Rehabilitation of Breast Pathology Unit, University Hospital 12 de Octubre, Madrid, Spain.
Faculty of Nursing, Physiotherapy and Chiropody, Complutense University of Madrid, Madrid, Spain.
Clin Rehabil. 2019 Dec;33(12):1887-1897. doi: 10.1177/0269215519874107. Epub 2019 Sep 9.
To determine the effectiveness of Kinesio taping compared to compression garments during maintenance phase of complex decongestive therapy for breast cancer-related lymphedema.
Randomized, cross-over, controlled trial.
Outpatient tertiary-level hospital rehabilitation setting.
Randomized sample of 30 women with breast cancer-related lymphedema.
Participants received two interventions, Kinesio taping and compression garment, both lasting four weeks, whose order was randomized by blocks. A four-week washout period was established prior to the interventions and between them.
The main outcome was the lymphedema Relative Volume Change. Secondary outcomes were range of motion of arm joints, self-perception of comfort, and lymphedema-related symptoms (pain, tightness, heaviness, and hardness).
The decrease in the Relative Volume Change was greater in the Kinesio taping intervention (-5.7%, SD = 2.0) compared to that observed using compression garments (-3.4%, SD = 2.9) ( < 0.001). The range of motion of five upper-limb movements increased after applying taping (between 5.8° and 16.7°) ( < 0.05), but not after compression ( > 0.05). In addition, taping was perceived as more comfortable by patients (between 2.4 and 3 points better than compression in four questions with a 5-point scale ( < 0.001)) and further reduced lymphedema-related symptoms compared to compression (between 0.96 and 1.40 points better in four questions with a 6-point scale ( < 0.05)).
Kinesio taping was more effective than compression garments for reducing the lymphedema volume, with less severe lymphedema-related symptoms, better improvement of upper-limb mobility, and more comfort.
比较运动贴扎与压迫性衣物在乳腺癌相关淋巴水肿综合消肿治疗的维持阶段的效果。
随机、交叉、对照试验。
门诊三级医院康复科。
随机抽取的 30 名乳腺癌相关淋巴水肿患者。
参与者接受两种干预措施，即运动贴扎和压迫性衣物，每种干预持续四周，其顺序通过分组随机化。在干预措施之间和之前，建立了四周的洗脱期。
主要结果是淋巴水肿相对体积变化。次要结果是手臂关节活动度、自我舒适度感知和淋巴水肿相关症状（疼痛、紧绷感、沉重感和硬度）。
与使用压迫性衣物（-3.4%，SD=2.9）相比，运动贴扎干预（-5.7%，SD=2.0）导致相对体积变化的减少更大（ <0.001）。在使用贴扎后，五个上肢运动的关节活动度增加（5.8°至 16.7°）（ <0.05），但在使用压迫性衣物后没有增加（ >0.05）。此外，与压迫性衣物相比，贴扎被患者认为更舒适（在四个五分制问题中，有 2.4 到 3 分的改善）（ <0.001），并且与压迫性衣物相比，进一步减轻了淋巴水肿相关症状（在四个六分制问题中，有 0.96 到 1.40 分的改善）（ <0.05）。
与压迫性衣物相比，运动贴扎更有效地减少淋巴水肿体积，淋巴水肿相关症状更轻，上肢活动度改善更好，舒适度更高。
