الفهرس 
Intermittent pneumatic compression versus multilayer bandages for reducing post mastectomy lymphedema
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Abstract
Lymphoedema is a serious health, psychosocial and economic problem among patients treated for malignant tumors which requested specified physical therapy aiming to reverse further increase of limb size. The aim of this study was to compare the efficacy of intermittent pneumatic-compression versus multilayer bandages (mobiderm bandage) in reduction of post mastectomy lymphedema. Thirty female patients with unilateral post mastectomy secondary lymphedema participated in this study. Patients were randomly assigned into two equal groups of 15,both groups received traditional medical treatment in addition to manual lymphatic drainage for 30 min per session. Additionally, group (A) received intermittent pneumatic compression therapy for 20 min per day, daily for 3 weeks and group (B) received multilayer bandages for 20 hours per day, daily for 3 weeks. Treatment: pharmacological treatment: benzopyrones, retinoidilke agents, anthelimntic agent, topical skin product, antibiotics. Non pharmacological treatment: exercises, skin care, elevation, manual lymphatic drainage. The tape measurement, goniometer, upper extremity functional scale. After one week of treatment (Post 1), between groups statistical analysis showed significant increase (p< 0.05) in functional upper extremity index scale measures, slight improvements (p< 0.05) in goniometric measurement at several points as (shoulder adduction, shoulder internal and external rotation, elbow flexion ,wrist flexion and extension ) despite no improvements (p{u2265}0.05) in the other points as shoulder flexion and extension and abduction, elbow extension