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

• Published in: European journal of cancer care Vol. 31; no. 5; pp. e13625 - n/a
• Main Authors: 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
• Format: Journal Article
• Language: English
• Published: England Hindawi Limited 01.09.2022
• 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; intermittent pneumatic compression; relative volume change; satisfaction; Kinesio taping; lymphedema; complex physical therapy
• ISSN: 0961-5423; 1365-2354; 1365-2354
• DOI: 10.1111/ecc.13625

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).