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Treatment of upper limb lymphedema with low-level laser: a systematic review

机译：低水平激光治疗上肢淋巴水肿：系统评价

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Introduction Low-level lasers have been suggested as a complement to lymphedema treatment. However, this therapy’s mechanism of action and its effects are poorly understood up to the present. Objective To conduct a systematic literature review to analyze the effects of low-level laser in the treatment of upper-limb lymphedema in women submitted to breast cancer surgery. Material and methods Randomized clinical trials were included, in Portuguese, English and Spanish, from January 1990 to July 2013. The article search was carried out in the Pubmed, Lilacs and PEDro electronic databases, with the following descriptors:Terapia a Laser de Baixa Intensidade, Linfedema, Câncer de Mama, Low-level laser therapy, Lymphedema, Breast Neoplasms and also through a manual search. Results and discussion Low-level lasers have been used for treating several acute and chronic conditions. However, its application for managing post breast cancer surgery is still recent, often based on empirical evidence. Treating upper-limb lymphedema with low-level laser presented positive results, with reduction in the circumference or volume of the affected limb. Conclusion More studies of high methodological quality are needed in order to better understand the mechanism of action of low-level laser on the lymphatic system and its effects on lymphedema treatement.
机译：引言已经建议使用低强度激光作为淋巴水肿治疗的补充。但是，到目前为止，对这种疗法的作用机理及其作用还知之甚少。目的进行系统的文献综述，以分析低强度激光治疗乳腺癌患者上肢淋巴水肿的疗效。材料和方法包括1990年1月至2013年7月以葡萄牙语，英语和西班牙语进行的随机临床试验。本文的检索在Pubmed，Lilacs和PEDro电子数据库中进行，其描述符如下：Terapia a Laser de Baixa Intensidade ，Linfedema，Câncerde Mama，低水平激光治疗，淋巴水肿，乳腺肿瘤，以及通过手动搜索。结果与讨论低强度激光已用于治疗多种急性和慢性疾病。然而，它通常在经验证据的基础上应用于乳腺癌术后的管理。用低水平激光治疗上肢淋巴水肿取得了积极成果，减少了患肢的周长或体积。结论为了更好地了解低强度激光对淋巴系统的作用机理及其对淋巴水肿治疗的作用，需要进行更多的方法学研究。

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