Common conservative treatments for lymphoedema post breast cancer: A focus article

Gallagher, Shane; Connor, Lynn O’; Roberts, David J.; Monaghan, Kenneth

doi:10.3233/ppr-200498

Cited by 2 publications

(3 citation statements)

References 52 publications

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“…In order to investigate the various applicability of KT in this study, we included randomized controlled trial(RCT)s and case studies of lymphedema in various databases. (5) The data on the intervention evaluation and outcomes are not adequately described (6) There are no descriptions or photographs of the tape application method in the text (7) A short intervention period of less than a week (8) The control group is not the standard treatment (CDT)…”

Section: Methodsmentioning

confidence: 99%

“…Patients with lymphedema describe a lower quality of life because of the permanent discomfort associated with edema, such as pain, pressure, heaviness, soreness, tightness, numbness, and stiffness, as well as feeling unable to carry out daily activities. This is accompanied by emotional distress such as anxiety and depression due to social stigma, which interferes with interpersonal relationships, and affects employment status [4][5][6].…”

Section: The Need For Researchmentioning

confidence: 99%

“…The purpose of lymphedema treatment is to interrupt the Copyright ⓒ Korean Research Society of Physical Therapy cycle by alleviating symptoms, halting progression, and lowering the risk of inflammation [6,7]. Treatment of lymphedema includes surgery, medication, and complete decongestive therapy (CDT).…”

Section: The Need For Researchmentioning

confidence: 99%

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A Systematic Review of Kinesiology Taping in Patients With Lymphedema

Yang,

Lim

2023

Physical Therapy Korea

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Compression bandage Kinesiotape LymphedemaBackground: The compression therapy, which is the standard treatment for lymphedema patients, may be difficult to implement and contraindicated to some patients depending on their health condition. Objects:The purpose of this study is to investigate whether kinesiology taping (KT) can be used effectively and safely in the management of lymphedema as an alternative treatment through systematic review and meta-analysis. Methods:In February 2023, the literature was systematically collected through eight search engines with a combination of terms, 'lymphedema' and 'kinesiology taping.' We qualitatively analyzed the differences and safety of KT methods, and quantitatively meta-analyzed the effects of volume reduction in edema, range of motion (ROM), and pain improvement using Review Manager ver. 5. 4. To assess the risk of bias in the randomized controlled trial (RCT) studies, Risk of Bias was used.Results: A total of 616 articles searched and 20 studies were selected, including 12 RCTs and eight case studies. KT intervention could not replace multilayer compression bandage (MLB), but it demonstrated similar or better results compared to compression garment (CG), with reduced pain and improved intervention comfort. Studies reported skin adverse events ranging from 2.5% to 20.68%, with a total adverse event incidence of 7.7%. There was no significant difference in the application method of KT. As a result of the meta-analysis from the 8 RCTs, the KT intervention showed a mean difference (MD) of -7.18 with a 95% confidence interval (CI) [-12.64 to -1.72] in the volume change of lymphedema, while the pain difference was MD 0.82 with CI 95% [0.50 to 1.15], in comparison to the MLB and CG intervention. Conclusion:KT therapy led to a reduction in edema size, volume, pain, and improved ROM and quality of life. KT may be a viable option for lymphedema patients who have trouble applying traditional compression therapies.

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Section: Methodsmentioning

confidence: 99%

Section: The Need For Researchmentioning

confidence: 99%

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A Systematic Review of Kinesiology Taping in Patients With Lymphedema

Yang,

Lim

2023

Physical Therapy Korea

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Effect of Intermittent Pneumatic Compression in Combination with Kinesiotape on Post Mastectomy Lymphedema

Diab¹,

Asham²,

Aboelnour³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Lymphedema caused by breast cancer is one of the side effects of therapy. It is defined as arm edema in breast cancer patients caused by surgery or radiation therapy interrupting the flow of the axillary lymphatic system, resulting in fluid accumulation in the subcutaneous tissue of the arm, decreased tissue distensibility around the joints, and increased weight of the extremity. Objective: This study was conducted to detect the effect of combination of intermittent pneumatic compression and kinesiotape on post mastectomy lymphedema. Patients and methods: Thirty females diagnosed with post mastectomy lymphedema were assigned randomly into two equal groups. Group A (Study group) received intermittent pneumatic compression (IPC) with kinesiotape (KT) in addition to complete decongestive therapy (manual lymphatic drainage-compression bandage-medical exercises-skin care) three times per week for 4 weeks. While, Group B (Control group) received only complete decongestive therapy 3 times per week for 4 weeks. Assessment of lymphedema and shoulder range of motion (flexion-abduction-external rotation) were done by tape measurement and goniometer respectively before and after 4 weeks. Results: There was no significant difference in lymphedema size and shoulder range of motion (ROM) between groups pre-treatment (p > 0.05). Comparison between groups post treatment revealed a significant decrease in lymphedema size and a significant increase in shoulder ROM of the study group compared with that of the control group (p >0.05). Conclusion:The results suggested that IPC in combination with KT was an effective method in post mastectomy lymphedema more than complete decongestive therapy only.

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Common conservative treatments for lymphoedema post breast cancer: A focus article

Cited by 2 publications

References 52 publications

A Systematic Review of Kinesiology Taping in Patients With Lymphedema

A Systematic Review of Kinesiology Taping in Patients With Lymphedema

Effect of Intermittent Pneumatic Compression in Combination with Kinesiotape on Post Mastectomy Lymphedema

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