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Effect of Kinesiology Taping on breast cancer-related lymphedema: a randomized single-blind controlled pilot study.

Smykla A, Walewicz K, Trybulski R, Halski T, Kucharzewski M, Kucio C, Mikusek W, Klakla K, Taradaj J - Biomed Res Int (2013)

Bottom Line: Comparing the changes in K-tapes with quasi K-tapes changes, there were no significant differences (P > 0.05).The edema reduction of multilayered bandages was much better than in results observed in taping groups.The KT appeared to be ineffective at secondary lymphedema after breast cancer treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Physiotherapy Basics, Academy of Physical Education in Katowice, Mikolowska 72 Street, 40-065 Katowice, Poland.

ABSTRACT
The aim of the study was to assess the efficacy of Kinesiology Taping (KT) for treating breast cancer-related lymphedema. Sixty-five women with unilateral stage II and III lymphedema were randomly grouped into the KT group (K-tapes, n = 20), the Quasi KT group (quasi K-tapes, n = 22), or the MCT group (multilayered compression therapy group, n = 23). Skin care, 45 min pneumatic compression therapy, 1 h manual lymphatic drainage, and application of K-tape/Quasi K-tapes/multilayered short-stretch bandages were given every treatment session, 3 times per week for 1 month. Patient evaluation items included limb size and percentage edema. Comparing the changes in K-tapes with quasi K-tapes changes, there were no significant differences (P > 0.05). The edema reduction of multilayered bandages was much better than in results observed in taping groups. The KT appeared to be ineffective at secondary lymphedema after breast cancer treatment. The single-blind, controlled pilot study results suggest that K-tape could not replace the bandage, and at this moment it must not be an alternative choice for the breast cancer-related lymphedema patient. The trial is registered with ACTRN12613001173785.

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Related in: MedlinePlus

Flow diagram of the study.
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fig1: Flow diagram of the study.

Mentions: The study was performed at the Provita Clinic in Zory and Limf-Med Hospital in Chorzow, Poland, from December 2012 to August 2013. Participating women met the following inclusion criteria: (1) unilateral breast cancer-related lymphedema for at least one year, (2) moderate-to-severe lymphedema (stages II and III of upper limb edema, the volume difference between affected and healthy extremity with being more than 20%), (3) lack of chemo- or radiation therapy for at least 6 months, and (4) good compliance and willingness to sign the written consent form. Subjects with the following conditions were not allowed to participate or were excluded from the study: (1) active cancer or disease that might lead to swelling and presently taking diuretic therapy or other lymphedema-influencing drugs, (2) skin disease, (3) irremovable bracelet or ring, (4) marked restriction of active range of motion in the affected upper extremity, (5) the presence of a pacemaker, heart disease, pregnancy, metallic devices in the limb to be treated, infectious disease, epilepsy, cartilage growth, thrombophlebitis, arterial hypertension, or metastases, which are the treatment contraindications, and (6) the presence of mental, sensorial, or language problems, which could make cooperation difficult (more details in Figure 1).


Effect of Kinesiology Taping on breast cancer-related lymphedema: a randomized single-blind controlled pilot study.

Smykla A, Walewicz K, Trybulski R, Halski T, Kucharzewski M, Kucio C, Mikusek W, Klakla K, Taradaj J - Biomed Res Int (2013)

Flow diagram of the study.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860093&req=5

fig1: Flow diagram of the study.
Mentions: The study was performed at the Provita Clinic in Zory and Limf-Med Hospital in Chorzow, Poland, from December 2012 to August 2013. Participating women met the following inclusion criteria: (1) unilateral breast cancer-related lymphedema for at least one year, (2) moderate-to-severe lymphedema (stages II and III of upper limb edema, the volume difference between affected and healthy extremity with being more than 20%), (3) lack of chemo- or radiation therapy for at least 6 months, and (4) good compliance and willingness to sign the written consent form. Subjects with the following conditions were not allowed to participate or were excluded from the study: (1) active cancer or disease that might lead to swelling and presently taking diuretic therapy or other lymphedema-influencing drugs, (2) skin disease, (3) irremovable bracelet or ring, (4) marked restriction of active range of motion in the affected upper extremity, (5) the presence of a pacemaker, heart disease, pregnancy, metallic devices in the limb to be treated, infectious disease, epilepsy, cartilage growth, thrombophlebitis, arterial hypertension, or metastases, which are the treatment contraindications, and (6) the presence of mental, sensorial, or language problems, which could make cooperation difficult (more details in Figure 1).

Bottom Line: Comparing the changes in K-tapes with quasi K-tapes changes, there were no significant differences (P > 0.05).The edema reduction of multilayered bandages was much better than in results observed in taping groups.The KT appeared to be ineffective at secondary lymphedema after breast cancer treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Physiotherapy Basics, Academy of Physical Education in Katowice, Mikolowska 72 Street, 40-065 Katowice, Poland.

ABSTRACT
The aim of the study was to assess the efficacy of Kinesiology Taping (KT) for treating breast cancer-related lymphedema. Sixty-five women with unilateral stage II and III lymphedema were randomly grouped into the KT group (K-tapes, n = 20), the Quasi KT group (quasi K-tapes, n = 22), or the MCT group (multilayered compression therapy group, n = 23). Skin care, 45 min pneumatic compression therapy, 1 h manual lymphatic drainage, and application of K-tape/Quasi K-tapes/multilayered short-stretch bandages were given every treatment session, 3 times per week for 1 month. Patient evaluation items included limb size and percentage edema. Comparing the changes in K-tapes with quasi K-tapes changes, there were no significant differences (P > 0.05). The edema reduction of multilayered bandages was much better than in results observed in taping groups. The KT appeared to be ineffective at secondary lymphedema after breast cancer treatment. The single-blind, controlled pilot study results suggest that K-tape could not replace the bandage, and at this moment it must not be an alternative choice for the breast cancer-related lymphedema patient. The trial is registered with ACTRN12613001173785.

Show MeSH
Related in: MedlinePlus