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Complex Physical Therapy for the Lymphoedematous Arm

From the Department of Surgery, Flinder’s Medical Centre, Bedford, Henry Thomas Laboratory, University of Adelaide and Adelaide Lymphoedema Clinic, Norwood, Australia

Correspondence: Dr J. R. Casley-Smith, The Henry Thomas Laboratory, University of Adelaide, Box 498 G.P.O., Adelaide, S.A. 5001, Australia.

Complex physical therapy was used in 78 patients with post-mastectomy lympboedema (17 with grade 1 and 61 with grade 2). This involves: skin hygiene, a special lymphatic massage, compression bandaging and garments, and special exercises which supplement the massage. Two courses of treatment were given, lasting four weeks each, with a year between them. There was a highly significant decrease in the oedema in both grades, with more than 50% removed in the first course of treatment and 50% of the remainder in the second. There was even a small, but very significant decrease during the interval between the two courses.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 4, 437-441 (1992)
DOI: 10.1016/S0266-7681(05)80270-0


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