{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:14:10Z","timestamp":1787242450378,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breast lymphedema is a common complication of breast cancer treatments but there are limited studies about the treatment of breast lymphedema. The aim of this study was to investigate the acute effects of manual lymphatic drainage (MLD), compression with exercise on the local tissue water percentage, pain, and stiffness following breast-conserving surgery and radiotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Twenty-two patients (52.54\u2009\u00b1\u200912.18 years, 28.55\u2009\u00b1\u20095.11\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) were included. The sociodemographic and clinical information was recorded. The pain and stiffness severity were measured with Visual Analog Scale. Measurements of water percentages in local tissue were performed in all quadrants of the breast with the Moisture Meter D Compact device. All measurements were performed baseline, after MLD, and after compression with exercise.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was a significant difference in local tissue water percentages between the affected and unaffected sides before treatment. The percentage of water only in the lower outer quadrant of the affected breast increased significantly after acute treatment (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.002). In addition, pain (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.001) and stiffness (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.001) scores decreased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Local tissue water percentages increased with MLD and decreased with compression with exercise. In the treatment of breast lymphedema, MLD and compression bandage with exercise may be beneficial in the management of the symptoms of swelling, pain, and stiffness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2022.0037","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T13:00:50Z","timestamp":1669813250000},"page":"283-288","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Acute Effects of Manual Lymphatic Drainage and Compression with Exercise Therapy on Breast Lymphedema Following Breast-Conserving Surgery and Radiotherapy"],"prefix":"10.1177","volume":"21","author":[{"given":"Miray","family":"Haspolat","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif","family":"Sak\u0131zl\u0131 Erdal","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burak","family":"Erturk","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozge Petek","family":"Erpolat","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Faculty of Medicine, Gazi University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilke","family":"Keser","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2005.02.005"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1075-122X.2004.21411.x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-014-3110-8"},{"issue":"1","key":"e_1_3_3_5_2","first-page":"32","article-title":"Breast and trunk oedema after treatment for breast cancer","volume":"1","author":"Williams A","year":"2006","unstructured":"Williams A. Breast and trunk oedema after treatment for breast cancer. J Lymphoedema, 2006; 1(1):32\u201339.","journal-title":"J Lymphoedema"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.50.5.292"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-013-3408-5"},{"issue":"4","key":"e_1_3_3_8_2","first-page":"154","article-title":"Lymphedema of the operated and irradiated breast in breast cancer patients following breast conserving surgery and radiotherapy","volume":"45","author":"Adriaenssens N","year":"2012","unstructured":"Adriaenssens N, , Verbelen H, , Lievens P, et al. Lymphedema of the operated and irradiated breast in breast cancer patients following breast conserving surgery and radiotherapy. Lymphology, 2012; 45(4):154\u2013164.","journal-title":"Lymphology"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2009.01.021"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4741.2007.00420.x"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.2478\/v10019-012-0033-z"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2017.05.002"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2007.12.11.27483"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(83)90088-X"},{"issue":"1","key":"e_1_3_3_15_2","first-page":"15","article-title":"Tissue dielectric constant (TDC) as an index of localized arm skin water: Differences between measuring probes and genders","volume":"48","author":"Mayrovitz H","year":"2015","unstructured":"Mayrovitz H, , Weingrad D, , Brlit F, et al. Tissue dielectric constant (TDC) as an index of localized arm skin water: Differences between measuring probes and genders. Lymphology, 2015; 48(1):15\u201323.","journal-title":"Lymphology"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1088\/0967-3334\/25\/2\/004"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1350-4533(96)00026-4"},{"issue":"2","key":"e_1_3_3_18_2","first-page":"87","article-title":"Localized tissue water changes accompanying one manual lymphatic drainage (MLD) therapy session assessed by changes in tissue dielectric constant in patients with lower extremity lymphedema","volume":"41","author":"Mayrovitz HN","year":"2008","unstructured":"Mayrovitz HN, , Davey S, , Shapiro E. Localized tissue water changes accompanying one manual lymphatic drainage (MLD) therapy session assessed by changes in tissue dielectric constant in patients with lower extremity lymphedema. Lymphology, 2008; 41(2):87\u201392.","journal-title":"Lymphology"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2017.23.9.440"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2018.0064"},{"issue":"73","key":"e_1_3_3_21_2","first-page":"15","article-title":"Two-year follow-up of temporal changes of breast edema after breast cancer treatment with surgery and radiation evaluated by tissue dielectric constant (TDC)","volume":"27","author":"Johansson K","year":"2015","unstructured":"Johansson K, , Darkeh MH, , Lahtinen T, et al. Two-year follow-up of temporal changes of breast edema after breast cancer treatment with surgery and radiation evaluated by tissue dielectric constant (TDC). 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