Variations of the volume and segmental blood flow in the upper extremity of the patents presenting with breast cancer treated with the application of various regimes of pneumatic compression

Grushina T.I.

Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russia

Authors:

Grushina T.I.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2014;91(1): 36‑43

Downloaded: 17

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Grushina TI. Variations of the volume and segmental blood flow in the upper extremity of the patents presenting with breast cancer treated with the application of various regimes of pneumatic compression. Problems of Balneology, Physiotherapy and Exercise Therapy. 2014;91(1):36‑43. (In Russ.)

Подписка 2025-2 (Problems of Balneology, Physiotherapy and Exercise Therapy)

Close metadata

Recommended articles:

Effectiveness of physical rehabilitation methods based on the impact of eccentric load in upper limb injuries. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(3):13-17

Reconstructive plastic surgery in combined treatment of breast cancer: predictive risk factors of complications and reconstruction failure. P.A. Herzen Journal of Oncology. 2024;(3):13-19

Targeted lymphadenectomy with sentinel lymph node biopsy in patients with breast cancer cT1-3N1M0 after neoadjuvant polychemotherapy. P.A. Herzen Journal of Oncology. 2024;(3):73-78

Breast cancer: types of implantable materials for replacement of postresection defects. P.A. Herzen Journal of Oncology. 2024;(3):85-89

Intrathecal chemotherapy for leptomeningeal metastases in patients with breast cancer. Burdenko's Journal of Neurosurgery. 2024;(3):31-37

Features of pain syndrome in vertebrogenic pathology in women. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(5):14-21

Effectiveness of organizational-functional model for complex rehabilitation of children requiring upper limb replacement for congenital diseases. Medical Technologies. Assessment and Choice. 2024;(2):40-47

Rehabilitation of patients with facial neuropathy. Regenerative Biotechnologies, Preventive, Digital and Predictive Medicine. 2024;(2):28-41

Expression of transferrin receptor 1 and β1-integrins correlates with estrogen receptor status and immune infiltration in breast cancer. Russian Journal of Archive of Pathology. 2024;(4):23-30

Indocyanine green is an integral part of breast reconstructive surgery using perforator flaps. Pirogov Russian Journal of Surgery. 2024;(8):34-40

Post-mastectomy lymphedema on the side of the surgical intervention is a major complication of radical therapy of breast cancer patients. Pneumatic compression (compression pump technology) of various types, modes and techniquesis used for their rehabilitation. A total of 192 breast cancer patients with I-IV degree lymphedema were available for the examination in the present study. All of them were treated with the application of different modes of one- and multi-chambered pneumatic compression. Based on the results of aqueous and impedance plethysmography, the multi-chambered pneumatic compression was identified as the most effective methods for the purpose, with the pressure inside the chambers below 60-80 mm Hg and the duration of the treatment 45-60 min per day. It is recommended to perform three treatment courses each consisting of 15 procedures with the intervals of 3-6 months between them (depending on the severity of the edema).

Keywords:

breast cancer

rehabilitation

lymphedema

pneumatic compression

plethysmography

impedance plethysmography

segmental blood flow

Authors:

Grushina T.I.

Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russia

List of references:

