Aktive Übungen zur Reduzierung des Lymphoedems nach Brustkrebsbehandlung

The aim of this study was to evaluate the reduction in volume of arm lymphedema secondary to breast cancer therapy utilizing an exercise facilitating device. Twenty-one women with arm lymphedema resulting from the surgical and radiotherapeutic treatment of breast cancer were randomly selected. Evaluation was made by water-displacement volumetry before and after each session. The patients were submitted to a series of active exercises using a facilitating device for four 12-minute sessions with intervals of 3 minutes between sessions in the sitting position with alignment of the spinal column. The lymphedematous arm was maintained under compression using a cotton-polyester sleeve. The active exercising device used was a mobile flexion bar fixed on a metal base at a height of 30 cm from the tabletop and at a distance of 10 cm from the patient's body. The paired t-test was utilized for statist ica l analysis with an alpha error of 5% (p-value er Irrtumswahrscheinlichkeit von 5% (p 2.023,0 ml mit einer mittleren Flüssigkeitsverdrängung von 66,9 ml (p<=0,001).Die aktive Übung mit einem einfachen Gerät kann eine signifikante Reduktion des Lymphoedems der Arme bewirken