M.H. El Gendy, S.O. El-Sherif, M.A. Abolkasem, S.R. Aboelmagd, Y.R. Lasheen
Physical Rehabilitation and Recreational Health Technologies, Vol. 10, No. 2, 2025
Purpose. This study aimed to compare the effectiveness of Cold Compression Therapy and Multi-Wave Locked System Laser on lymphatic flow, volumetric measurements, and quality of life in breast cancer-related lymphoedema patients. Breast cancer-related lymphoedema is a long-term health problem that often causes pain and disability and interferes with daily activities. It may occur after treatment for breast cancer by surgery and radiation therapy. If left untreated, it can have long-term medical and psychological consequences for patients.
Material & Methods. Sixty-six females with breast cancer-related lymphoedema, with a mean age of 37.4 ± 5.39 years, participated in the study. Subjects were randomly divided into three equal groups using simple randomization via the closed-envelope technique. Group A, consisting of twenty-two female patients, received class 4 multi-wave locked system laser and conventional treatment. Group B, also composed of twenty-two female patients, received cold compression therapy and conventional treatment. Group C, the control group, received conventional treatment only. The three groups were assessed using lymphoscintigraphy for lymphatic flow, measuring tape for limb volume, and the Lymphoedema Life Impact Scale (LLIS) for health-related quality of life assessment. Assessments were conducted before and after treatment.
Results. The results indicated that Group B showed statistically significant improvement over Group A in lymphoscintigraphy (p<0.001), limb volume (p<0.001), and LLIS questionnaire (p<0.001). Group B also showed statistically significant improvement over Group C in lymphoscintigraphy (p<0.001), limb volume (p<0.001), and LLIS questionnaire (p<0.001). However, there was no statistically significant difference between Group A and Group C.
Conclusions. Cold compression therapy significantly improved limb volume and circumference, lymphatic flow, and health-related quality of life in patients with unilateral breast cancer-related lymphoedema compared to the multi-wave locked system laser and conventional treatment.
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Decreto Legislativo 24 febbraio 1997, n°46 Articolo 21
1. E' vietata la pubblicità verso il pubblico dei dispositivi che, secondo disposizioni adottate con decreto del Ministro della Sanità, possono essere venduti soltanto su prescrizione medica o essere impiegati eventualmente con l'assistenza di un medico o di altro professionista sanitario.
2. La pubblicità presso il pubblico dei dispositivi diversi da quelli di cui al comma 1 è soggetta ad autorizzazione del Ministero della Sanità. Sulle domande di autorizzazione esprime parere la Commissione di esperti prevista dall'articolo 6, comma 3, del decreto legislativo
30 dicembre 1992, n. 541, che a tal fine è integrata da un rappresentante del Dipartimento del Ministero della Sanità competente in materia di dispositivi medici e da uno del Ministero dell'Industria, del commercio e dell'artigianato.
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