Vignes, S., Blanchard, M., Arrault, M., & Porcher, R. (2013). Intensive complete decongestive physiotherapy for cancer-related upper-limb lymphedema: 11 days achieved greater volume reduction than 4. Gynecologic Oncology, 131, 127–130.doi: 10.1016/j.ygyno.2013.07.101
To determine the optimal complete decongestive physiotherapy (CDP) duration for reduction of lymphedema volume, as well as factors that will predict its success, optimally reducing it from 11 to 4 days
Patients were hospitalized in a rehabilitation center for 11 days for CDP. Lymphedema volume was evaluated initially and after 4 and 9 bandages.
LOCATION: Paris, France
Initial lymphedema volume was 907 mL at inclusion, with a significant mean decrease to 712 mL after four days, and 606 mL after 11 days. This corresponds to a 33% total lymphedema volume reduction.
CDP for 11 days had a significantly greater volume reduction of breast cancer-related lymphedema volume than after 4 days.
CDP for 11 days may be more effective than only four days and will more significantly improve patients' breast cancer-related lymphedema and may improve patients' overall quality of life more.