PEMBERIAN ARUS FARADIK DAN COMPRESSION BANDAGE PADA LIMFEDEMA PASCA OPERASI PENGANGKATAN PAYUDARA
DOI:
https://doi.org/10.53625/jirk.v3i1.5867Keywords:
Limfedema, Elektroterapi, Faradic, Compression BandageAbstract
Limfedema ekstremitas atas adalah komplikasi fisik yang biasa dialami setelah pengobatan kanker payudara, ditandai dengan pembengkakan jaringan yang terus-menerus di ekstremitas akibat akumulasi getah bening yang tidak normal dalam jaringan. Beberapa penelitian mengatakan bahwa menambahkan terapi dengan arus faradic pada Complex Dekongestif Theraphy pada pasien limfedema menghasilkan penurunan lingkar segmen dan volume serta ketebalan kulit. Penelitian ini merupakan Case Report yang bertujuan untuk mengetahui efektivitas pemberian arus faradic dan compression bandage pada pasien limfedema. Terapi dilakukan selama 3 kali, sebelum dan sesudahnya dilakukan pengukuran lingkar segmen dari pes cubiti 5 & 10 cm kearah distal dan proksimal, serta diukur kemampuan fungsional menggunakan Upper Extremity Functional Index (UEFI). Setelah diberikan terapi selama 3 kali, diperoleh hasil T0 dan T1 , pes cubiti 5 & 10 cm kearah distal hasilnya 36 & 36 cm, sedangkan pada 5 & 10 cm kearah proximal hasilnya 44 & 45 cm. Pada T2 terdapat penurunan lingkar antropometri 5 & 10 cm kearah distal hasilnya 35 & 34,5 cm, sedangkan pada 5 & 10 cm kearah proximal hasilnya 43 & 44,5 cm. Kemudian pada T3 terdapat penurunan lingkar antropometri 5 & 10 cm kearah distal hasilnya 33 & 32 cm, sedangkan pada 5 & 10 cm kearah proximal hasilnya 43 & 42 cm. Intervensi yang diberikan yaitu modalitas elektroterapi dengan arus faradic yang dikombinasikan dengan kompresi oleh elastic bandage. Hasil dari penelitian ini didapatkan adanya sedikit peningkatan aktifitas fungsional pada pasien dengan limfedema post op ca mamae, pada penilaian aktifitas fungsional T0- T2 diperoleh nilai 44, sedangkan pada T3 didapatkan hasil 49.
References
Torre LA, Siegel RL, Ward EM, Jemal A. Global cancer incidence and mortality rates and trends—an update. Cancer Epidemiol Biomarkers Prev. 2016;25: 16–27.
Ezzo J, Manheimer E, McNeely ML, Howell DM, Weiss R, Johansson KI, et al. Manual lymphatic drainage for limfedema following breast cancer treatment. Cochrane Database Syst Rev. 2015;5:CD003475.
DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema afterbreast cancer: a systematic review and meta-analysis. Lancet Oncol. 2013;14: 500–15.
Gautama, W. (2022). Breast Cancer in Indonesia in 2022: 30 Years of Marching in Place. Indonesian Journal of Cancer, 16(1), 1-2. doi:http://dx.doi.org/10.33371/ijoc.v16i1.920 (Gautama, 2022)
Testa A, Iannace C, Di Libero L. Strengths of early physical rehabilitation programs in surgical breast cancer patients: results of a randomized controlled study. Eur J Phys Rehabil Med. 2014;50: 275–84.
Lymphology ISo. The diagnosis and treatment of peripheral limfedema,. consensus document of the International Society of Lymphology. Lymphology. 2016;2016(49):170–84.
Mokhatri-Hesari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health Qual Life Outcomes. 2020;18: 1–25.
Davies C, Levenhagen K, Ryans K, Perdomo M, Gilchrist L. Interventions for breast cancer–related limfedema: clinical practice guideline from the Academy of Oncologic Physical Therapy of APTA. Phys Ther. 2020;100: 1163–79.
Tambour M, Holt M, Speyer A, Christensen R, Gram B. Manual lymphatic drainage adds no further volume reduction to complete decongestive therapy on breast cancer-related lymphoedema: a multicentre, randomised, single-blind trial. Br J Cancer. 2018;119: 1215–22.
