Department of Physical Medicine and Rehabilitation, University of Health Sciences, Prof Dr Cemil Tascioglu City Hospital, Istanbul, Turkey.
Department of Otorhinolaryngology, Acibadem Maslak Hospital, Istanbul, Turkey.
Physiother Theory Pract. 2023 Sep 2;39(9):1832-1846. doi: 10.1080/09593985.2022.2056862. Epub 2022 Mar 28.
The aim was to investigate the effectiveness of Kinesio taping for lymphedema following head and neck cancer therapy and its effect on patient compliance and quality of life.
A total of 66 patients with lymphedema following head and neck cancer therapy were randomly allocated to the therapeutic Kinesio taping group (n = 33) and the sham Kinesio taping group (n = 33). All participants received manual lymphatic drainage, Kinesio taping, and home exercises for the first four weeks, and only home exercises for the second four weeks. The tape measurements, a scale of external lymphedema, a scale of the internal lymphedema, and quality of life were evaluated in both groups. The perceived discomfort consisting of limitation of daily living activities, pain, tightness, stiffness, and heaviness were also recorded.
When the group x time effect was evaluated, it was observed that external lymphedema was significantly reduced in both groups according to neck and face composite measurements (p < .001). However, in these measurements, a significant difference was found between the groups in favor of the KT group (p = .001, p = .032, respectively). At the end of the study, there was no significant difference in terms of internal lymphedema in both groups (p = .860). The quality of life parameters such as global health status and swallowing were significantly better in the Kinesio taping group (p < .001). There was no significant difference in the parameters of perceived discomfort between the two groups (p = .282, p = .225, p = .090, p = .155, p = .183, respectively).
Kinesio taping is effective in tape measurements and positively affects the quality of life in lymphedema following head and neck cancer therapy.
旨在探讨运动贴扎治疗头颈部癌症治疗后淋巴水肿的疗效及其对患者依从性和生活质量的影响。
将 66 例头颈部癌症治疗后淋巴水肿患者随机分为治疗性运动贴扎组（n=33）和假运动贴扎组（n=33）。所有患者在前四周接受手动淋巴引流、运动贴扎和家庭运动，在后四周仅接受家庭运动。两组均评估贴扎测量、外部淋巴水肿量表、内部淋巴水肿量表和生活质量。还记录了日常生活活动受限、疼痛、紧绷、僵硬和沉重等感知不适。
当评估组×时间效应时，发现两组颈部和面部综合测量的外部淋巴水肿均显著减少（p<0.001）。然而，在这些测量中，两组之间存在显著差异，有利于 KT 组（p=0.001，p=0.032）。研究结束时，两组内部淋巴水肿无显著差异（p=0.860）。运动贴扎组的全球健康状况和吞咽等生活质量参数明显更好（p<0.001）。两组感知不适参数之间无显著差异（p=0.282，p=0.225，p=0.090，p=0.155，p=0.183）。
运动贴扎在贴扎测量中有效，并对头颈部癌症治疗后淋巴水肿的生活质量产生积极影响。
