Evidence map›Paper›PMID 28386788›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

Immediate effects of active exercise with compression therapy on lower-limb lymphedema.

Takuya Fukushima, Tetsuya Tsuji, Yufuko Sano, Chieko Miyata, Michiyo Kamisako, Hiroka Hohri, Chikako Yoshimura, Megumi Asakura, Taro Okitsu, Kaori Muraoka and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05793749 (Early Intervention to Prevent Gynecological Malignant Tumors Clinical Study of Lymphedema of the Lower Limbs in Patients With Radiotherapy After Lymphadenectomy), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05793749 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Early Intervention to Prevent Gynecological Malignant Tumors Clinical Study of Lymphedema of the Lower Limbs in Patients With Radiotherapy After Lymphadenectomy

TypeinterventionalSponsorChongqing University Cancer HospitalRan2023 to 2026Enrolled400ConditionsUterine Cervical Neoplasms, Endometrial Neoplasms, Lymphedema, Treatment EffectivenessArmsProphylactic lymphedema treatment
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Exercise and cancer-related lymphedema in the lower limbs-a randomized cross-over trial on high-intensity interval training (HIIT) with and without compression garments.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  4. The effect of muscles in the treatment of lower limb lymphedema: respiratory muscles or leg muscles?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  5. Effects of aerobic cycling training in patients with gynaecologic cancer-related lower extremity lymphedema: A randomised comparative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  6. Trial
  7. Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Trial
  8. Trial
  9. Feasibility of a remote and home-based personalised exercise programme in cancer survivors with lymphoedema.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Diagnosis and Treatments of Limb Lymphedema: Review.Annals of vascular diseases · 2024
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Biology of Lymphedema.Biology · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Takuya FukushimaDepartment of Rehabilitation Medicine, Nagasaki University Hospital, Nagasaki, Japan.
Tetsuya TsujiDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan. cxa01423@nifty.com.ORCID 0000-0002-4728-9409
Yufuko SanoDepartment of Rehabilitation Medicine, Keio University Hospital, Tokyo, Japan.
Chieko MiyataDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Michiyo KamisakoDepartment of Rehabilitation Medicine, Keio University Hospital, Tokyo, Japan.
Hiroka HohriDepartment of Rehabilitation Medicine, Keio University Hospital, Tokyo, Japan.
Chikako YoshimuraDepartment of Rehabilitation Medicine, Keio University Hospital, Tokyo, Japan.
Megumi AsakuraDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Taro OkitsuDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Kaori MuraokaDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Meigen LiuDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Keio University · JPKeio University Hospital · JPNagasaki University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeActive exercise with compression therapy (AECT) is a standard treatment for gynecological cancer-related lower-limb lymphedema (LLL) in clinical situations. However, there is insufficient evidence regarding the immediate effects of the use of AECT on LLL. The purpose of this study was to evaluate the immediate effects of AECT on LLL.

methodsParticipants in this randomized controlled crossover trial comprised 23 women with LLL who completed high-load AECT, low-load AECT, and compression-only therapy (CT). AECT was performed on a bicycle ergometer with short stretch bandages. Each intervention was performed for 15 min, with successive interventions separated by a 1-week washout period. Lower-limb volume was assessed using a Perometer™ sensor (Pero-system, Wuppertal, Germany). General symptoms (pain and heaviness) and skin symptoms (pitting and stiffness) were assessed using a visual analog scale and palpation, respectively. Measurements were taken before and after each intervention. Analysis of variance using linear mixed-effect modeling was used for statistical analyses.

resultsVolume decrement differed significantly between all three interventions (P < 0.05). Lower-limb volume was significantly reduced after high-load AECT compared to that after CT. General symptoms and skin symptoms were similar across the three interventions, but severity of pre-intervention skin symptoms correlated significantly with volume decrement after high- and low-load AECT. High-load AECT using the bicycle ergometer was more effective than CT for decreasing lower-limb volume.

conclusionsThese results suggest that high-load AECT has marked effects on severe LLL.

Indexed as

BandagesCross-Over StudiesExercise TherapyFemaleHumansLower ExtremityLymphedemaMiddle AgedErgometer exerciseGynecological cancerLymphatic system insufficiencyRehabilitation

Identifiers

PMID28386788
PMCPMC5486768
OpenAlexW2604829955

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.