Manual lymphatic drainage in patients with lymphoedema after neck dissections
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2013, Vol 2, Issue 2
Abstract
Introduction. Modern medicine with its advances tries to tackle the issues associated with the increasing number of squamous cell carcinomas of head and neck (HNSCC). The availability of advanced multi-modality treatment techniques significantly prolong the lifespan of patients, butat the same time, the changes occurring after primary and adjunctive treatment can significantly impair patient’s functioning, due to lymphoedema. Aim of study. The aim of studyor is to evaluate the impact of manual lymphatic drainage on post-treatment lymphoedema reduction in head and neck cancer patients Materials and methods. The study was conducted on a group of 20 HNSCC patients (age ranging from 29-82) suffering from post-surgical lymphoedema. The patients were subjected to the measurement of their lymphoedemas at the beginning and at the end of therapy. Results. Assessment of application of the manual lymphatic drainage in the group of patients with post-surgery lymphatic changes showed that the change is statistically significant. Mean sizes of the circumference in group of patients changed from 27,13 before, to 25,75 cm after the therapy. Conclusions. Manual lymphatic drainage techniques can be a way of alleviating the side-effects of oncological treatment applied in head and neck cancers. Despite the fact that patients suffer visible anatomical damage, the current healthcare system fails to provide them with specialized physiotherapy. With a specialized and complex therapy, patients can expect that lymphoedema will be reduced. Moreover, by reducing the functional barriers, patients’ quality of life can be improved.
Authors and Affiliations
Sławomir Marszałek, Łukasz Łuczewski, Jakub Pazdrowski, Magdalena Kordylewska, Paweł Golusiński, Agnieszka Pawlak, Bożena Golusińska, Marian Majchrzycki
Keywords
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