Intensive complex physical therapy combined with intermittent pneumatic compression versus Kinesio taping for treating breast cancer‐related lymphedema of the upper limb: A randomised cross‐over clinical trial
Objective The objective of this study is to compare the effectiveness of complex physical therapy combined with intermittent pneumatic compression (CPT + IPC) versus Kinesio taping (KT) for breast cancer‐related lymphedema. Methods A cross‐over clinical trial was conducted in 43 women with lymphedem...
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| Veröffentlicht in: | European journal of cancer care 2022-09, Vol.31 (5), p.e13625-n/a |
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| creator | Pajero Otero, Violeta García Delgado, Esther Martín Cortijo, Concepción Rodríguez Ramos, María Luisa De Carlos Iriarte, Esperanza Gil García, Alejandra Romay‐Barrero, Helena Avendaño‐Coy, Juan |
| description | Objective
The objective of this study is to compare the effectiveness of complex physical therapy combined with intermittent pneumatic compression (CPT + IPC) versus Kinesio taping (KT) for breast cancer‐related lymphedema.
Methods
A cross‐over clinical trial was conducted in 43 women with lymphedema. All participants received two interventions: CPT + IPC and KT, both lasting 3 weeks and a washout period. The main outcome variable was the relative volume change (RVC). The secondary variables were Satisfaction Questionnaire about Textile Therapeutic Devices used for Breast Cancer‐Related Lymphedema, Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, motion range of upper limb and lymphedema‐related symptoms.
Results
The RVC reduction was greater with CPT + IPC (−2.2%, SD = 4.7) versus KT (−0.9%, SD = 1.7) (P = 0.002). KT was more satisfactory than multilayer bandaging (8.9 points difference, P |
| doi_str_mv | 10.1111/ecc.13625 |
| format | Article |
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The objective of this study is to compare the effectiveness of complex physical therapy combined with intermittent pneumatic compression (CPT + IPC) versus Kinesio taping (KT) for breast cancer‐related lymphedema.
Methods
A cross‐over clinical trial was conducted in 43 women with lymphedema. All participants received two interventions: CPT + IPC and KT, both lasting 3 weeks and a washout period. The main outcome variable was the relative volume change (RVC). The secondary variables were Satisfaction Questionnaire about Textile Therapeutic Devices used for Breast Cancer‐Related Lymphedema, Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, motion range of upper limb and lymphedema‐related symptoms.
Results
The RVC reduction was greater with CPT + IPC (−2.2%, SD = 4.7) versus KT (−0.9%, SD = 1.7) (P = 0.002). KT was more satisfactory than multilayer bandaging (8.9 points difference, P < 0.001) and improved DASH score more than CPT + IPC (14.3 points difference, P = 0.002). Regarding motion ranges, only shoulder movements showed significant improvement with CPT + IPC compared with KT (differences between 5.6° and 11.4°). Of the symptoms assessed, only pain reduction showed a significant improvement with KT versus CPT + IPC (0.5 points, P = 0.035).
Conclusions
CPT + IPC achieved higher RVC and greater improvement in th shoulder motion range than KT. Conversely, KT was more satisfactory than multilayer bandaging, obtained better DASH scores and relieved pain more than CPT + IPC.
