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Clin Rehabil. 2019 Sep 9:269215519874107. doi: 10.1177/0269215519874107. [Epub ahead of print]

Kinesio taping versus compression garments for treating breast cancer-related lymphedema: a randomized, cross-over, controlled trial.

Author information

1
1 Rehabilitation of Breast Pathology Unit, University Hospital 12 de Octubre, Madrid, Spain.
2
2 Faculty of Nursing, Physiotherapy and Chiropody, Complutense University of Madrid, Madrid, Spain.
3
3 University Hospital 12 de Octubre, Madrid, Spain.
4
4 Faculty of Physiotherapy and Nursing, Castilla-La Mancha University, Toledo, Spain.
5
5 Faculty of Medicine, Complutense University of Madrid, Madrid, Spain.

Abstract

OBJECTIVE:

To determine the effectiveness of Kinesio taping compared to compression garments during maintenance phase of complex decongestive therapy for breast cancer-related lymphedema.

DESIGN:

Randomized, cross-over, controlled trial.

SETTING:

Outpatient tertiary-level hospital rehabilitation setting.

SUBJECTS:

Randomized sample of 30 women with breast cancer-related lymphedema.

INTERVENTIONS:

Participants received two interventions, Kinesio taping and compression garment, both lasting four weeks, whose order was randomized by blocks. A four-week washout period was established prior to the interventions and between them.

MEASUREMENTS:

The main outcome was the lymphedema Relative Volume Change. Secondary outcomes were range of motion of arm joints, self-perception of comfort, and lymphedema-related symptoms (pain, tightness, heaviness, and hardness).

RESULTS:

The decrease in the Relative Volume Change was greater in the Kinesio taping intervention (-5.7%, SD = 2.0) compared to that observed using compression garments (-3.4%, SD = 2.9) (P < 0.001). The range of motion of five upper-limb movements increased after applying taping (between 5.8° and 16.7°) (P < 0.05), but not after compression (P > 0.05). In addition, taping was perceived as more comfortable by patients (between 2.4 and 3 points better than compression in four questions with a 5-point scale (P < 0.001)) and further reduced lymphedema-related symptoms compared to compression (between 0.96 and 1.40 points better in four questions with a 6-point scale (P < 0.05)).

CONCLUSION:

Kinesio taping was more effective than compression garments for reducing the lymphedema volume, with less severe lymphedema-related symptoms, better improvement of upper-limb mobility, and more comfort.

KEYWORDS:

Breast cancer–related lymphedema; Kinesio taping; Relative Volume Change; compression garment; symptom

PMID:
31495192
DOI:
10.1177/0269215519874107

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