Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study

LU Chao; LI Guang-liang; DENG De-hou; BAO Wen-long; WANG Yan; ZHANG Ai-qin

doi:10.1007/s11655-022-3684-7

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Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study

Acupuncture Research | Updated：2023-05-25

- Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study
- Chinese Journal of Integrative Medicine Vol. 29, Issue 6, Pages: 534-539(2023)
- Affiliations：
  
  1.Department of Traditional Chinese Medicine, the Cancer Hospital of University of Chinese Academy of Sciences(Zhejiang Cancer Hospital), Hangzhou (310022), China
  2.Institute of Basic Medicine and Cancer, Chinese Academy of Sciences, Hangzhou (310022), China
  3.Department of Breast Medical Oncology, the Cancer Hospital of University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou(310022), China
- Author bio：
  
  Dr. LU Chao, E-mail: 1069103617@qq.com
- Funds：
- DOI：10.1007/s11655-022-3684-7
  CLC：
- Published：2023-06，
  
  Published Online：14 November 2022，
  
  Accepted：24 August 2022
Scan for full text
LU Chao, LI Guang-liang, DENG De-hou, et al. Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study. [J]. Chinese Journal of Integrative Medicine 29(6):534-539(2023)
DOI：

LU Chao, LI Guang-liang, DENG De-hou, et al. Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study. [J]. Chinese Journal of Integrative Medicine 29(6):534-539(2023) DOI： 10.1007/s11655-022-3684-7.

摘要

Abstract

Objective:

To observe the clinical efficacy of transcutaneous electrical acupoint stimulation (TEAS) combined with warm acupuncture in treating breast cancer associated with upper limb lymphedema (BCRL).

Methods:

This was a retrospective cohort study using a paired control design. Fifty-two BCRL patients were assigned to the control group (27 cases) and the treatment group (25 cases). The patients in the control group were treated with lymphedema comprehensive detumescence treatment (CDT) for 4 weeks

including systematic therapy composed of manual lymphatic drainage

compression bandage

skincare

and functional exercise. The patients in the treatment group were treated with TEAS combined with warm acupuncture based on the control group methods. Each treatment lasted for 30 min and was applied twice a week for 4 weeks. The arm circumference (AC) of different positions of the affected limb and the degree of swelling of the affected limb were evaluated before the first treatment and after the last treatment. The clinical efficacy was evaluated according to the degree of edema before and after treatment. All adverse events during treatment were recorded.

Results:

The patients' AC and the swelling feeling of the affected limb in the treatment group and the control group were both reduced compared with those before treatment. Compared with the control group

AC of the wrist joint transverse stria

the midpoint between the wrist joint transverse stria and the elbow joint transverse stria in the treatment group were significantly reduced (

0.05). The decrease in AC diameter at the midpoint between the elbow joint transverse stria and the axillary transverse stria was the most significant (

0.01). The swelling degree of the affected limbs in the treatment group was significantly lower than before treatment

and was significantly lower compared with the control group after treatment (

0.01). The total effective rate was 72% in the treatment group

significantly higher than that in the control group (55.56%

0.05). No serious adverse events occured in either group.

Conclusions:

TEAS combined with warm acupuncture can effectively reduce AC and swelling feeling of the affected limb in patients with BCRL. The effect is better than that of CDT therapy alone. (Registration No. ChiCTR2200062075)

关键词

Keywords

transcutaneous electrical acupoint stimulationwarm acupuncturebreast cancer related upper limb lymphedemacomprehensive detumescence treatmentclinical efficacy

references

Davies C, Levenhagen K, Ryans K, Perdomo M, Gilchrist L. Interventions for breast cancer-related lymphedema: clinical practice guideline from the academy of oncologic physical therapy of APTA. Phys Ther 2020; 100:1163-1179.

Aydın A, Gürsoy A. Lymphedema information and prevention practices of women after breast cancer surgery. Florence Nightingale J Nurs 2020; 28:350-358.

Meeske KA, Sullivan-Halley J, Smith AW, McTiernan A, Baumgartner KB, Harlan LC, et al. Risk factors for arm lymphedema following breast cancer diagnosis in black women and white women. Breast Cancer Res Treat 2009; 113:383-391.

Muezzinler NE, Karayurt O. Investigation of experiences of women who developed lymphedema related to breast cancer treatment. J Breast Health 2014; 10:23-29.

