Rehabilitation of cancer patients: the use of pneumatic compression in secondary lymphedema treatment
https://doi.org/10.17650/2219-4614-2024-16-1-76-80
Abstract
Complex decongestive therapy is a cornerstone of conservative chronic lymphedema treatment. There are other conservative treatment options that include intermittent pneumatic compression. Its mechanism of action is based on pressure applying on the underlying tissues and promoting the lymph flow through the lymphatic structures. Pneumatic compression was invented in 1972; nevertheless it has not found widespread support of professional community as a self-sufficient method of conservative lymphedema treatment, though it’s used a lot in many rehab clinics worldwide.
Aim. To determine the indications and effectiveness of pneumatic compression, as well as to identify the possibility of using this method in the practice of treating lymphatic edema.
About the Authors
V. Yu. IvashkovRussian Federation
89 Chapaevskaya St., Samara 443099
A. V. Rovnaya
Russian Federation
10a Rentgena St., Saint Petersburg 197022
A. S. Denisenko
Russian Federation
Alexander Sergeevich Denisenko
Bld. 2, 8 Trubetskaya St., Moscow 119991
A. V. Kolsanov
Russian Federation
89 Chapaevskaya St., Samara 443099
A. N. Nikolaenko
Russian Federation
89 Chapaevskaya St., Samara 443099
References
1. Ivashkov V.Yu., Denisenko A.S., Ushakov A.A. Lymphangiosarcoma. Sarkomy kostej, myagkikh tkanej i opukholi kozhi = Bone and soft tissue sarcomas, tumors of the skin 2022;14(2):22–7. (In Russ.). DOI: 10.17650/2782-3687-2022-14-2-22-27
2. Norman S.A., Localio A.R., Potashnik S.L. et al. Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms. J Clin Oncol 2009;20(27):390–7. DOI: 10.1200/JCO.2008.17.9291
3. Vignes S., Porcher R., Arrault M., Dupuy A. Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy. Breast Cancer Res Treat 2007;101(3):285–90. DOI: 10.1007/s10549-006-9297-6
4. Morris R.J. Intermittent pneumatic compression – systems and applications. J Med Eng Technol 2008;32(3):179–88. DOI: 10.1080/03091900601015147
5. Terrier H., Ganascia-Goetschel J., Lary A., Griton P. Pneumatic compression of edema of the limbs. New technic. Nouv Presse Med 1972;1(31):2051–2.
6. Terrier H., Ganascia-Goetschel J., Lary A., Griton P. Treatment of lymphedema and different edematous diseases of the extremities with a new pneumatic compression apparatus. Phlebologie 1972;25(3):319–27. (In French).
7. Richmand D.M., O’Donnell T.F., Zelikovski A. Sequential pneumatic compression for lymphedema. A controlled trial. Arch Surg 1985;120(10):1116–9. DOI: 1001/archsurg.1985.01390340014002
8. Cheville A.L., McGarvey C.L., Petrek J.A. et al. Lymphedema management. Semin Radiat Oncol 2003;13(3):290–301. DOI: 10.1016/S1053-4296(03)00035-3
9. Leduc O., Leduc A., Bourgeosis P., Belgrado J.P. The physical treatment of upper limb edema. Cancer 1998;83(12 Suppl. American):2835–9. DOI: 10.1002/(sici)1097-0142(19981215)83:12b+<2835::aid-cncr36>3.0.co;2-v
10. Penha T.R., Botter B., Heuts E.M. et al. Quality of life in patients with breast cancer-related lymphedema and reconstructive breast surgery. J Reconstr Microsurg 2016;32(6):484–90. DOI: 10.1055/s-0036-1572538
11. Cohen S.R., Payne D.K., Tunkel R.S. Lymphedema: strategies for management. Cancer 2001;92(4):980–7. DOI: 10.1002/1097-0142(20010815)92:4+<980::aid-cncr1410>3.0.co;2-e
12. Muluk S.C., Hirsch A.T., Taffe E.C. Pneumatic compression device treatment of lower extremity lymphedema elicits improved limb volume and patient-reported outcomes. Eur J Vasc Endovasc Surg 2013;46(4):480–7. DOI: 10.1016/j.ejvs.2013.07.012
13. Blumberg S.N., Berland T., Rockman C. et al. Pneumatic Compression improves quality of life in patients with lower-extremity lymphedema. Ann Vasc Surg 2016;30:40–4. DOI: 10.1016/j.avsg.2015.07.004
14. Gurdal S.O., Kostanoglu A., Cavdar I. et al. Comparison of intermittent pneumatic compression with manual lymphatic drainage for treatment of breast cancer-related lymphedema. Lymphat Res Biol 2012;10(3):129–35. DOI: 10.1089/lrb.2012.0002
15. Uzkeser H., Karatay S., Erdemci B. et al. Efficacy of manual lymphatic drainage and intermittent pneumatic compression pump use in the treatment of lymphedema after mastectomy: a randomized controlled trial. Breast Cancer 2015;22(3):300–7. DOI: 10.1007/s12282-013-0481-3
16. Haghighat S., Lotfi-Tokaldany M., Yunesian M. et al. Comparing two treatment methods for post mastectomy lymphedema: complex decongestive therapy alone and in combination with intermittent pneumatic compression. Lymphology 2010;43(1):25–33.
17. Shao Y., Qi K., Zhou Q.H., Zhong D.S. Intermittent pneumatic compression pump for breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials. Oncol Res Treat 2014;37(4):170–4. DOI: 10.1159/000360786
18. Zaleska M., Olszewski W.L., Jain P. et al.Pressures and timing of intermittent pneumatic compression devices for efficient tissue fluid and lymph flow in limbs with lymphedema. Lymphat Res Biol 2013;11(4):227–32. DOI: 10.1089/lrb.2013.0016
19. Zaleska M., Olszewski W.L., Durlik M., Kaczmarek M. A novel clinical test for setting intermittent pneumatic compression parameters based on edema fluid hydromechanics in the lymphedematous calf. Lymphat Res Biol 2015;13(3):208–14. DOI: 10.1089/lrb.2014.0038
20. Zaleska M.T., Olszewski W.L. The effectiveness of intermittent pneumatic compression in therapy of lymphedema of lower limbs: methods of evaluation and results. Lymphat Res Biol 2019;17(1):60–9. DOI: 10.1089/lrb.2018.0005
21. Boris M., Weindorf S., Lasinski B.B. The risk of genital edema after external pump compression for lower limb lymphedema. Lymphology 1998;31(1):15–20
Review
For citations:
Ivashkov V.Yu., Rovnaya A.V., Denisenko A.S., Kolsanov A.V., Nikolaenko A.N. Rehabilitation of cancer patients: the use of pneumatic compression in secondary lymphedema treatment. Bone and soft tissue sarcomas, tumors of the skin. 2024;16(1):76-80. (In Russ.) https://doi.org/10.17650/2219-4614-2024-16-1-76-80