Medicine and Health Sciences Commons^™

Early Manual Lymphatic Drainage With Secondary Edema, Tiana Bridges Mot/S, Carly Fallin Mot/S, Emma Hilliard Mot/S, Olivia Holmes Mot/S, Kathryn Mullins Mot/S, Jonathan Richardson Mot/S, Cassie Warlick Mot/S

Master of Occupational Therapy Student Critically Appraised Topics

Implementation of an early manual lymphatic drainage program on post-op head/neck patients to decrease secondary edema.

Pilot Study For Use Of The Spurgeon Methodtm Of Breast Massage After Mastectomy, Cynthia L. Veazey

OT Student Capstones

Importance: Reduced range of motion of the shoulder and chronic pain negatively affect the ability to complete daily activities and the mental and physical quality of life for women after breast cancer surgery. Objective: To assess the results over time of the Spurgeon MethodTM of breast massage after breast cancer surgery in improving shoulder range of motion and performance of activities of daily living. Design: Mixed methods pilot study performing the Spurgeon MethodTM protocol with participants once a week for six weeks. Setting and Participants: The setting was The Caring Place, a nonprofit program managed by the Nevada Childhood Cancer …

Efficacy Of Evidence-Based Exercise As A Treatment For Breast Cancer Related Lymphedema, Eric Kartevold, Katrina Maañao Perez, Malcolm Reed

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Breast cancer related lymphedema (BCRL) of the upper extremity is a frequent sequela following axillary node dissection (AND). A recent meta-analysis by Gillespie et al. (2018), suggested a 21.4% incidence of chronic arm edema post breast cancer intervention. Gillespie et al. (2018) explained that because of a lack of diagnostic criteria for BCRL, incidence reports varied widely from less than 5% to over 50%.

The purpose of this review was to determine the efficacy of exercise in the self-management of BCRL, including the types and frequency of exercise. Protocols from 24 articles on the self-management of BCRL, including exercise as …

Lymphatouch As A Tool For Manual Lymph Drainage: A Therapist's Perspective, Karlie D. Kimball

Occupational Therapy: Student Scholarship & Creative Works

Lymphedema, swelling due to impaired flow of lymph fluid, is a result of interrupted lymph circulation of the lymphatic system (McLafferty, Hendry, & Farley, 2012). This project aims to review and synthesize literature regarding the physiology of the lymphatic system, treatment of lymphedema involving the use of manual lymph drainage (MLD), and technology advances in the use of negative pressure in treatment and intervention in lymph flow. In addition to the literature review and synthesis, one Certified Lymphedema Therapist and physical therapist will be interviewed and asked to provide commentary on her experience using an advanced technology, the LymphaTouch®.

National Survey Of Lymphedema Therapists’ Dosing Of Complete Decongestive Therapy In Breast Cancer Survivors With Lymphedema, Katie M. Polo, Peter J. Rundquist, Nathaniel D. Krumdick, Gail L. Gamble

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to identify dosing levels of complete decongestive therapy (CDT) with survivors with Breast Cancer-Related Lymphedema (BCRL) and describe factors related to how occupational therapists, occupational therapy assistants, physical therapists, and physical therapists assistants with advanced lymphedema training determine dosing.

Methods: An electronic survey was sent to 598 occupational therapists, occupational therapy assistants, physical therapists, and physical therapists assistants with training in lymphedema. Respondents completed questions regarding demographics, dosing practices, and factors related to dose determination in complete decongestive therapy of survivors with Breast Cancer-Related Lymphedema.

Results: 107 surveys were returned (18% response rate). …

A Review Of Health Related Quality Of Life Assessments For Patients With Lymphedema, Bonnie C. Blair, Gina M. Dellino, Jennifer E. Thomas

School of Occupational Therapy Master's Capstone Projects (2016-2021)

In collaboration with Heidi Shaffer, one of the occupational therapists on staff at the MultiCare lymphedema clinic in Gig Harbor, Washington, we sought to answer the question “Which patient-reported outcome assessments are most valid and reliable in measuring health-related quality of life (HRQoL) in patients with lymphedema?” We conducted a systematic literature review to answer this question. In reviewing selected databases, 19 articles were chosen to appraise the evidence supporting psychometric properties and clinical utility of 10 HRQoL assessments used for patients with lymphedema. The Disability of the Arm, Shoulder and Hand (DASH) and Lymphedema Life Impact Scale (LLIS) assessments …