Clinical Registration
ClinicalTrial registration number: NCT03051750 (date of registration 14 February 2017).</description><identifier>ISSN: 0961-5423</identifier><identifier>ISSN: 1365-2354</identifier><identifier>EISSN: 1365-2354</identifier><identifier>DOI: 10.1111/ecc.13625</identifier><identifier>PMID: 35642305</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Arm ; Athletic taping ; Breast cancer ; Breast Cancer Lymphedema - diagnosis ; Breast Cancer Lymphedema - therapy ; Breast Neoplasms - complications ; Clinical trials ; complex physical therapy ; Compression ; Disabilities ; Female ; Humans ; intermittent pneumatic compression ; Intermittent Pneumatic Compression Devices ; Kinesio taping ; Limbs ; Lymphedema ; Lymphedema - etiology ; Lymphedema - therapy ; Multilayers ; Pain ; Physical therapy ; Physical Therapy Modalities ; Questionnaires ; Registration ; relative volume change ; satisfaction ; Shoulder ; Taping ; Treatment Outcome ; Upper Extremity</subject><ispartof>European journal of cancer care, 2022-09, Vol.31 (5), p.e13625-n/a</ispartof><rights>2022 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3885-c1e2e0c0faeaf8ba60c024f4705d19f25d41ad796b1e4a4b31788432179105593</citedby><cites>FETCH-LOGICAL-c3885-c1e2e0c0faeaf8ba60c024f4705d19f25d41ad796b1e4a4b31788432179105593</cites><orcidid>0000-0002-2594-2809 ; 0000-0003-2388-2213 ; 0000-0002-8760-3490</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecc.13625$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecc.13625$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35642305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pajero Otero, Violeta</creatorcontrib><creatorcontrib>García Delgado, Esther</creatorcontrib><creatorcontrib>Martín Cortijo, Concepción</creatorcontrib><creatorcontrib>Rodríguez Ramos, María Luisa</creatorcontrib><creatorcontrib>De Carlos Iriarte, Esperanza</creatorcontrib><creatorcontrib>Gil García, Alejandra</creatorcontrib><creatorcontrib>Romay‐Barrero, Helena</creatorcontrib><creatorcontrib>Avendaño‐Coy, Juan</creatorcontrib><title>Intensive complex physical therapy combined with intermittent pneumatic compression versus Kinesio taping for treating breast cancer‐related lymphedema of the upper limb: A randomised cross‐over clinical trial</title><title>European journal of cancer care</title><addtitle>Eur J Cancer Care (Engl)</addtitle><description>Objective
The objective of this study is to compare the effectiveness of complex physical therapy combined with intermittent pneumatic compression (CPT + IPC) versus Kinesio taping (KT) for breast cancer‐related lymphedema.
Methods
A cross‐over clinical trial was conducted in 43 women with lymphedema. All participants received two interventions: CPT + IPC and KT, both lasting 3 weeks and a washout period. The main outcome variable was the relative volume change (RVC). The secondary variables were Satisfaction Questionnaire about Textile Therapeutic Devices used for Breast Cancer‐Related Lymphedema, Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, motion range of upper limb and lymphedema‐related symptoms.
Results
The RVC reduction was greater with CPT + IPC (−2.2%, SD = 4.7) versus KT (−0.9%, SD = 1.7) (P = 0.002). KT was more satisfactory than multilayer bandaging (8.9 points difference, P < 0.001) and improved DASH score more than CPT + IPC (14.3 points difference, P = 0.002). Regarding motion ranges, only shoulder movements showed significant improvement with CPT + IPC compared with KT (differences between 5.6° and 11.4°). Of the symptoms assessed, only pain reduction showed a significant improvement with KT versus CPT + IPC (0.5 points, P = 0.035).
Conclusions
CPT + IPC achieved higher RVC and greater improvement in th shoulder motion range than KT. Conversely, KT was more satisfactory than multilayer bandaging, obtained better DASH scores and relieved pain more than CPT + IPC.
