Comparison of the effects of intermittent pneumati̇c compression or laser addition to complete decongestive therapy on clinical and outcome scales in patients who develop lymphedema secondary to breast cancer treatment

Objective and hypothesis: the treatment accepted today in the treatment of lymphedema is called complete decongestive therapy. The aim of this study is to investigate the effects of adding IPC or LLLT therapy to complete decongestive therapy in female patients who develop lymphedema after breast cancer treatment. Method: 40 patients diagnosed with lymphedema who applied to Manisa Celal Bayar University Hafsa Sultan Hospital Physical Medicine and rehabilitation outpatient clinic with arm and hand edema that developed after breast cancer surgery and met the study criteria were enrolled in the study. Patients were randomized into two groups. All patients underwent 30 sessions of complete decongestive therapy. One of the groups received IPC treatment and the other received LLLT treatment. Patients at the beginning of treatment, after treatment and 3. environmental measurements of both upper limbs were performed on the moon. Result scale surveys were completed. Results: sociodemographic characteristics and clinical characteristics of CDT+IPC Group and CDT+ LLLT group were similar. The average recovery percentage of patients in the first group was 0.33 and in the second group was 0.41. A significant difference between the two groups was found between the recovery percentages (p=Dec Dec 0.039). According to the results of the lymqol-arm survey, there was a decrease in clinical symptoms after treatment in both groups (p<0.001). SF-36 physical role difficulties, pain, vitality and emotional role difficulties in subgroups before-after-treatment and before-3. significant findings were found in both groups compared to Lunar Control results (p<0.05). SF-36 showed a significant increase in general health and social function subgroups compared to all assessment data (p<0.05). A similar response was achieved in UEFI assessments across all decks between both groups. Q-DASH arm, shoulder, hand dysability function survey showed significant improvement in the LLLT group at all times. According to the BECK Depression Scale results, no significant findings were found between pre-treatment and post-treatment rates, although intragroup improvement was observed in the mood of patients (p>0.05) Dec. Conclusion: arm-hand edema improvement percentage was higher in the LLLT group with the addition of IPC or LLLT therapy to complete decongestive therapy. In addition, although there was an increase in diameter in the IPC Group after treatment, the improvement in hand edema in the LLLT group continued. In conclusion scale assessments, further improvement was recorded in the group with LLLT applied in sub-parameters. Large-scale randomized controlled trials with a greater number of patients are needed to understand the clinical effects and effect differences of IPC and LLLT.