The efficacy of Kinesio taping on lymphedema following head and neck cancer therapy: a randomized, double blind, sham-controlled trial

Atar, Sevgi; Atar, Yavuz; Uygan, Ugur; Karaketir, Şeyma Görçin; Kumral, Tolgar Lütfı; Sarı, Hüseyin; Karaketir, Semih; Kuru, Ömer

doi:10.1080/09593985.2022.2056862

Cited by 10 publications

(37 citation statements)

References 45 publications

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“…Baseline lymphedema severity was reported in half of the studies (n = 3). When baseline lymphedema was assessed (3 of 6 RCTs), all studies reported stages 1b (range, 1a-2) on the MD Anderson Cancer Center Head and Neck Lymphedema (MDACC-HNL) rating scale . Serious intervention-related adverse effects were either not found (3 studies) or not reported (3 studies).…”

Section: Resultsmentioning

confidence: 99%

“…External lymphedema was measured in all 6 RCTs . Objective measures of external lymphedema were tape measurements (5 studies), 3-dimensional analysis (2 studies), and ultrasonography skin-to-bone distance (1 study). The most common subjective clinician-rated measure of external lymphedema was the MDACC-HNL rating scale (3 studies).…”

Section: Resultsmentioning

confidence: 99%

“…Objective measures of external lymphedema were tape measurements (5 studies), 3-dimensional analysis (2 studies), and ultrasonography skin-to-bone distance (1 study). The most common subjective clinician-rated measure of external lymphedema was the MDACC-HNL rating scale (3 studies). Internal lymphedema was measured objectively using endoscopic examination with a version of the Patterson Edema Scale (2 studies).…”

Section: Resultsmentioning

confidence: 99%

“…The most common subjective clinician-rated measure of external lymphedema was the MDACC-HNL rating scale (3 studies). Internal lymphedema was measured objectively using endoscopic examination with a version of the Patterson Edema Scale (2 studies). Most studies collected patient-reported outcomes on function or QOL (4 studies), for which visual analog scales (2 studies) and the Quality of Life Questionnaire Head and Neck Module from the European Organisation for Research and Treatment of Cancer (2 studies) were more common.…”

Section: Resultsmentioning

confidence: 99%

“…One high-quality RCT with low risk of bias by Atar et al found benefit with therapeutic kinesio taping compared with sham kinesio taping; all 66 participants also received modified CDT with MLD, exercises, and skin care. The addition of therapeutic kinesio taping was associated with improved external lymphedema, global health status, social functioning, and appetite loss compared with the control group.…”

Section: Resultsmentioning

confidence: 99%

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Rehabilitation Interventions for Head and Neck Cancer–Associated Lymphedema

Cheng

Leite

Tennison

et al. 2023

JAMA Otolaryngol Head Neck Surg

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ImportanceHead and neck cancer–associated lymphedema (HNCaL) affects up to 90% of survivors of head and neck cancer and is a substantial contributor to disability following head and neck cancer treatment. Despite the prevalence and morbidity associated with HNCaL, rehabilitation interventions are not well studied.ObjectiveTo identify and appraise the current evidence for rehabilitation interventions in HNCaL.Evidence ReviewFive electronic databases were searched systematically from inception to January 3, 2023, for studies on HNCaL rehabilitation interventions. Study screening, data extraction, quality rating, and risk of bias assessment were performed by 2 independent reviewers.FindingsOf 1642 citations identified, 23 studies (1.4%; n = 2147 patients) were eligible for inclusion. Six studies (26.1%) were randomized clinical trials (RCTs) and 17 (73.9%) were observational studies. Five of the 6 RCTs were published during 2020 to 2022. Most studies had fewer than 50 participants (5 of 6 RCTs; 13 of 17 observational studies). Studies were categorized by intervention type, including standard lymphedema therapy (11 studies [47.8%]) and adjunct therapy (12 studies [52.2%]). Lymphedema therapy interventions included standard complete decongestive therapy (CDT) (2 RCTs, 5 observational studies), modified CDT (3 observational studies), therapy setting (1 RCT, 2 observational studies), adherence (2 observational studies), early manual lymphatic drainage (1 RCT), and inclusion of focused exercise (1 RCT). Adjunct therapy interventions included advanced pneumatic compression devices (APCDs) (1 RCT, 5 observational studies), kinesio taping (1 RCT), photobiomodulation (1 observational study), acupuncture/moxibustion (1 observational study), and sodium selenite (1 RCT, 2 observational studies). Serious adverse events were either not found (9 [39.1%]) or not reported (14 [60.9%]). Low-quality evidence suggested the benefit of standard lymphedema therapy, particularly in the outpatient setting and with at least partial adherence. High-quality evidence was found for adjunct therapy with kinesio taping. Low-quality evidence also suggested that APCDs may be beneficial.Conclusions and RelevanceThe results of this systematic review suggest that rehabilitation interventions for HNCaL, including standard lymphedema therapy with kinesio taping and APCDs, appear to be safe and beneficial. However, more prospective, controlled, and adequately powered studies are needed to clarify the ideal type, timing, duration, and intensity of lymphedema therapy components before treatment guidelines can be established.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Rehabilitation Interventions for Head and Neck Cancer–Associated Lymphedema

Cheng

Leite

Tennison

et al. 2023

JAMA Otolaryngol Head Neck Surg

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Head-and-Neck Lymphedema

Skoracki,

Kadle

2024

Supermicrosurgical Lymphaticovenular Anastomosis

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Evaluating the effects of lymphoedema management strategies on functional status and health-related quality of life following treatment for head and neck cancer: a systematic review

Mullan,

Blackburn,

Gracey

et al. 2023

J Cancer Surviv

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Purpose Patients living with head and neck lymphoedema (HNL) after completion of head and neck cancer (HNC) often can experience long-term functional challenges and overall poorer health-related quality of life (HRQOL). This systematic review aims to explore components of effective HNL interventions through identification and synthesising literature on existing HNL management interventions. Methods Five electronic databases (MEDLINE via Ovid and PubMed, CINAHL, CENTRAL, and Scopus) were systematically searched using Medical Subject Headings and free text, as well as citation tracking and Google Scholar for grey literature. Results A total of 1910 studies were screened, with 12 studies meeting the inclusion criteria. Findings indicated vast heterogeneity within HNL interventions. Patients’ adherence to intervention strategies was reported as low and partially adhered to, particularly at home. This impacted on function domains and overall HRQOL during the post-treatment HNC phase, as well as further increasing the demands placed on healthcare professionals. Conclusions Synthesis of the research findings highlighted a need to provide and educate patients with individualised HNL self-management intervention strategies. Promoting adherence was reported as being essential, with self-efficacy and behaviour change techniques being emphasised as a critical element to enhance motivation and therefore effective intervention delivery. Further work is important to address barriers to adherence and promote both motivation and behaviour change, to develop individualised self-management interventions for this cancer population. Implications for Cancer Survivors The findings from this systematic review will provide guidance in the development and delivery of individualised self-management HNL interventions for patients who have completed HNC treatment.

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The efficacy of Kinesio taping on lymphedema following head and neck cancer therapy: a randomized, double blind, sham-controlled trial

Cited by 10 publications

References 45 publications

Rehabilitation Interventions for Head and Neck Cancer–Associated Lymphedema

Rehabilitation Interventions for Head and Neck Cancer–Associated Lymphedema

Head-and-Neck Lymphedema

Evaluating the effects of lymphoedema management strategies on functional status and health-related quality of life following treatment for head and neck cancer: a systematic review

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