Managing postmastectomy lymphedema with low-level laser therapy.
OBJECTIVE
We aimed to investigate the effects of low-level laser therapy (LLLT) in managing postmastectomy lymphedema.


BACKGROUND
Postmastectomy lymphedema (PML) is a common complication of breast cancer treatment that causes various symptoms, functional impairment, or even psychosocial morbidity. A prospective, single-blinded, controlled clinical trial was conducted to examine the effectiveness of LLLT on managing PML.


METHODS
Twenty-one women suffering from unilateral PML were randomly allocated to receive either 12 sessions of LLLT in 4 wk (the laser group) or no laser irradiation (the control group). Volumetry and tonometry were used to monitor arm volume and tissue resistance; the Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire was used for measuring subjective symptoms. Outcome measures were assessed before and after the treatment period and at the 4 wk follow-up.


RESULTS
Reduction in arm volume and increase in tissue softening was found in the laser group only. At the follow-up session, significant between-group differences (all p < 0.05) were found in arm volume and tissue resistance at the anterior torso and forearm region. The laser group had a 16% reduction in the arm volume at the end of the treatment period, that dropped to 28% in the follow-up. Moreover, the laser group demonstrated a cumulative increase from 15% to 33% in the tonometry readings over the forearm and anterior torso. The DASH score of the laser group showed progressive improvement over time.


CONCLUSIONS
LLLT was effective in the management of PML, and the effects were maintained to the 4 wk follow-up.
Lau
Rufina W L
RW
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Cheing
Gladys L Y
GL
D000328:Adult; D001943:Breast Neoplasms / Q000628:therapy*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D028022:Low-Level Light Therapy; D008209:Lymphedema / Q000209:etiology / Q000532:radiotherapy*; D008408:Mastectomy / Q000009:adverse effects*; D008875:Middle Aged; D011446:Prospective Studies; D016037:Single-Blind Method; D016896:Treatment Outcome