A prospective randomised study of alginate-drenched low stretch bandages as an alternative to conventional lymphologic compression bandaging

Abstract

The initial volumes (V (0)) of the two groups (A, 2,939.0 ml +/- 569.182; B, 3,062.6 ml +/- 539.161) varied within the same magnitude, with somewhat smaller values in group A. The same was true for the final volumes (V (6)), measured at day 22 (A, 2,674.5 ml +/- 480.427; B, 2,740.1 ml +/- 503.593). During the weekends, the arm volumes re-increased (first weekend: A, 16.4 ml vs. B, 4.7 ml; second weekend: A, 14.2 ml vs. B, 2.7 ml; third weekend: A, 7.5 ml vs. B, 1.1 ml). A significantly smaller volume increase appeared in the alginate group during the weekends. There were no serious side effects in both groups. Concerning the patients' comfort, the values of the alginate group were clearly better than those of the conventionally bandaged group. Additionally, the volume changes in the alginate group revealed fewer fluctuations. As a summary, one can state that a good alternative to the conventional bandaging is available with the alginate bandages, bringing distinct advantages for the patients when administered properly.

Putting Evidence Into Practice: Cancer-Related Lymphedema

“…Another RCT evaluated bandage pressure among 36 breast cancer survivors with lymphedema and demonstrated no significant differences in arm volume reduction with different bandage pressure; however, nonelastic multilayer compression bandages with 20-30 mmHg pressure were better tolerated (Damstra & Partsch, 2009). The third RCT placed 61 breast cancer survivors with lymphedema into low-stretch compression dressings or alginate semirigid bandages (Kasseroller & Brenner, 2010). Overall, no significant difference was found in terms of arm volume reduction between the two groups, but participants in the semirigid bandage group had significantly better comfort (p < 0.025).…”

“…Complete decongestive therapy Carmeli & Bartoletti, 2011;Dayes et al, 2013;de Godoy & Godoy, 2013;Haghighat et al, 2010;Hwang, Jeong, et al, 2013;Liao et al, 2013;Randheer et al, 2011;Vignes et al, 2013Beck et al, 2012Lasinski et al, 2012;Leal et al, 2009;Ridner, Fu, et al, 2012;Rodrick et al, 2014 Compression bandaging Compression bandaging and compression garments Damstra & Partsch, 2009;Kasseroller & Brenner, 2010;King et al, 2012;Sawan et al, 2009 McNeely et al, 2011…”

“…The time, effort, and dexterity required for bandaging can become burdensome and is not practical or possible for some patients, necessitating the use of an alternative compression method, such as compression garments. Four RCTs were identified that evaluated the comparative effectiveness of compression bandaging and compression garments; arm volume reduction with different bandage pressures; and comparison of low-stretch compression dressings and alginate semirigid bandages (Damstra & Partsch, 2009;Kasseroller & Brenner, 2010;King, Deveaux, White, & Rayson, 2012;Sawan, Mugnai, Lopes Ade, Hughes, & Edmondson, 2009). One systematic review was identified (McNeely, Peddle, Yurick, Dayes, & Mackey, 2011).…”

Conservative management of lymphoedema in children: A systematic review

“…In contrast, no detail of outcome measure was given by Hutzschenreuter and Herpertz [26], advising that the measures were taken and calculated according to the method devised by Kuhnke [27] and reported in German in 1979 (in [26,28]) and that the measures were taken at the pre-and post-treatment point as well as the end of each week of the four weeks of treatment.…”

Fisioterapia Complexa Descongestiva Associada a Terapias de Compressão no Tratamento do Linfedema Secundário ao Câncer de Mama: uma Revisão Sistemática

“…o nível de significância estatística foi estabelecido em p<0,05. DISCUSSÃO todos os estudos incluídos nesta revisão sistemática encontraram resultados positivos com a utilização da terapia por compressão externa, na redução do volume de linfedema, mesmo realizando protocolos e técnicas diferenciadas [11][12][13][14][15][16][17][18][19][20] 4 ; porém, cabe ressaltar que apesar de essa técnica se mostrar eficaz, os estudos analisados não comprovam que a sua utilização altera a resposta ao tratamento quando comparado a outras ténicas. Já a K-taPe tem a propriedade de melhorar o fluxo linfático por produzir diferentes pressões na pele, favorecendo o bombeamento para as regiões com menos pressão e por sua vantagem de permanecer na pele por dias; e, por promover maior conforto quando o membro está em repouso, pode aumentar a aderência das pacientes à terapêutica 9 .…”