Usability of advanced pneumatic compression to treat cancer-related head and neck lymphedema: A feasibility study

Head Neck. 2018 Jan;40(1):137-143. doi: 10.1002/hed.24995. Epub 2017 Nov 13.

Abstract

Background: This functional usability study assessed ease of use, fit, comfort, and potential clinical benefits of advanced pneumatic compression treatment of cancer-related head and neck lymphedema.

Methods: Patient-reported comfort and other treatment aspects were evaluated and multiple face and neck measurements were obtained on 44 patients with head and neck lymphedema before and after 1 treatment session to assess usability and treatment-related lymphedema changes.

Results: A majority of the patients (82%) reported the treatment was comfortable; most patients (61%) reported feeling better after treatment, and 93% reported that they would be likely to use this therapy at home. One treatment produced overall small but highly statistically significant reductions in composite metrics (mean ± SD) of the face (82.5 ± 4.3 cm vs 80.9 ± 4.1 cm; P < .001) and neck (120.4 ± 12.2 cm vs 119.2 ± 12.1 cm; P < .001) with no adverse events.

Conclusion: Results found the treatment to be safe, easy to use, and well tolerated while demonstrating edema reduction after a single initial treatment.

Keywords: head and neck cancer; head and neck lymphedema; manual lymph drainage; pneumatic compression.

MeSH terms

  • Aged
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Head and Neck Neoplasms / pathology
  • Head and Neck Neoplasms / surgery*
  • Humans
  • Intermittent Pneumatic Compression Devices / statistics & numerical data*
  • Lymphedema / etiology
  • Lymphedema / therapy*
  • Male
  • Massage / methods
  • Middle Aged
  • Neck Dissection / adverse effects*
  • Neck Dissection / methods
  • Patient Reported Outcome Measures
  • Patient Satisfaction / statistics & numerical data
  • Postoperative Care / methods
  • Postoperative Complications / physiopathology
  • Postoperative Complications / therapy
  • Prospective Studies
  • Recovery of Function
  • Risk Assessment
  • Treatment Outcome