Effect of Using Complete Decongestive Therapy and Intermittent Pneumatic Compression Pump on Breast Cancer-Related Lymphedema

Members: One Free CEU, Non-Members: $15 One CEU

Effect of Using Complete Decongestive Therapy and Intermittent Pneumatic Compression Pump on Breast Cancer-Related Lymphedema

+   Information about CLT Certification

Presenter: Maria Soledad B. Magpantay, OTD, OTR/L, CLT, CPAM

Session Description:

The topics covered in this course include the following: lymphedema, BCRL, stages of lymphedema, CDT, IPC pump, biopsychosocial model, and the results of the retrospective study. OTs who have CLT, OTs who want to become a CLT, and OTs who want to inquire and explore possibilities of certifications can attend this short course. The short course will help OTs/CLTs to provide evidence-based practice to patients with BCRL.

We will also have a short informational session with Dr. Linda Frasier regarding her experience as an occupational therapist and CLT. 

Course Objectives:

Occupational therapists (OTs) who have certification as lymphedema therapists (CLTs) provide lymphedema management for treating patients with BCRL. However, extensive quality research is scarce for lymphedema management (McNeely et al., 2016). This scarcity is a problem because OTs/CLTs have limited information on the efficacy of their treatments. This presentation will provide the effects of intervention for the functional use of the affected arm, disability prevention, and promoting health and well-being.

This course will aim to determine the efficacy of the CDT and the IPC pump as an adjunct for home maintenance of lymphedema management. The focus will be the volume reduction of the ipsilateral arm of the breast surgery side in BCRL.

This course will present the result of the retrospective study of patients with BCRL who underwent CDT, may have used an IPC pump, and were discharged from therapy. The research included examining the specific intervention strategies that produce the desired results.

Speaker Bio:

I have been working in the US as an OT since 1995. I graduated with a Bachelor of Science in OT from the University of the Philippines in 1993. I graduated with high honors from the University of St. Augustine for Health Sciences with PPOTD in December 2021. I have a specialization in executive leadership and received an excellence in scholarship award. The NV governor appointed me as a board member for the NV Board of OT from January 2016 to December 2021. I was still serving as a board member until June 30, 2022, while waiting for the NV governor to appoint a new board member. I am a clinician working in a hospital with an outpatient clinic in the northern NV, Reno, and Sparks areas. I want to share my capstone project, which I completed with my PPOTD. I am flexible with the dates and times. I am usually available on some Tuesdays and Fridays.

Dr. Linda Frasier received her Bachelor of Science degree in Occupational Therapy from Thomas Jefferson University in Philadelphia, PA in 2002. She received her Post-Professional Doctor of Occupational Therapy degree from Creighton University in Omaha, NE in 2012. Over the course of her career as an OT, Dr. Frasier has worked with adults and older adults in acute rehabilitation, acute care, intensive care, skilled nursing and assisted living, outpatient rehabilitation, and home evaluations for Nevada Medicaid. She has specialty certifications in ergonomics, aging in place, senior home safety, and lymphedema. Dr. Frasier has been with Touro University Nevada, School of Occupational Therapy since 2012 as a full time faculty member. Dr. Frasier has been a leader in the state of Nevada by serving on the Nevada State Licensure Board of Occupational Therapy and the Nevada Occupational Therapy Association. Nationally, she serves on the advisory panel for Age Safe America. Last, Dr. Frasier serves as an expert witness for legal cases involving OT practice related issues.

References:

Bahtiyarca, Z. T., Can, A., Ekşioğlu, E., & Çakcı, A. (2019). The addition of self-lymphatic drainage to compression therapy instead of manual lymphatic drainage in the first phase of complex decongestive therapy for treatment of breast cancer-related lymphedema: A randomized-controlled, prospective study. Turkish Journal of Physical Medicine & Rehabilitation (2587-1250), 65(4), 309–317. https://doi.org/10.5606/tftrd.2019.3126

Li, L., Yuan, L., Chen, X., Wang, Q., Tian, J., Yang, K., & Zhou, E. (2016). Current treatments for breast cancer-related lymphoedema: A systematic review. Asian Pacific Journal of Cancer Prevention: APJCP, 17(11), 4875–4883. https://doi.org/10.22034/APJCP.2016.17.11.4875

Liang, M., Chen, Q., Peng, K., Deng, L., He, L., Hou, Y., Zhang, Y., Guo, J., Mei, Z., & Li, L. (2020). Manual lymphatic drainage for lymphedema in patients after breast cancer surgery: A systematic review and meta-analysis of randomized controlled trials. Medicine, 99(49), e23192, 1-10. https://doi.org/10.1097/MD.0000000000023192