Preventing upper-limb lymphoedema after breast cancer

What are the effects of conservative interventions for prevention of lymphoedema?

About one in five people treated for breast cancer develop lymphoedema later on. This can be a debilitating long term sequela of breast cancer treatment. This article reviews the current available evidence (10 studies) to determine whether any intervention could help prevent clinical lymphoedema.

Based on the current available evidence, the authors cannot draw firm conclusions about the effectiveness of interventions containing MLD.

The evidence does not indicate a higher risk of lymphoedema when starting shoulder-mobilising exercises early after surgery compared to a delayed start (i.e. seven days after surgery).

Shoulder mobility (that is, lateral arm movements and forward flexion) is better in the short term when starting shoulder exercises earlier compared to later.

The evidence suggests that progressive resistance exercise therapy does not increase the risk of developing lymphoedema, provided that symptoms are closely monitored and adequately treated if they occur.

> From: Stuiver et al., Cochrane Database Syst Rev 2 (2015-04-14 08:08:29) (Epub ahead of print). All rights reserved to The Author(s). Click here for the online summary.

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