单侧上肢乳腺癌相关淋巴水肿完全缓解充血治疗和运动机能描记的比较：一项随机对照试验。

IF 0.7 4区医学 Q4 IMMUNOLOGY

Lymphology Pub Date : 2021-09-07 DOI:10.2458/lymph.4680

C. Başoğlu, D. Sindel, M. Corum, A. Oral

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引用次数: 0

摘要

我们设计了一项研究，比较完全缓解充血治疗（CDT）和运动机能描记（KT）（结合运动和皮肤护理）对单侧乳腺癌相关淋巴水肿（BCRL）患者肢体周长、淋巴水肿体积、握力、功能状态和生活质量的影响。40名单侧2期BCRL患者被随机分为CDT组（n=20）或KT组（n=20）。CDT组患者接受30分钟手动淋巴引流（MLD）和多层短拉伸包扎，每周一次，持续四周。KT组的患者每周进行一次贴扎，持续四周。此外，所有患者都被告知皮肤护理，并在整个治疗过程中接受锻炼计划。最初、治疗后（4周）和第1个月随访时，评估上肢周长和体积差异作为主要结果和握力、手臂、肩部和手部快速残疾（Q-DASH）以及癌症治疗乳腺功能评估（FACT-B）评分作为次要结果。与KT组相比，CDT组治疗4周后肢体周长和体积差异显著减少（分别为p=0.012和p=0.015），但在第1个月的随访中，两组之间没有差异（p>0.05），和FACT-B评分（p>0.05）。我们的研究结果表明，KT和CDT在BCRL患者的4周和1个月随访中分别显著降低了肢体体积和周长，并且与KT相比，CDT在4周时显著降低了四肢体积和周长。需要对处于BCRL不同阶段的患者进行进一步的随机对照试验，以确认和扩大这些结果。

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Comparison of complete decongestive therapy and kinesiology taping for unilateral upper limb breast cancer-related lymphedema: A randomized controlled trial.

We designed a study to compare effects of complete decongestive therapy (CDT) and kinesiology taping (KT) (with exercise and skin care) on limb circumference, lymphedema volume, grip strength, functional status, and quality of life in patients with unilateral breast cancer-related lymphedema (BCRL). Forty patients with unilateral stage 2 BCRL were randomized to either the CDT group (n=20) or the KT group (n=20). Patients in the CDT group underwent 30-min manual lymphatic drainage (MLD) and multi-layer, short-stretch bandaging once a week for four weeks. Patients in the KT group underwent taping once a week for four weeks. In addition, all patients were informed about skin care and given an exercise program throughout the treatment. Upper extremity circumference and volume differences as primary outcomes and grip strength, Quick-Disabilities of the Arm, Shoulder and Hand (Q-DASH), and Functional Assessment of Cancer Therapy-Breast (FACT-B) scores as secondary outcomes were assessed initially, after treatment (4 weeks), and at the 1st month follow-up. Limb circumference and volume differences were significantly reduced in the CDT group after the 4-week treatment compared with the KT group (p=0.012 and p=0.015, respectively), but there was no difference between the groups in the 1st month follow-up (p>0.05). There was no difference between the groups in terms of grip strength, Q-DASH, and FACT-B scores after treatment and at the 1st month follow-up (p>0.05). Our results show that both KT and CDT were found to significantly reduce limb volume and circumference individually at 4-weeks and the one-month follow-up in patients with BCRL and that CDT significantly reduced both limb volume and circumference compared to KT at the 4- week time point, but not at the follow-up. Further randomized controlled trials with patients at different stages of BCRL are needed to confirm and expand these results.

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来源期刊

Lymphology 医学-免疫学

CiteScore

5.20

自引率

8.00%

发文量

审稿时长

3 months

期刊介绍： The Journal contains original articles, special features (see below), and information regarding the International Society of Lymphology. It seeks original papers dealing with clinical and basic studies of the lymphatic system and its disorders including related fields. Articles are accepted for external review and publication on the condition that they are contributed to Lymphology only and that no substantial part has been or will be published elsewhere.