title: [Preventing lymphoedema after breast cancer surgery by elastic restraint orthotic and manual lymphatic drainage: a randomized clinical trial].
abstract: OBJECTIVE
  Secondary lymphoedema is considered one of the most common complications after breast cancer surgery. The aim of the present study was to analyze the effectiveness of containment elastic orthosis and manual lymphatic drainage in the prevention of lymphoedema secondary to mastectomy.
  
  
  METHODS
  An experimental study was performed with a control group. Forty-eight patients were randomly assigned to experimental (containment elastic orthosis and manual lymphatic drainage) and control (postural measures) groups. Outcomes measures were quality of life, body composition, temperature, functional assessment of the shoulder, pain and limb volume. Measures were performed at baseline and after 8-months intervention.
  
  
  RESULTS
  After the intervention period, the experimental group showed significant differences (P<.05) in the quality of life, extracellular water, and functional assessment of the volume of the limb of the mastectomized side.
  
  
  CONCLUSIONS
  The application of containment elastic orthosis and manual lymphatic drainage contribute to prevent secondary lymphoedema after breast cancer surgery, improving the quality of life in these patients.
authors.affiliation: Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Almería, Almería, España. adelaid@ual.es
authors.forename: Adelaida María
authors.initials: AM
authors.lastname: Castro-Sánchez
authors.forename: Carmen
authors.initials: C
authors.lastname: Moreno-Lorenzo
authors.forename: Guillermo A
authors.initials: GA
authors.lastname: Matarán-Peñarrocha
authors.forename: María Encarnación
authors.initials: ME
authors.lastname: Aguilar-Ferrándiz
authors.forename: Isabel
authors.initials: I
authors.lastname: Almagro-Céspedes
authors.forename: Juan
authors.initials: J
authors.lastname: Anaya-Ojeda
mesh_terms: D000328:Adult; D000886:Anthropometry; D001132:Arm; D001823:Body Composition; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D058128:Compression Bandages; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D042601:Lymphatic Vessels / Q000528:radiation effects; D008209:Lymphedema / Q000209:etiology / Q000517:prevention & control*; D008405:Massage; D008408:Mastectomy / Q000009:adverse effects*; D008875:Middle Aged; D011182:Postoperative Care; D011446:Prospective Studies; D011788:Quality of Life; D011832:Radiation Injuries / Q000209:etiology; D011878:Radiotherapy / Q000009:adverse effects; D016037:Single-Blind Method; D012881:Skin Temperature; D016896:Treatment Outcome