Abstract
Background: This case report concerns the physiotherapy treatment of a 69-year-old woman with secondary arm lymphedema via teleconference. To date, no other lymphedema management through telephysiotherapy has
Highlights
This case report concerns the physiotherapy treatment of a 69-year-old woman with secondary arm lymphedema via teleconference
Telephysiotherapy could be beneficial for lymphedema patients
The appearance of secondary arm lymphedema after mastectomy when it is accompanied by axillary lymph node clearance is the most common complication in the treatment of breast cancer in women and reaches 10 to 30% of breast cancer survivors [1,2,3]
Summary
This case report concerns the physiotherapy treatment of a 69-year-old woman with secondary arm lymphedema via teleconference. The communication was made by teleconference with the Skype application, where instructions were given to the patient for self-management of the lymphedema utilising self-Complete Decongestive Therapy (CDT). The physiotherapy approach to lymphedema treatment includes lymphatic drainage (Manual Lymph Drainage, MLD), in which the movement and drainage of the lymph is achieved through gentle and rhythmic manual movements. It includes the use of bandaging in the area (Compression Therapy, CT), skin care, as well as therapeutic exercise, forming the therapeutic regimen called Complete Decongestive Therapy (CDT). During the first phase (decongestion phase), through the CDT the lymph is drained and the volume of the lymphedema is reduced (this phase lasts 10-15 days). The glove should be worn by the patient for life and should be replaced at regular intervals [7]
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