Clinical Registration
ClinicalTrial registration number: NCT03051750 (date of registration 14 February 2017).</description><subject>Arm</subject><subject>Athletic taping</subject><subject>Breast cancer</subject><subject>Breast Cancer Lymphedema - diagnosis</subject><subject>Breast Cancer Lymphedema - therapy</subject><subject>Breast Neoplasms - complications</subject><subject>Clinical trials</subject><subject>complex physical therapy</subject><subject>Compression</subject><subject>Disabilities</subject><subject>Female</subject><subject>Humans</subject><subject>intermittent pneumatic compression</subject><subject>Intermittent Pneumatic Compression Devices</subject><subject>Kinesio taping</subject><subject>Limbs</subject><subject>Lymphedema</subject><subject>Lymphedema - etiology</subject><subject>Lymphedema - therapy</subject><subject>Multilayers</subject><subject>Pain</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>Questionnaires</subject><subject>Registration</subject><subject>relative volume change</subject><subject>satisfaction</subject><subject>Shoulder</subject><subject>Taping</subject><subject>Treatment Outcome</subject><subject>Upper Extremity</subject><issn>0961-5423</issn><issn>1365-2354</issn><issn>1365-2354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAQxy0EokvhwAsgS1zgsK0_4nxwq1YFKipxgXPkOBPWleMY22nJjUfg5XgBnoTZTeGAhC8zY__-_xlrCHnO2RnHcw7GnHFZCvWAbDCqrZCqeEg2rCn5VhVCnpAnKd0wxiVvisfkRKoSb5nakJ9XPoNP9haomcbg4BsN-yVZox3Ne4g6LIeHznro6Z3Ne2pREEebUZZp8DCPOltzVEdIyU6e3kJMc6IfUIQ1zTpY_4UOU6Q5AtJYdJikTI32BuKv7z8iOJ2xhVvGsIceRk2n4TABnUOASJ0duzf0gkbt-2m0CVETp5RQOmE7apz169DRaveUPBq0S_DsPp6Sz28vP-3eb68_vrvaXVxvjaxrtTUcBDDDBg16qDtdYi6KoaiY6nkzCNUXXPdVU3YcCl10kld1XUjBq4YzpRp5Sl6tviFOX2dIucXRDDinPUxzakVZCSlYLUpEX_6D3kxz9DhdKyouyrIpmoPh65U6fi7C0IZoRx2XlrP2sOsWd90ed43si3vHuRuh_0v-WS4C5ytwZx0s_3dqL3e71fI3F2q6Uw</recordid><startdate>202209</startdate><enddate>202209</enddate><creator>Pajero Otero, Violeta</creator><creator>García Delgado, Esther</creator><creator>Martín Cortijo, Concepción</creator><creator>Rodríguez Ramos, María Luisa</creator><creator>De Carlos Iriarte, Esperanza</creator><creator>Gil García, Alejandra</creator><creator>Romay‐Barrero, Helena</creator><creator>Avendaño‐Coy, Juan</creator><general>Hindawi Limited</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>ASE</scope><scope>FPQ</scope><scope>FR3</scope><scope>K6X</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2594-2809</orcidid><orcidid>https://orcid.org/0000-0003-2388-2213</orcidid><orcidid>https://orcid.org/0000-0002-8760-3490</orcidid></search><sort><creationdate>202209</creationdate><title>Intensive complex physical therapy combined with intermittent pneumatic compression versus Kinesio taping for treating breast cancer‐related lymphedema of the upper limb: A randomised cross‐over clinical trial</title><author>Pajero Otero, Violeta ; García Delgado, Esther ; Martín Cortijo, Concepción ; Rodríguez Ramos, María Luisa ; De Carlos Iriarte, Esperanza ; Gil García, Alejandra ; Romay‐Barrero, Helena ; Avendaño‐Coy, Juan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3885-c1e2e0c0faeaf8ba60c024f4705d19f25d41ad796b1e4a4b31788432179105593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arm</topic><topic>Athletic taping</topic><topic>Breast cancer</topic><topic>Breast Cancer Lymphedema - diagnosis</topic><topic>Breast Cancer Lymphedema - therapy</topic><topic>Breast Neoplasms - complications</topic><topic>Clinical trials</topic><topic>complex physical therapy</topic><topic>Compression</topic><topic>Disabilities</topic><topic>Female</topic><topic>Humans</topic><topic>intermittent pneumatic compression</topic><topic>Intermittent Pneumatic Compression Devices</topic><topic>Kinesio taping</topic><topic>Limbs</topic><topic>Lymphedema</topic><topic>Lymphedema - etiology</topic><topic>Lymphedema - therapy</topic><topic>Multilayers</topic><topic>Pain</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities</topic><topic>Questionnaires</topic><topic>Registration</topic><topic>relative volume change</topic><topic>satisfaction</topic><topic>Shoulder</topic><topic>Taping</topic><topic>Treatment Outcome</topic><topic>Upper Extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pajero Otero, Violeta</creatorcontrib><creatorcontrib>García