Supportive Care in Cancer

, 17:1353 | Cite as

Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study

  • Han-Ju Tsai
  • Hsiu-Chuan Hung
  • Jing-Lan Yang
  • Chiun-Sheng Huang
  • Jau-Yih Tsauo
Original Article

Abstract

Goals of work

The purpose of this study is to compare the treatment and retention effects between standard decongestive lymphatic therapy (DLT) combined with pneumatic compression (PC) and modified DLT, in which the use of a short-stretch bandage is replaced with the use of Kinesio tape (K-tape) combined with PC.

Materials and methods

Forty-one patients with unilateral breast-cancer-related lymphedema for at least 3 months were randomly grouped into the DLT group (bandage group, N = 21) or the modified DLT group (K-tape group, N = 20). Skin care, 30-min manual lymphatic drainage, 1-h pneumatic compression therapy, application of a short-stretch bandage or K-tape for each group, and a 20-min physical therapy exercise were given during every treatment session. Patient evaluation items included physical therapy assessment, limb size, water composition of the upper extremity, lymphedema-related symptoms, quality of life, and patients’ acceptance to the bandage or tape.

Main results

There was no significant difference between groups in all outcome variables (P > 0.05) through the whole study period. Excess limb size (circumference and water displacement) and excess water composition were reduced significantly in the bandage group; excess circumference and excess water composition were reduced significantly in the tape group. The acceptance of K-tape was better than the bandage, and benefits included longer wearing time, less difficulty in usage, and increased comfort and convenience (P < 0.05).

Conclusions

The study results suggest that K-tape could replace the bandage in DLT, and it could be an alternative choice for the breast-cancer-related lymphedema patient with poor short-stretch bandage compliance after 1-month intervention. If the intervention period was prolonged, we might get different conclusion. Moreover, these two treatment protocols are inefficient and cost time in application. More efficient treatment protocol is needed for clinical practice.

