Review of the Evidence of Lymphedema Treatment Effect

Finnane, Anna, Janda, Monika and Hayes, Sandra C. (2015) Review of the Evidence of Lymphedema Treatment Effect. American Journal of Physical Medicine and Rehabilitation, 94 6: 483-498. doi:10.1097/PHM.0000000000000246

Author Finnane, Anna
Janda, Monika
Hayes, Sandra C.
Title Review of the Evidence of Lymphedema Treatment Effect
Journal name American Journal of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0894-9115
Publication date 2015-01-01
Year available 2015
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1097/PHM.0000000000000246
Open Access Status DOI
Volume 94
Issue 6
Start page 483
End page 498
Total pages 16
Place of publication Philadelphia, PA United States
Publisher Lippincott Williams and Wilkins
Language eng
Formatted abstract
Lymphedema treatment aims to alleviate symptoms, prevent progression, and reduce risk for skin infection. Mainstream treatment options have been investigated in more than 160 studies. Findings from these studies have been included in at least 1 of more than 20 literature reviews. A critique of these reviews was undertaken to summarize efficacy findings. The quality of the reviews was evaluated, and gaps in the research were identified to better guide clinical practice. Overall, there was wide variation in review methods. The quality of studies included in reviews, in 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 after 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.
Keyword Rehabilitation
Sport Sciences
Sport Sciences
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Medicine Publications
Centre for Online Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 9 times in Scopus Article | Citations
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Created: Sat, 13 Jun 2015, 02:11:09 EST by Anna Finnane on behalf of Centre for On-Line Health