Delgado, Esther</creatorcontrib><creatorcontrib>Martín Cortijo, Concepción</creatorcontrib><creatorcontrib>Rodríguez Ramos, María Luisa</creatorcontrib><creatorcontrib>De Carlos Iriarte, Esperanza</creatorcontrib><creatorcontrib>Gil García, Alejandra</creatorcontrib><creatorcontrib>Romay‐Barrero, Helena</creatorcontrib><creatorcontrib>Avendaño‐Coy, Juan</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Engineering Research Database</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cancer care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pajero Otero, Violeta</au><au>García Delgado, Esther</au><au>Martín Cortijo, Concepción</au><au>Rodríguez Ramos, María Luisa</au><au>De Carlos Iriarte, Esperanza</au><au>Gil García, Alejandra</au><au>Romay‐Barrero, Helena</au><au>Avendaño‐Coy, Juan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intensive complex physical therapy combined with intermittent pneumatic compression versus Kinesio taping for treating breast cancer‐related lymphedema of the upper limb: A randomised cross‐over clinical trial</atitle><jtitle>European journal of cancer care</jtitle><addtitle>Eur J Cancer Care (Engl)</addtitle><date>2022-09</date><risdate>2022</risdate><volume>31</volume><issue>5</issue><spage>e13625</spage><epage>n/a</epage><pages>e13625-n/a</pages><issn>0961-5423</issn><issn>1365-2354</issn><eissn>1365-2354</eissn><abstract>Objective
The objective of this study is to compare the effectiveness of complex physical therapy combined with intermittent pneumatic compression (CPT + IPC) versus Kinesio taping (KT) for breast cancer‐related lymphedema.
Methods
A cross‐over clinical trial was conducted in 43 women with lymphedema. All participants received two interventions: CPT + IPC and KT, both lasting 3 weeks and a washout period. The main outcome variable was the relative volume change (RVC). The secondary variables were Satisfaction Questionnaire about Textile Therapeutic Devices used for Breast Cancer‐Related Lymphedema, Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, motion range of upper limb and lymphedema‐related symptoms.
Results
The RVC reduction was greater with CPT + IPC (−2.2%, SD = 4.7) versus KT (−0.9%, SD = 1.7) (P = 0.002). KT was more satisfactory than multilayer bandaging (8.9 points difference, P < 0.001) and improved DASH score more than CPT + IPC (14.3 points difference, P = 0.002). Regarding motion ranges, only shoulder movements showed significant improvement with CPT + IPC compared with KT (differences between 5.6° and 11.4°). Of the symptoms assessed, only pain reduction showed a significant improvement with KT versus CPT + IPC (0.5 points, P = 0.035).
Conclusions
CPT + IPC achieved higher RVC and greater improvement in th shoulder motion range than KT. Conversely, KT was more satisfactory than multilayer bandaging, obtained better DASH scores and relieved pain more than CPT + IPC.
Clinical Registration
ClinicalTrial registration number: NCT03051750 (date of registration 14 February 2017).</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>35642305</pmid><doi>10.1111/ecc.13625</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2594-2809</orcidid><orcidid>https://orcid.org/0000-0003-2388-2213</orcidid><orcidid>https://orcid.org/0000-0002-8760-3490</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of cancer care, 2022-09, Vol.31 (5), p.e13625-n/a |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Arm Athletic taping Breast cancer Breast Cancer Lymphedema - diagnosis Breast Cancer Lymphedema - therapy Breast Neoplasms - complications Clinical trials complex physical therapy Compression Disabilities Female Humans intermittent pneumatic compression Intermittent Pneumatic Compression Devices Kinesio taping Limbs Lymphedema Lymphedema - etiology Lymphedema - therapy Multilayers Pain Physical therapy Physical Therapy Modalities Questionnaires Registration relative volume change satisfaction Shoulder Taping Treatment Outcome Upper Extremity |
| title | Intensive complex physical therapy combined with intermittent pneumatic compression versus Kinesio taping for treating breast cancer‐related lymphedema of the upper limb: A randomised cross‐over clinical trial |
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