Keywords

Breast-cancer-related lymphedema Bandage Taping Decongestive lymphatic therapy 

References

  1. 1.
    Andersen L, Højris I, Erlandsen M, Andersen J (2000) Treatment of breast-cancer-related lymphoedema with or without manual lymphatic drainage. Acta Oncologica 39:399–405. doi:10.1080/028418600750013186 CrossRefPubMedGoogle Scholar
  2. 2.
    Brennan MJ, DePompolo RW, Carden FH (1996) Focused review: postmastectomy lymphedema. Arch Phys Med Rehabil 77:S74–S80. doi:10.1016/S0003-9993(96)90248-8 CrossRefPubMedGoogle Scholar
  3. 3.
    Brennan MJ, Miller LT (1998) Overview of treatment options and review of the current role and use of compression garments, intermittent pumps, and exercise in the management of lymphedema. Cancer 83(12 Suppl):2821–2827. doi:10.1002/(SICI)1097-0142(19981215)83:12B+<2821::AID-CNCR33>3.0.CO;2-G CrossRefPubMedGoogle Scholar
  4. 4.
    Bunce IH, Miroli BR, Hennessy JM, Ward LC, Jones LC (1994) Post-mastectomy lymphoedema treatment and measurement. Med J Aust 161:125–128PubMedGoogle Scholar
  5. 5.
    Casley-Smith JR (1997) Modern treatment for lymph. Lymphoedema Association of Austria, Inc, MalvernGoogle Scholar
  6. 6.
    Chen YW, Tsai HJ, Hung HC, Tsauo JY (2008) Reliability study of measurement for lymphedema in breast cancer patients. Am J Phys Med Rehabil 87:33–38CrossRefPubMedGoogle Scholar
  7. 7.
    Chie WC, Chang KJ, Huang CS, Kuo WH (2003) Quality of life of breast cancer patients in Taiwan: validation of the Taiwan Chinese version of the EORTC QLQ-C30 and EORTC QLQ-BR23. Psychooncology 12:729–735. doi:10.1002/pon.727 CrossRefPubMedGoogle Scholar
  8. 8.
    Cohen SR, Payne DK, Tunkel RS (2001) Lymphedema: strategies for management. Cancer 92:980–987. doi:10.1002/1097-0142(20010815)92:4+<980::AID-CNCR1410>3.0.CO;2-E CrossRefPubMedGoogle Scholar
  9. 9.
    Kase K (1997) Illustrated Kinesio-taping. KEN’IKAI Information, AlbuquerqueGoogle Scholar
  10. 10.
    Kase K, Hashimoto T, Okane T (1998) Kinesio taping perfect manual. Kinesio Taping Association, TokyoGoogle Scholar
  11. 11.
    Kase K, Wallis J, Kase T (2003) Clinical therapeutic applications of the Kinesio taping methods. Kinesio Taping Association, TokyoGoogle Scholar
  12. 12.
    Kisner C, Colby LA (2002) Therapeutic exercise: foundation and techniques. Davis, PhiladelphiaGoogle Scholar
  13. 13.
    Ko DSC, Lerner R, Klose G, Cosimi AB (1998) Effective treatment of lymphoedema of the extremities. Arch Surg 133:452–458. doi:10.1001/archsurg.133.4.452 CrossRefPubMedGoogle Scholar
  14. 14.
    Leduc O, Leduc A, Bourgeois P, Belgrado JP (1998) The physical treatment of upper limb edema. Cancer 83(12 Suppl):2835–2842. doi:10.1002/(SICI)1097-0142(19981215)83:12B+<2835::AID-CNCR36>3.0.CO;2-V CrossRefPubMedGoogle Scholar
  15. 15.
    Liao SF, Huang MS, Li SH et al (2004) Complex decongestive physiotherapy for patients with chronic cancer-associated lymphedema. J Formos Med Assoc 103:344–348PubMedGoogle Scholar
  16. 16.
    Mortimer PS, Bates DO, Brassington HD, Stanton AWB, Strachan DP, Levick JR (1996) The prevalence of arm oedema following treatment for breast cancer. QJM 89:377–380Google Scholar
  17. 17.
    O’Donnell T (2003) Principles of medical and physical treatment. In: Browse SN, Burnand KG, Mortimer PS (eds) Diseases of the lymphatics. Arnold, New York, pp 151–178Google Scholar
  18. 18.
    Pain SJ, Purushotham AD (2000) Lymphoedema following surgery for breast cancer. Br J Surg 87:1128–1141. doi:10.1046/j.1365-2168.2000.01569.x CrossRefPubMedGoogle Scholar
  19. 19.
    Passik SD, McDonald MV (1998) Psychosocial aspects of upper extremity lymphedema in women treated for breast carcinoma. Cancer 83(12 Suppl):2817–2820. doi:10.1002/(SICI)1097-0142(19981215)83:12B+<2817::AID-CNCR32>3.0.CO;2-2 CrossRefPubMedGoogle Scholar
  20. 20.
    Szuba A, Achalu R, Rockson SG (2002) Decongestive lymphatic therapy for patients with breast carcinoma-associated lymphoedema. Cancer 95:2260–2267. doi:10.1002/cncr.10976 CrossRefPubMedGoogle Scholar
  21. 21.
    Szuba A, Cooke JP, Yousuf S, Rockson SG (2000) Decongestive lymphatic therapy for patients with cancer-related or primary lymphoedema. Am J Med 109:296–300. doi:10.1016/S0002-9343(00)00503-9 CrossRefPubMedGoogle Scholar
  22. 22.
    Tobin M, Lacey HJ, Meyer L, Mortimer PS (1993) The psychological morbidity of breast cancer-related arm swelling. Cancer 72:3248–3252. doi:10.1002/1097-0142(19931201)72:11<3248::AID-CNCR2820721119>3.0.CO;2-Z CrossRefPubMedGoogle Scholar
  23. 23.
    Tsai HJ, Liu UX, Tsauo JY (2005) Reliability of lymphedema measurement. FJPT 30:124–131Google Scholar
  24. 24.
    Williams AF, Vadgama A, Franks PJ, Mortimer PS (2002) A randomized controlled crossover study of manual lymphatic drainage therapy in women with breast cancer-related lymphoedema. Eur J Cancer Care (Engl) 11:254–261. doi:10.1046/j.1365-2354.2002.00312.x CrossRefGoogle Scholar
  25. 25.
    Yang JL, Wu YT (2003) Physical therapy for lymphedema. FJPT 28:157–116Google Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Han-Ju Tsai
    • 1
  • Hsiu-Chuan Hung
    • 1
  • Jing-Lan Yang
    • 2
  • Chiun-Sheng Huang
    • 3
  • Jau-Yih Tsauo
    • 1
    • 4
  1. 1.School and Graduate Institute of Physical Therapy, College of MedicineNational Taiwan UniversityTaipeiRepublic of China
  2. 2.Department of Physical Medicine & RehabilitationNational Taiwan University HospitalTaipeiRepublic of China
  3. 3.Department of Surgery, College of MedicineNational Taiwan University and HospitalTaipeiRepublic of China
  4. 4.Physical Therapy CenterNational Taiwan University HospitalTaipeiRepublic of China

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