{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:25:48Z","timestamp":1781198748868,"version":"3.54.1"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"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":[[2025,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Secondary lymphedema is acquired and caused by obstruction or injury to a normally developed lymphatic system. Loss of mobility is a common problem in patients with secondary lower limb lymphedema (LLL) following cancer treatment. In this study, we examined the effect of complex decongestive therapy (CDT) on motor function and mobility in patients with LLL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      A quasi-experimental study was performed with 24 participants with stage 2 LLL (56.04 \u00b1 14.23 years). Participants received 15 sessions of CDT. Motor function was assessed with a foot tapping test (FTT). Gait speed was measured in single-task (ST) and dual-task (DT) conditions, and DT cost was calculated. All assessments were performed before and after the intervention. The paired\n                      <jats:italic toggle=\"yes\">t-<\/jats:italic>\n                      test and Wilcoxon signed-rank test were used to analyze the effect of CDT on FTT, gait speed, and DT cost. ST and DT gait speed (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.002,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and DT cost (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001) decreased following the CDT, whereas bilateral FTT scores did not change.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CDT improves mobility and dual-tasking in LLL, thereby promoting independence in daily life. Future prospective controlled studies are required to corroborate our results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2024.0021","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T07:26:56Z","timestamp":1734420416000},"page":"11-16","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Complex Decongestive Therapy Improves Gait Speed in Patients with Lower Limb Lymphedema"],"prefix":"10.1177","volume":"23","author":[{"given":"Evrim","family":"G\u00f6k\u00e7e","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Ankara City Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3506-3733","authenticated-orcid":false,"given":"Nesli\u015fah","family":"G\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, K\u0131rklareli University, K\u0131rklareli, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00dclk\u00fc","family":"D\u00fczl\u00fc \u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Ankara City Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meltem","family":"Dalyan","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Ankara City Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.2458\/lymph.4649"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-03637-6"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14225667"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1188\/03.ONF.417-423"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2012.0015"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(94)00279-N"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6131.146063"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17018-9"},{"key":"e_1_3_7_10_2","volume-title":"Best Practice for the Management of Lymphedema: An \u0130nternational Consensus","author":"Lymphedema Framework","year":"2006","unstructured":"Lymphedema Framework. Best Practice for the Management of Lymphedema: An \u0130nternational Consensus. MEP Ltd.: London; 2006."},{"key":"e_1_3_7_11_2","first-page":"e20190074","article-title":"Efficacy of complex decongestive therapy for lymphedema of the lower limbs: A systematic review","volume":"19","author":"Brand\u00e3o ML","year":"2020","unstructured":"Brand\u00e3o ML, , Soares HPDS, , Andrade MDA, et al. Efficacy of complex decongestive therapy for lymphedema of the lower limbs: A systematic review. J Vasc Bras, 2020; 19:e20190074; doi: 10.1590\/1677-5449.190074","journal-title":"J Vasc Bras"},{"issue":"1","key":"e_1_3_7_12_2","first-page":"1","article-title":"The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology","volume":"46","author":"International Society of Lymphology","year":"2013","unstructured":"International Society of Lymphology. 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Physical Activity and the Person with Cancer. Available from: https:\/\/www.cancer.org\/cancer\/survivorship\/be-healthy-after-treatment\/physical-activity-and-the-cancer-patient.html [Last accessed: February27 2024]."},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2014.06.001"},{"key":"e_1_3_7_26_2","first-page":"155","volume-title":"Attentional Limitations in Dual-Task Situations","author":"Pashler H","year":"1998","unstructured":"Pashler H, , Johnston J. Attentional Limitations in Dual-Task Situations. Psychology Press: Hove, UK; 1998; pp. 155\u2013189."},{"key":"e_1_3_7_27_2","article-title":"The impact of mindfulness on working memory-related brain activation in breast cancer survivors with cognitive complaints","author":"Melis M","year":"2023","unstructured":"Melis M, , Blommaert J, , Van der Gucht K, et al. The impact of mindfulness on working memory-related brain activation in breast cancer survivors with cognitive complaints. 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