Article

Lymphedema treatment aims to alleviate symptoms, prevent progression, and reduce
risk for skin infection. Mainstream treatment options have been investigated in
more than 160 studies. Findings from these studies have been included in at least
1 of more than 20 literature reviews. A critique of these reviews was undertaken
to summarize efficacy findings. The quality of the reviews was evaluated, and
gaps in the research were identified to better guide clinical practice. Overall,
there was wide variation in review methods. The quality of studies included in
reviews, in study design and reporting overall, has been poor. Reviews
consistently concluded that complex physical therapy is effective at reducing
limb volume. Volume reductions were also reported after the use of compression
garments, pumps, and manual lymphatic drainage. However, greatest improvements
were reported when these treatments formed a combined treatment program. Large,
well-designed, evaluated, and reported randomised, controlled trials are needed
to evaluate and compare treatments. Consistent outcome measures will allow better
quality reviews and meta-analysis in the future.

Langue : ANGLAIS