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Medline ® Abstract for Reference 11

of 'Clinical staging and conservative management of peripheral lymphedema'

Lymphoedema post-mastectomy: is elevation alone an effective treatment?
Swedborg I, Norrefalk JR, Piller NB, Asard C
Scand J Rehabil Med. 1993;25(2):79.
In an attempt to obtain information about the efficacy of arm elevation on the reduction of lymphoedema following mastectomy, a study on 33 patients was carried out in which both the control, contralateral and lymphoedematous arms were elevated for periods of 1 and 5 h. There were statistically significant (p<0.05) reductions in the volumes of the control and lymphoedematous arms after 1 and 5 h of elevation. After 1 h of elevation, significantly more fluid was removed from the control arm (2.7%) than the lymphoedematous one (1.3%). At 5 h there was no significant difference in the volume of fluid removed from the control arm (3.3%) compared with the lymphoedematous one (3.1%).
Red Cross Hospital, Stockholm, Sweden.