Effect of complete decongestive therapy on carpal tunnel syndrome post upper limb lymphedema

Sara Abd Elmohsen Ali El-Sayed, Haidy Nady Ashem, Yasser Mohammed Ahmed Abdelgwad, Mona Selim Mohamed Faggal, Khadra Mohamed Ali

Sara Abd Elmohsen Ali El-Sayed, Haidy Nady Ashem, Yasser Mohammed Ahmed Abdelgwad, Mona Selim Mohamed Faggal, Khadra Mohamed Ali – Effect of complete decongestive therapy on carpal tunnel syndrome post upper limb lymphedema –  Fizjoterapia Polska 2024; 24(3); 256-262

DOI: https://doi.org/10.56984/8ZG020AG0O

Abstract:
Purpose. To evaluate the therapeutic effects of CDT on carpal tunnel syndrome post upper limb lymphedema.
Methods. A randomized controlled trial involving 60 female patients aged 40‑60 years with CTS post upper limb lymphedema was conducted. Patients were randomly assigned to two groups: Group A received CDT along with standard medical treatment, and Group B received medical treatment and bandaging. Outcomes measured included pain (Visual Analogue Scale), upper limb volume, grip strength, and nerve conduction studies.
Results. Both groups showed significant improvement post-treatment in all measured outcomes. However, Group A (CDT) exhibited significantly greater improvements in pain reduction, decrease in upper limb volume, increase in grip strength, and nerve conduction compared to Group B (medical treatment and bandaging).
Conclusion. CDT significantly enhances outcomes in patients with CTS post upper limb lymphedema compared to medical treatment and bandaging. Implementing CDT in standard care for these patients is recommended to improve quality of life and functional outcomes.

Keywords:
lymphedema, mastectomy, carpal tunnel syndrome (CTS)

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Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study

G. Balaji, P. Senthil

G. Balaji, P. Senthil – Effects of upper limb low resistance exercises along with manual lymphatic drainage in subjects with post radical mastectomy – a pilot study –  Fizjoterapia Polska 2024; 24(2); 42-49

DOI: https://doi.org/10.56984/8ZG56084SH

Abstract
Introduction: Post radical mastectomy patients will have physical problems like reduced shoulder movements and upperlimb muscles strength. The performance and overall function of upper limb and Quality of Life (QOL) will reduce followed by these muscle’s reduced activity. The aim of present study is To find the effects of manual lymphatic drainage with low resistance training of upper limb on shoulder function and QOL of post mastectomy patients. Generally, upper limb muscles like Trapezius, serratus anterior, pectoralis s group. 1 subject from experimental group withdrawal from study. The treatment duration is 12 weeks based on cancer Rehabilitation principle. Outcome measures are taken Lymph ICF(for QOL), anatomical circumferential measurements(for Lymphedema). Patients selected based on the inclusion and exclusion criteria. Experimental group Patients receiving upper limb low resistance training and manual lymphatic drainage techniques and controll group Patients receiving only manual lymphatic drainage techniques. Both group of patients are advised to wear upper limb elastic stockings for 8 hours per day. Result: All Outcome measures taken in baseline(pre) and end of 12 weeks(post) in both groups. Data was analysed by using paired ’t’ test. Results analysed based on pre and post test values. Conclusion:The study has designed a structured low resistance upperlimb exercise program for post radical mastectomy patients in improving shoulder function and QOL.
Keywords
Breast cancer Rehabilitation, Post radical mastectomy, QOL, Low resistance training, Lymphedema, Shoulder function
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