Kasawara Karina Tamy, Mapa Jéssica Monique Rossetti, Ferreira Vilma, Added Marco Aurélio Nemitalla, Shiwa Silvia Regina, Carvas Nelson, Batista Patricia Andrade
a Department of Obstetrics and Gynecology , University of Campinas , Campinas , Brazil.
b Department of Physical Therapy , Ibirapuera University , São Paulo , Brazil.
Physiother Theory Pract. 2018 May;34(5):337-345. doi: 10.1080/09593985.2017.1419522. Epub 2018 Jan 8.
Lymphedema is known as a secondary complication of breast cancer treatment, caused by reduction on lymphatic flow and lymph accumulation on interstitial space. The Kinesio Taping (KT) has become an alternative treatment for lymphedema volume reduction. The objective of the study was to evaluate the literature through a systematic review on KT effects on lymphedema related to breast cancer.
Search strategies were performed by the following keywords: "Kinesio Taping," "Athletic Tape," "Cancer," "Neoplasm," "Lymphedema," and "Mastectomy" with derivations and different combinations. The following databases were accessed: SCIELO, LILACS, MEDLINE via PubMed, and PEDro, between 2009 and 2016. Studies published in English, Portuguese, and Spanish were considered for inclusion. The studies' methodological quality was assessed by the PEDro scale.
Seven studies were identified by the search strategy and eligibility. All of them showed positive effect in reducing lymphedema (perimeter or volume) before versus after treatment. However, with no effects comparing the KT versus control group or others treatments (standardized mean difference = 0.04, confidence interval 95%: -0.24; 0.33), the average score of the PEDro scale was 4.71 points.
KT was effective on postmastectomy lymphedema related to breast cancer; however, it is not more efficient than other treatments.
淋巴水肿是乳腺癌治疗的一种继发性并发症，由淋巴液流动减少和间质间隙淋巴液积聚引起。肌内效贴布（KT）已成为减轻淋巴水肿的一种替代治疗方法。本研究的目的是通过对KT对乳腺癌相关淋巴水肿影响的系统评价来评估相关文献。
采用以下关键词进行检索策略：“肌内效贴布”“运动贴布”“癌症”“肿瘤”“淋巴水肿”和“乳房切除术”及其衍生词和不同组合。检索了以下数据库：2009年至2016年期间的科学电子图书馆在线（SCIELO）、拉丁美洲和加勒比卫生科学文献数据库（LILACS）、通过PubMed检索的医学文献数据库（MEDLINE）和循证医学数据库（PEDro）。纳入发表于英语、葡萄牙语和西班牙语的研究。采用PEDro量表评估研究的方法学质量。
通过检索策略和纳入标准共识别出7项研究。所有研究均显示治疗前后在减轻淋巴水肿（周长或体积）方面有积极效果。然而，比较KT组与对照组或其他治疗方法时无效果（标准化均数差=0.04，95%置信区间：-0.24；0.33），PEDro量表的平均得分为4.71分。
KT对乳腺癌相关乳房切除术后淋巴水肿有效；然而，它并不比其他治疗方法更有效。
