Taradaj Jakub, Halski Tomasz, Zduńczyk Małgorzata, Rajfur Joanna, Pasternok Małgorzata, Chmielewska Daria, Piecha Magdalena, Kwaśna Krystyna, Skrzypulec-Plinta Violetta
Katedra Podstaw Fizjoterapii, Akademia Wychowania Fiycznego w Katowicach.
Instutut Fizjoterapii, Państwowa Medyczna Wyższa Szkoła Zawodowa w Opolu.
Prz Menopauzalny. 2014 Mar;13(1):73-7. doi: 10.5114/pm.2014.41082. Epub 2014 Mar 10.
Breast cancer-related lymphedema is one of the complications resulting from treatment. It is defined as arm oedema in the breast cancer patients caused by interruption of the flow of the axillary lymphatic system from surgery or radiation therapy, which results in the accumulation of fluid in the subcutaneous tissue of the arm, with a decrease in tissue distensibility around the joints and an increased weight of the extremity. Decongestive lymphatic therapy is common management for lymphedema. A program combining skin care, manual lymphatic drainage, exercise, and compression therapy (multilayer bandage or garment) is recognised as the best practice in lymphedema management. Kinesio taping (KT) for lymphatic drainage is a new choice in the field of physical therapy. The material and the original concept of the taping technique were introduced by Dr Kenso Kase in 1973. K-tape had been designed to allow 30-40% longitudinal stretch. It is composed of 100% cotton fibers and acrylic heat sensitive glue. Development of the technique for its administration is still ongoing. The paper discusses the case of a woman with breast cancer, in whom lymphedema occurred. The patient had three weeks of therapy. The treatment consisted of 12 manual lymphatic drainage, 12 pneumatic compressions and 3 applications of the KT method (due to the lack of standard multi-layer bandaging). During the measurement of oedema it was noted that KT had a significant effect on the reduction of lymphedema and accelerates healing effects compared to standard methods.
乳腺癌相关淋巴水肿是治疗引起的并发症之一。它被定义为乳腺癌患者因手术或放疗导致腋窝淋巴系统引流中断而引起的手臂水肿,这会导致手臂皮下组织积液,关节周围组织扩张性降低,肢体重量增加。消肿淋巴治疗是淋巴水肿的常见治疗方法。一个结合皮肤护理、手法淋巴引流、运动和压力治疗(多层绷带或弹力衣)的方案被认为是淋巴水肿管理的最佳实践。用于淋巴引流的肌内效贴扎是物理治疗领域的一种新选择。贴扎技术的材料和最初概念由加濑健三博士于1973年提出。肌内效贴布设计为可纵向拉伸30%-40%。它由100%棉纤维和丙烯酸热敏胶水组成。其应用技术仍在不断发展。本文讨论了一名发生淋巴水肿的乳腺癌女性患者的病例。该患者接受了为期三周的治疗。治疗包括12次手法淋巴引流、12次气压治疗和3次肌内效贴扎治疗(因缺乏标准多层绷带包扎)。在测量水肿时发现,与标准方法相比,肌内效贴扎对减轻淋巴水肿有显著效果,并能加速愈合。