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.

Highlights

  • Lymphedema is a chronic and progressive condition resulting from an abnormality or damage to the lymphatic system

  • Secondary lymphedema is caused by multiple factors related with lymphatic stasis, such as tumor lymph node infiltration, lymph node dissection, radiotherapy, trauma, and infection

  • Upper limb lymphedema occurs in 24–49% of the cases with total mastectomy and in 2.4–49% of the cases with axillary lymph node dissection [1, 2]

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Summary

Introduction

Lymphedema is a chronic and progressive condition resulting from an abnormality or damage to the lymphatic system. It is marked by an abnormal increase of tissue proteins, edema, chronic inflammation, and fibrosis. Upper limb lymphedema occurs in 24–49% of the cases with total mastectomy and in 2.4–49% of the cases with axillary lymph node dissection [1, 2]. Lymphedema occurs when there is an imbalance due to reduced lymph transport capacity which leads to interstitial fluid and protein accumulation. It further leads to chronic inflammation and fibrosis caused by the secondary proliferation of neutrophils, macrophages, and fibroblasts and accumulation of collagen

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