Boyages J, Kalfa S, Xu Y, Koelmeyer L, Mackie H, Viveros H, et al. Worse and worse off: the impact of lymphedema on work and career after breast cancer. SpringerPlus 2016; 5:1-8.

Nudelman J. Do no harm: lymphedema risk reduction behaviors. J Clin Oncol 2016; 357:3109-3110.

O'Donnell TF Jr., Rasmussen JC, Sevick-Muraca EM. New diagnostic modalities in the evaluation of lymphedema. J Vasc Surg Venous Lymphat Disord 2017; 5:261-273.

Ezzo J, Manheimer E, McNeely ML, Howell DM, Weiss R, Johansson KI, et al. Manual lymphatic drainage for lymphedema following breast cancer treatment. Cochrane Database Syst Rev 2015; 5: CD003475.

Qian SS, Li X, Li DY. Advances in research of chinese medicine in treating breast cancer-related lymphedema. Chin J Integr Tradit West Med (Chin) 2018; 38:1019-1022.

Gillespie TC, Sayegh HE, Brunelle CL, Daniell KM, Taghian AG. Breast cancer-related lymphedema: risk factors, precautionary measures, and treatments. Gland Surg 2018; 7:379-403.

Nicoli F, Constantinides J, Ciudad P, Sapountzis S, Kiranantawat K, Lazzeri D, et al. Free lymph node flap transfer and laser-assisted liposuction: a combined technique for the treatment of moderate upper limb lymphedema. Lasers Med 2015; 30:1377-1385.

Greenlee H, DuPont-Reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin 2017; 67:194-232.

Garza R 3rd, Skoracki R, Hock K, Povoski SP. A comprehensive overview on the surgical management of secondary lymphedema of the upper and lower extremities related to prior oncologic therapies. BMC Cancer 2017; 17:468.

Chien TJ, Liu CY, Fang CJ. The effect of acupuncture in breast cancer-related lymphoedema (BCRL): a systematic review and meta-analysis. Integr Cancer Ther 2019; 18:1534735419866910.

Cassileth BR, Van Zee KJ, Chan Y, Coleton MI, Hudis CA, Cohen S, et al. A safety and efficacy pilot study of acupuncture for the treatment of chronic lymphoedema. Acupunct Med 2011; 29:170-172.

Yao C, Xu Y, Chen L, Jiang H, Ki CS, Byun JS, et al. Effects of warm acupuncture on breast cancer-related chronic lymphedema: a randomized controlled trial. Curr Oncol 2016; 23: e27-e34.

Cassileth BR, Van Zee KJ, Yeung KS, Coleton MI, Cohen S, Chan YH, et al. Acupuncture in the treatment of upper-limb lymphedema: results of a pilot study. Cancer 2013; 119:2455-2461.

Wang ZG, Xing XJ. Treatment of 34 cases of upper limb edema after breast cancer operation with plum blossom needle percussion. Shanghai J Acupunct Moxibust (Chin) 2013; 32:416.

Sun XH, Fu JR, Cao XC. Clinical observation on the treatment of severe upper limb lymphedema after breast cancer operation by blood letting and cupping therapy. Chin J Surg Integr Tradit West Med (Chin) 2017; 23:167-170.

He JG, Chen XJ, Wang YJ. Clinical study on transcutaneous electric acupoint stimulation for swelling limb after breast cancer operation. Shanghai J Acupunct Moxibust (Chin) 2016; 35:301-303.

Weiqiang G, Mei L. A case of upper limb lymphedema after breast cancer operation. Chin Acupunct Moxibust (Chin) 2013; 7:599-599.

Armer J, Fu MR, Wainstock JM, Zagar E, Jacobs LK. Lymphedema following breast cancer treatment, including sentinel lymph node biopsy. Lymphology 2004; 37:73-91.

Fu MR, Ridner SH, Armer J. Post-breast cancer. Lymphedema: part 1. Am J Nurs 2009; 109:48-54, quiz 55.

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Department of Reproductive Medicine, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital

Center for Reproductive Medicine, Beijing Jia-En De Yun Hospital

Department of Anesthesiology, Beijing Tiantan Hospital, Capi tal Medical Universi ty

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University

Department of Traditional Chinese Medicine, Beijing Tiantan Hospital, Capital Medical University

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