Review of the evidence of lymphedema treatment effect
Lymphedema treatment aims to alleviate symptoms, prevent progression and reduce risk of skin infection. Mainstream treatment options have been investigated in over 160 studies. Findings from these studies have been included in at least one of more than 20 literature reviews. A critique of these reviews was undertaken to summarise efficacy findings. The quality of the reviews was evaluated and gaps in the research identified, to better guide clinical practice. Overall, there was wide variation in review methods. The quality of studies included in reviews, in terms of study design and reporting overall has been poor. Reviews consistently concluded that complex physical therapy is effective at reducing limb volume. Volume reductions were also reported following the use of compression garments, pumps and manual lymphatic drainage. However, greatest improvements were reported when these treatments formed a combined treatment program. Large, well-designed, evaluated and reported randomised, controlled trials are needed to evaluate and compare treatments. Consistent outcome measures will allow better quality reviews and meta-analysis in the future.
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|Item Type:||Journal Article|
|Keywords:||Lymphedema, therapy, review, compression bandages|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2015 Wolters Kluwer Health, Inc.|
|Copyright Statement:||This is a non-final version of an article published in final form in American Journal of Physical Medicine & Rehabilitation: June 2015 - Volume 94 - Issue 6 - p 483–498
|Deposited On:||22 Dec 2015 23:03|
|Last Modified:||19 Sep 2016 05:51|
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