Liao, S.F., Li, S.H., & Huang, H.Y. (2012). The efficacy of complex decongestive physiotherapy (CDP) and predictive factors of response to CDP in lower limb lymphedema (LLL) after pelvic cancer treatment. Gynecologic Oncology, 125(3), 712–715.doi: 10.1016/j.ygyno.2012.03.017
To evaluate the efficacy of an intensive complete decongestive physical (CDP) therapy program and identify predictive factors of response in lower-limb lymphedema
Women with unilateral LLL underwent a CDP program of 10–24 sessions that included 45 minutes of manual lymph drainage, compression therapy for 23 hours a day, and remedial exercise and instructions for skin and nail care.
The study was conducted at a single-site with multiple settings in Taiwan.
The study looked at mutliple phases of care.
The study used a retrospective review design.
Circumference measurements were used to calculate lymphedema volume.
Findings suggest that CDP is beneficial for management of lower-limb lymphedema. The lymphedema volume difference in the affected limb was directly correlated with response to CDP.
Findings suggest that CDP is beneficial for management of lower-limb lymphedema in patients treated for pelvic cancers. This is one of few studies for lower-limb lymphedema management. Nurses can educate and support patients in adhering to a CDP program to manage lymphedema. The authors noted that compliance with compression bandaging is a critical component of CDP, and nurses need to emphasize this with patients.