Marzeih heidari - MSc in occupational therapy, School of Rehabilitation, Tehran University of MedicalSciences. Tehran, Iran

one of the most effective methods for controlling lymphedema is the moving fluid in patients with breast cancer following mastectomy.Combine Decongestive Therapy(CDT) is noninvasive technique and consists of 4 elements (hand massage, aid bandage, member education, sportsrehabilitation). Our goal is to asses the impact on QOL and functioning of patients with CTD techniques. Materials&methods: Resources related to the study of internal and external databases were collected using relevant keywords.Findings: Fold(1989), weiss(2002) in a study reported the greatest improvement in QOL and physical aspects. Kim(2008) in the study of women with at least 6 months of chemotherapy and radiotherapy in cancer and other surgical treatments for at least 3 months and a maximum of 5 years ago reprted that people s ability to perform activities of daily living and lifting of arm are affected, Koual(2006) mentioned reduction of pain, swelling, and improving the QOL. Mondry(2008), mullai(2014) showed long-term impact of this technique on the QOL of patients. Haghighat(2014) report that patients using this technique compared with the this technique as well as Pressure pump approach showed better results.Conclusion: This kind of techniques is essential to achieve better health outcomes, reduce infection,costs and improve overall QOL for patients.

Combine Decongestive Therapy, quality of life, breast cancer patients