Physical Therapy and Rehabilitation

Physical Therapy and Rehabilitation

ISSN 2055-2386
Case report

The Application of Complete Decongestive Therapy through Telephysiotherapy in the Treatment of Acute Upper Limb Lymphedema after Mastectomy during the COVID-19 Pandemic: A Case Study

Dimitrios Lytras1* and Ioannis S. Myrogiannis2

*Correspondence: Dimitrios Lytras

1. Department of Physical Education and Sports Sciences, Aristotle University of Thessaloniki, 57001 Thermi Thessaloniki Greece.

Author Affiliations

2. Laboratory of Hygiene–Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, University Campus 54124, Thessaloniki, Greece.


Background: This case report concerns the physiotherapy treatment of a 69-year-old woman with secondary arm lymphedema via teleconference. To date, no other lymphedema management through telephysiotherapy has been recorded.

Case presentation: The incident occurred last April (during the outbreak of COVID-19 pandemic). The ban on traffic combined with the lack of a specialized physiotherapist in the area where she lived led her to turn to our rehabilitation center. The communication was made by teleconference with the Skype application, where instructions were given to the patient for self-management of the lymphedema utilising self-Complete Decongestive Therapy (CDT). 10 on-line treatments were performed over a period of 15 days with one hour duration each. With the completion of the treatments the volume of the lymph was significantly reduced.

Conclusions: Telephysiotherapy could be beneficial for lymphedema patients. The application of self-CDT through telephysiotherapy can work educationally for the patient and promote the self-management of lymphedema.

Keywords: Case report, Lymphedema, Manual Lymphatic Drainage, Telerehabilitation

ISSN 2055-2386
Volume 7
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