Bicego D, Brown K, Ruddick M, Storey D, Wong C, Harris SR. Exercise for women with or at risk for breast cancer–related limfedema. Phys Ther. 2006;86: 1398–405.
Patel KM, Manrique O, Sosin M, Hashmi MA, Poysophon P, Henderson R. Lymphatic mapping and limfedema surgery in the breast cancer patient. Gland Surg. 2015;4: 244.
El-Shazly M, Borhan WH, Thabet WN, Hassan A. Response of post-mastectomy limfedema to extracorporeal shockwave therapy. J Surg. 2016;4:14–20.
Koo JH, Song SH, Oh HS, Oh SH. Comparison of the short-term effects of hyperbaric oxygen therapy and complex decongestive therapy on breast cancer-related limfedema: A pilot study. Medicine. 2020;99:e19564.
Lee KW, Kim SB, Lee JH, Kim YS. Effects of Extracorporeal Shockwave Therapy on Improvements in Limfedema, Quality of Life, and Fibrous Tissue in Breast Cancer-Related Limfedema. Ann Rehabil Med. 2020;44:386.
Brennan MJ, DePompolo RW, Garden FH. Focused review: postmastectomy limfedema. Arch Phys Med Rehabil. 1996;77(suppl 3):S74-S80.
Kobayashi MR, Miller TA. Limfedema. Clin Plast Surg. 1987;14:303- 313.
Framework L. Best practice for the management of lymphoedema: an international consensus. London: MEP Ltd; 2006. London: MEP Ltd; 2006.
Armer JM. Limfedema. In: Hassey Dow K, editor. Nursing Care of
Chang CJ, Cormier JN. Limfedema interventions: exercise, surgery, and compression devices. Semin Oncol Nurs. 2013;29(1):28–40.
Lasinski BB, McKillip Thrift K, Squire D, Austin MK, Smith KM, Wanchai A, Green JM, Stewart BR, Cormier JN, Armer JM. A systematic review of the evidence for complete decongestive therapy in the treatment of limfedema from 2004 to 2011. PM R. 2012;4(8):580–601
Hemmati, M., Rojhani-Shirazi, Z., Zakeri, Z.S. et al. The effect of the combined use of complex decongestive therapy with electrotherapy modalities for the treatment of breast cancer-related limfedema: a randomized clinical trial. BMC Musculoskelet Disord 23, 837 (2022). https://doi.org/10.1186/s12891-022-05780-1
Robertson VJ, Low J, Ward A, Reed A. Electrotherapy explained: principles and practice. 4th ed. Edinburgh: Elsevier Health Sciences; 2006.
Scallan JP, Zawieja SD, Castorena-Gonzalez JA, et al.: Lymphatic pumping: mechanics, mechanisms and malfunction. J Physiol, 2016, 594: 5749–5768. [Medline] [CrossRef]
Hwang JH, Kwon JY, Lee KW, et al.: Changes in lymphatic function after complex physical therapy for lymphedema. Lymphology, 1999, 32: 15–21. [Medline]
Feger MA, Goetschius J, Love H, et al.: Electrical stimulation as a treatment intervention to improve function, edema or pain following acute lateral ankle sprains: a systematic review. Phys Ther Sport, 2015, 16: 361–369. [Medline] [CrossRef]
Bilgili A, Çakır T, Doğan ŞK, et al.: The effectiveness of transcutaneous electrical nerve stimulation in the management of patients with complex regional pain syndrome: a randomized, double-blinded, placebo-controlled prospective study. J Back Musculoskeletal Rehabil, 2016 [Epub ahead of print]. [Medline]
Choi YD, Lee JH. Edema and pain reduction using transcutaneous electrical nerve stimulation treatment. J Phys Ther Sci. 2016 Nov;28(11):3084-3087. doi: 10.1589/jpts.28.3084. Epub 2016 Nov 29. PMID: 27942125; PMCID: PMC5140805.
Dayan JH, ly Cl, Kataru RP, & Mehrara BJ, 2018. limfedema: pathogenesis and novel therapies. Annu Rev Med., 69: pp. 263 – 276. doi: 10.1136/annurev-med-060116-022900. (Dayan, Ly,, Kataru, & Mehrara, 2018)
