Evidence map›Paper›PMID 40285885›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Lymphedema management in patients with head and neck cancer: a systematic review of randomized controlled trials on physical therapy interventions.

Laura de-la-Cruz-Fernández, Noelia Galiano-Castillo, Pilar Galván-Banqueri, Eduardo Castro-Martín, Mario Lozano-Lozano, Paula Postigo-Martin, Maria Lopez-Garzon

Abstract readSystematic Review
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Beyond feasibility: the case for lymphoedema-stratified rehabilitation trials in head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Review
  4. Review
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

7 authors.

Laura de-la-Cruz-FernándezHuétor Salud Fisioterapia, Granada, Andalucía, Spain.
Noelia Galiano-CastilloBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.ORCID http://orcid.org/0000-0002-6825-4213
Pilar Galván-BanqueriDepartment of Radiation Oncology, Hospital Universitario Virgen de Las Nieves, Granada, Spain.
Eduardo Castro-MartínBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain. eduardoc@ugr.es.ORCID http://orcid.org/0000-0003-3968-0691
Mario Lozano-LozanoBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.ORCID http://orcid.org/0000-0001-5854-3567
Paula Postigo-MartinBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.ORCID http://orcid.org/0000-0001-6430-5207
Maria Lopez-GarzonBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain.ORCID http://orcid.org/0000-0002-9229-9673

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLymphedema is one of the most common side effects following oncological treatment. This systematic review analyzed the latest literature concerning the efficacy of physical therapy interventions in treating secondary lymphedema in patients with head and neck cancer.

methodsMedline, Web of Science, Scopus, and Cochrane Library were searched for studies published before August 2023. Randomized controlled trials in which physical therapy was applied to treat lymphedema in head and neck cancer were included. Reviewers blinded screened the articles retrieved, scored methodological quality, and extracted data. The review was conducted according to the PRISMA statement and registered in PROSPERO (CRD42023439643). Risk of bias assessment was performed using the Cochrane tools.

resultsA total of four randomized controlled trials were included. They comprise 167 patients, and only one of the studies achieved a low risk of bias. Interventions were kinesio taping, compression therapy, manual lymphatic drainage and/or exercise applied in combination with skin care and self-management. Some adverse effects related to intervention were mild and transitory.

conclusionThe findings shown by this review were that an exercise program plus manual lymphatic drainage supplemented with kinesio taping or compression therapy could be beneficial for external lymphedema. Neither therapy achieved an improvement in internal lymphedema.

Indexed as

Head and Neck NeoplasmsLymphedemaPhysical Therapy ModalitiesAthletic TapeExercise TherapyHumansManual Lymphatic DrainageRandomized Controlled Trials as TopicHead and neck neoplasmsIntermittent pneumatic compression devicesLymphedemaPhysical therapy modalitiesSystematic review

Identifiers

PMID40285885
PMCPMC12033101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.