Complex Decongestive Therapy In The Management Of Breast Cancer-Related Lymphedema: Benefits And Future Perspectives.
Authors
-
Beatriz Quintero
Universidad Técnica Particular de Loja. Loja, Ecuador
https://orcid.org/0000-0002-1084-9185
DOI:
https://doi.org/10.70099/BJ/2025.02.02.9Keywords:
Breast cancer-related lymphedema, CDT, treatment adherence, compression therapy, innovative therapies, non-surgical managementAbstract
Breast cancer-related lymphedema (BCRL) affects up to 20% of patients and remains a chronic complication that significantly impairs quality of life. Complex Decongestive Therapy (CDT), composed of manual lymphatic drainage, compression bandages, therapeutic exercise, and skin care, is the non-surgical standard treatment. This review analyzes recent evidence regarding the effectiveness, limitations, and strategies to enhance CDT. Findings indicate average lymphedema volume reductions of 31% to 46%, especially when implementing intensive and personalized protocols. However, treatment adherence is inconsistent, with dropout rates exceeding 30%, influenced by economic barriers, physical discomfort, and psychological factors. Incorporating advanced compression devices, Kinesio taping, and therapeutic video games has shown promise in improving adherence and functionality, although long-term effects require further investigation. In conclusion, CDT remains effective in reducing lymphedema and improving functional outcomes, but its success depends on personalized approaches, sustained adherence, and the integration of complementary innovations. Well-designed multicenter studies are needed to standardize treatment protocols and assess long-term outcomes of emerging interventions.
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