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| Name | Class |
|---|---|
| Hospital Universitario 12 de Octubre | OTHER |
| University of Castilla-La Mancha | OTHER |
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Breast cancer-related lymphedema (BCRL) tends to become chronic and progressive. Current therapies have modest results for this condition. Compression garments (CG) prevent the worsening of lymphedema and even improve it, during periods between treatments of physical therapy. Kinesio Taping(KT) is being recently used for lymphedema, although little evidence backs it. The aim of this study is to compare the reduction of lymphedema volume with both therapies.
Primary end points: to evaluate whether the decrease in BCRL volume is different for a 4-week treatment with KT than with CG.
Research design:
Randomized quasi-experimental clinical pilot study: initial sample randomly balanced into two groups . The initial sample was selected among the patients of "Breast Pathology Rehabilitation" at Hospital Universitario 12 de Octubre . The planned sample size was 30.
Cross Design: it made possible to evaluate two different treatments in the same patient, cancelling intragroup variability.
Open design: it was impossible to blind patients and physiotherapist researcher because of patent visual differences between the two therapies, CG or KT, both during application and while being worn, and even in the hours after its removal, due to the marks left on the skin. However, at least one external evaluator suitably trained was implemented and performed the randomisation of the groups and collected all patient data. Statistical study was also made by others (staff of the "Clinique Investigation Unit (i+12)" of Hospital Universitario 12 de Octubre) with coded variables to blind the analyst.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Kinesio Taping | Experimental | It was done a four week phase with Kinesio Taping in the arm affected with lymphedema. |
|
| Compression garment | Active Comparator | It was done a four week phase with Compression garment in the arm affected with lymphedema. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kinesio Taping | Other |
| ||
| Compression Garment |
| Measure | Description | Time Frame |
|---|---|---|
| Estimated volumen of the upper limb. | Truncated Cone Formula. | Four weeks during each treatment phase |
| Measure | Description | Time Frame |
|---|---|---|
| Symptoms associated with BCRL (pain, heaviness, pressure and hardness) using modified visual analogue scale (VAS). | Wong-Baker faces pain rating scale. | Four weeks during each treatment phase |
| Goniometry of Upper Limb. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Violeta Pajero Otero, MRes | Hospital Universitario 12 de Octubre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario 12 de Octubre | Madrid | 28041 | Spain |
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| ID | Term |
|---|---|
| D000072656 | Breast Cancer Lymphedema |
| ID | Term |
|---|---|
| D008209 | Lymphedema |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D011183 | Postoperative Complications |
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Two treatmet phases, with a four week wash out period bewtween them:
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The statistical analysis will be supervised by staff of the Scientific Support Unit: Epidemiology and Biostatistics (i+12), Hospital Universitario 12 de Octubre with the variables coded to blind the analyst.
|
Goniometry of shoulder, elbow, wrist and hand.
| Four weeks during each treatment phase |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |