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<p>Despite the availability of numerous lymphedema treatments, integrating physical therapy for breast cancer-related lymphedema (BCRL) management has limited evidence. The objective is to evaluate the effect of a multimodal physical therapy approach in reducing upper limb (UL) lymphedema and improving shoulder range of motion (ROM) in women with BCRL. A retrospective study was conducted with 19 women diagnosed with BCRL. UL circumference and shoulder ROM were assessed before and after four weeks of therapy and showed significant improvement (<i>p</i> &lt; 0.05). The mean difference between baseline and 4-week intervention was 2.11&#xa0;cm for UL circumference (95% CI: 1.54, 2.68; Cohen’s d = 1.35), 46.31<sup>o</sup> for shoulder flexion (95% CI -57.5, -35.1; Cohen’s d = 1.68), 10<sup>o</sup> for shoulder extension (95% CI -13.4, -6.59; Cohen’s d = 1.74), 47.36<sup>o</sup> for shoulder abduction (95% CI -60.35, -34.38; Cohen’s d = 1.67), 18.94<sup>o</sup> for shoulder internal rotation (95% CI -24.4, -13.4; Cohen’s d = 1.37) and 16.05<sup>o</sup> for shoulder external rotation (95% CI -20.03, -12.07; Cohen’s d = 1.51). Women with BCRL showed significant improvements in lymphedema and shoulder mobility following four weeks of therapy. Further, robust randomised clinical trials are required to substantiate these findings in Indian women.</p>

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Effects of a multimodal physical therapy approach on breast cancer-related lymphedema: a retrospective pre-post study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月21日

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  • Divya varshini R,
  • Mahalakshmi Venugopalan,
  • Ashokan Arumugam,
  • Filippo Migliorini,
  • Nicola Maffulli,
  • Rajkumar Kottayasamy Seenivasagam

摘要

Despite the availability of numerous lymphedema treatments, integrating physical therapy for breast cancer-related lymphedema (BCRL) management has limited evidence. The objective is to evaluate the effect of a multimodal physical therapy approach in reducing upper limb (UL) lymphedema and improving shoulder range of motion (ROM) in women with BCRL. A retrospective study was conducted with 19 women diagnosed with BCRL. UL circumference and shoulder ROM were assessed before and after four weeks of therapy and showed significant improvement (p < 0.05). The mean difference between baseline and 4-week intervention was 2.11 cm for UL circumference (95% CI: 1.54, 2.68; Cohen’s d = 1.35), 46.31o for shoulder flexion (95% CI -57.5, -35.1; Cohen’s d = 1.68), 10o for shoulder extension (95% CI -13.4, -6.59; Cohen’s d = 1.74), 47.36o for shoulder abduction (95% CI -60.35, -34.38; Cohen’s d = 1.67), 18.94o for shoulder internal rotation (95% CI -24.4, -13.4; Cohen’s d = 1.37) and 16.05o for shoulder external rotation (95% CI -20.03, -12.07; Cohen’s d = 1.51). Women with BCRL showed significant improvements in lymphedema and shoulder mobility following four weeks of therapy. Further, robust randomised clinical trials are required to substantiate these findings in Indian women.