Physical Therapy A Critical Component in Breast Cancer and Secondary Lymphedema: A Rehabilitation Perspective

Abstract—

Purpose: The main purpose of the methodical review is to obtain the importance of Physiotherapy Rehabilitation in breast cancer-related lymphedema in order to elucidate the role of Physiotherapy in these patients.

Methods: A systematic data search was performed using Google scholar, PubMed (from February 2001 till August 2020) and is focused on the rehabilitative aspect of breast cancer related secondary lymphedema and undertaken according to the PRISMA statement with Levels of Evidence (LoE) assessed.

Results: 14 randomized controlled trials that included 158 women with breast cancer in after care were included. The included for articles studies of effect different types of physiotherapy regimens like exercises that consisted of lymph training, swimming, resistance exercise, gravity-resistive exercise and aerobic exercises. The mentioned articles were thoroughly analyzed and included in the review.

Conclusion: The evidence indicates that Physiotherapy can improve subjective and objective parameters in BCRL patients although it is found to be helpful in improving the quality of life of these patients.

Keywords— Breast cancer, Lymphedema, Physiotherapy, Rehabilitation.

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