Muñoz-Alcaraz María Nieves, Pérula-de Torres Luis A, Jiménez-Vílchez Antonio José, Rodríguez-Fernández Paula, Olmo-Carmona María Victoria, Muñoz-García María Teresa, Jorge-Gutiérrez Presentación, Serrano-Merino Jesús, Romero-Rodríguez Esperanza, Rodríguez-Elena Lorena, Refusta-Ainaga Raquel, Lahoz-Sánchez María Pilar, Miró-Palacios Belén, Medrano-Cid Mayra, Magallón-Botaya Rosa, Santamaría-Peláez Mirian, Mínguez-Mínguez Luis A, González-Bernal Jerónimo J
Inter-Level Clinical Management Unit of Physical Medicine and Rehabilitation, Reina Sofía University Hospital-Córdoba and Guadalquivir Health District, Andalusia Health Service, 14004 Córdoba, Spain.
Maimonides Institute for Biomedical Research of Córdoba, Reina Sofía University Hospital, University of Córdoba, 14011 Córdoba, Spain.
J Clin Med. 2022 Mar 28;11(7):1884. doi: 10.3390/jcm11071884.
Alterations derived from lymphedema in the upper-limb secondary to breast cancer-related lymphedema (BCRL) decrease the health-related quality of life (HRQoL), but there is limited evidence of the impact of the different interventions on it. The aim of this research was to compare the effect of conventional treatment with another treatment based on Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) on HRQoL in women diagnosed with BCRL.
A prospective clinical study was designed with two parallel arms. The study population consisted of women diagnosed with BCRL in stage I and II, belonging to different institutions in Córdoba and Aragon, Spain. Sociodemographic and HRQoL-related variables, pain, tightness, heaviness and functionality were obtained before and after treatments.
51 women participated in the study, 25 received the conventional treatment and 26 the TAPA, with a mean age of 59.24 ± 9.55 years. HRQoL was significantly related to upper-limb function and pain on the participants' affected side. In addition, covariance analysis (ANCOVA) showed that the TAPA treatment interfered less in the performance of activities of daily life and produced significant improvements in the social dimension of HRQoL.
the non-use of compressive elements in the rehabilitative treatment of the BCRL that is proposed with TAPA improves aspects such as self-image and participation in social and recreational activities.
继发于乳腺癌相关淋巴水肿（BCRL）的上肢淋巴水肿所导致的改变会降低健康相关生活质量（HRQoL），但关于不同干预措施对其影响的证据有限。本研究的目的是比较传统治疗与另一种基于活动导向抗水肿本体感觉疗法（TAPA）的治疗对诊断为BCRL的女性HRQoL的影响。
设计了一项前瞻性临床研究，有两个平行组。研究人群包括在西班牙科尔多瓦和阿拉贡不同机构诊断为I期和II期BCRL的女性。在治疗前后获取社会人口学和HRQoL相关变量、疼痛、紧绷感、沉重感和功能。
51名女性参与了研究，25名接受传统治疗，26名接受TAPA治疗，平均年龄为59.24±9.55岁。HRQoL与参与者患侧的上肢功能和疼痛显著相关。此外，协方差分析（ANCOVA）表明，TAPA治疗对日常生活活动的干扰较小，并在HRQoL的社会维度上产生了显著改善。
TAPA提出的BCRL康复治疗中不使用压迫性元件，改善了自我形象以及参与社会和娱乐活动等方面。