Chissov B.I., Starinsky V.V., Petrova G.V. , eds. Malignant neoplasms in Russia in 2011. M.: "MNIOI im. P.A. Gertsena" Minzdrava Rossii; 2013. 289 p. [In Russ.].
Popechitelev E.P., Chashchin A.V. The compressive-volumetric methods for hemodynamic investigations. Izvestiya Yuzhnogo federal'nogo universiteta. Tekhnicheskie nauki. 2010; 109 (8): 154 - 61. [In Russ.].
Dahabreh I.J., Chung M., Kitsios G.D., Terasawa T., Raman G., Tatsioni A., Tobar A., Lau J., Trikalinos T.A., Schmid C.H. Comprehensive overview of methods and reporting of meta-analyses of test accuracy. Rockville (MD): Agency for Healthcare Research and Quality; 2012. Available from: http: //www.ncbi.nlm.nih.gov/books/NBK92422/.
Lyubarsky M.S., Shevela A.I., Kolpakov M.A., Khapaev R.S., Nimaev V.V., Egorov V.A. The diagnostic methods for objectivization and visualization of lymphatic oedemas. Flebolimfologiya. 2003; 17: 9-15. [In Russ.].
Ibragimov R.R. Determination of the relationship of intra- and extracellular fluid and its variations in biological tissues based on the frequency dependence of the phase shift between current and voltage. Byulleten' Sibirskogo otdeleniya RAMN. 1995; 2: 73 -- 6. [In Russ.].
Cornish B.H., Ward L.C., Thomas B.J., Bunce I.H. Quantification of lymphedema using multi-frequency bioimpedance. Appl. Radiat. Isot. 1998; 49 (5-6): 651-2.
Ward L.C., Bunce I.H., Cornish B.H. Multi-frequency bioelectrical impedance augments the diagnosis an management of lymphedema in post mastectomy patients. Eur. J. Clin . Invest. 1992; 22: 751-4.
National Clinical Guideline Centre - Acute and Chronic Conditions (UK). Venous thromboembolism: reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital. London: Royal College of Physicians; 2010. (NICE Clinical Guidelines, No. 92.) Available from: http://www.ncbi.nlm.nih.gov/books/NBK116518/.
Revenko S.V. Harmonic prospects of rheography. Nervno-myshechnye bolezni. 2012; 4: 8-19. [In Russ.].
Kubarev A.M., Borisov V.I. Pulsation of blood in the arterial system and its influence on electrical conductivity of the body. Nizhegorodsky meditsinsky zhurnal. 2008; 4: 35-41. [In Russ.].
Shklyar E.I., Milyaev D.V. The development of the experimental prototype based on the piezoelectrical converter for the measurement of arterial pressure. Polzunovsky vestnik. 2012; 2-1: 203-7. [In Russ.].
Kombantsev E.A., Smagin M.S., Lyubarsky M.S., Smagin A.A., Nimaev V.V., Rakitin A.A., Konenkov V.I. The conservative methods for the treatment of post-mastectomy lymphedema of the upper extremities. Sibirskiy onkologichesky zhurnal. 2009; 6: 54-7. [In Russ.].
Bunov V.S., Gordievskikh N.I. Determination of the tendencies in the varations of the pulsed blood filling based on the rheograms. Geniy ortopedii. 2000; 3: 63-7. [In Russ.].
Sobieraj D.M., Coleman C.I., Tongbram V., Soyon L., Colby J., Wendy T.C., Sagar S.M., Ashaye A., Kluger J., White C.M. Venous thromboembolism prophylaxis in orthopedic surgery. Rockville (MD): Agency for Healthcare Research and Quality; 2012. (Comparative Effectiveness Reviews, No. 49.) Available from: http://www.ncbi.nlm.nih.gov/books/NBK92319/
Lebedeva M.N., Luk'yanov D.S., Novikova M.V., Novikov V.V., Vereshchagin I.P. The potential for the application of the methods of impedance cardiography and impedance plethysmography in vertebrosurgery. Khirurgiya pozvonochnika. 2011; 2: 58-66. [In Russ.].
Badtieva V.A., Knyazeva T.A., Apkhanova T.V. The topical problems of diagnostics and rehabilitative treatment of lymphedema of the lower extremities. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury. 2010; 4: 22-4. [In Russ.].
Partsch H. Compression therapy: clinical and experimental evidence. Ann. Vasc. Dis. 2012; 5 (4): 416-22.
Zhukov B.N., Yarovenko G.V., Katorkin S.E., Myshentsev P.N. Combined surgical interventions on the patients presenting with chronic venous insufficiency in the lower extremities. Flebologiya. 2008; 4: 62-7. [In Russ.].
Litvak A.L., Tkhorevsky V.I. Volumetric plethysmography as the method for the determination of the regional blood flow in the muscles of the lower legs during dynamic load. V kn.: Tezisy dokladov molodykh uchyonykh i studentov Rosiyskoy gosudarstvennoy akademii fizicheskoy kul'tury (Abstracts of reports of the young scientists and students of the Russian State Academy of Physical Culture). М.; 2001: 41-2. [In Russ.].
Grushina T.I. Rehabilitation of the patients following the radical treatment of primary breast cancer with the use of physiotherapeutic methods. Fizioterapiya, bal'neologiya i reabilitatsiya. 2011; 2: 11-7. [In Russ.].

Close metadata