases, all involving unregulated cell growth. In cancer, cells divide and grow
uncontrollably, forming malignant tumors, and invade nearby parts of the body. The
cancer may also spread to more distant parts of the body through the lymphatic
system or bloodstream. Not all tumors are cancerous. Benign tumors do not grow
uncontrollably, do not invade neighboring tissues, and do not spread throughout the
body. There are over 200 different known cancers that afflict humans. Most of all
patients with terminal or advanced cancer suffer with poor mental health. Specifically,
depression, anxiety, and adjustment disorders plague people with advanced or
terminal cancer.
Women’s health in recent years is more prone to cancer. It is being witnessed
that urban population is developing breast cancer more than its rural counterpart.
Lifestyle including food, mental health and hormonal imbalance has to be corrected to
avoid such risks. Marriage at the right age and timely pregnancies also minimize risk
of developing the disease.Cancer is curable if detected early and in terminal stages; it
is the quality and not the quantity of life that really matters. Urban Indian women
have fewer children and breastfeed them less than their rural counterparts, all of
which increases their exposure to oestrogen.
OBJECTIVE : To evaluate the outcome of lymphatic manipulation as a component of
physical therapy treatment for lymphedema compared to intermittent
pneumatic compression pump.
To determine whether the lymphatic manipulation or intermittent pneumatic
compression pump removes Lymphedema and promotes recovery and
improvement of functional activities among individual with secondary
Lymphedema.
CONCLUSION :
A Pre-test, Post-test Experimental study was conducted to compare the effect
of lymphatic manipulation and pneumatic compression pump in improving
lymphedema for post radical mastectomy.
30 subjects with lymphedema in post radical mastectomy were included in this
study by Consecutive sampling and randomly assigned to two groups as Group A and
Group B consisting of 15 subjects each. Group A was treated with lymphatic
manipulation and Group B was treated with intermittent pneumatic compression
pump. Lymphedema were assessed before and after the intervention by tonometry and
functioning limitation by questionnaire.
When comparing the lymphedema and functional limitation, mean values of
Group A and Group B. Group A subjects who received lymphatic manipulation
showed more difference than Group B who received intermittent pneumatic
compression pump.
Hence it is concluded that lymphatic manipulation is more effective than
intermittent pneumatic compression pump in reducing lymphedema and functional
limitation in post radical mastectomy subjects.
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