Effect of kinesiotaping combined with pneumatic compression on function activity in patients with post-mastectomy lymphedema: A Randomized controlled trial

Mohammed H EI-Gendy, Mahmoud M Aboul-Fotouh, Samy R Shehata

Mohammed H EI-Gendy, Mahmoud M Aboul-Fotouh, Samy R Shehata –Effect of kinesiotaping combined with pneumatic compression on function activity in patients with post-mastectomy lymphedema: A Randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 20-26

Abstract
Objective. This study was designed to investigate the effects of Kinesiotaping (KT) combined with intermittent pneumatic compression (IPC) Versus Multilayer bandage (MLB) on Postmastectomy lymphedema on limb volume and function. Methods. Forty-Five Female patients with postmastectomy lymphedema were divided randomly into three equal groups. Group “A” received complex decongestive physical therapy (CDP) added to KT combined with IPC, group “B” received CDP added to MLB, group “C” (control group) received CDP only, all groups received treatment three times/week for four weeks. Volumetric Measurement, Anthropometric Limb measure and Disability of Arm, Shoulder, and Hand (DASH) questioner for upper limb were used to evaluate subjects at three intervals (pre-treatment, post-treatment and After three months follow-up). Results. Statistical analysis showed that there was a significant improvement within-group pre-post treatment in Volumetric measure, Anthropometric Limb measure and DASH at groups A, B and C as (p < 0.05), groups A and B were superior to group C. After follow-up there was a significant deterioration in value of all variables in groups B and C as (p < 0.05), while there was no significant deterioration in group A. In between-group analysis there was no significant change in pre-treatment value of all variables as (p > 0.05), in post-treatment there was no significant change in all variables as (p > 0.05) but after follow-up there was a significant change. Conclusion. Both KT combined with IPC and MLB are effective methods in the management of subjects with postmastectomy lymphedema with superiority for KT combined with IPC as it has no significant changes after three months follow up.
Key words:
Postmastectomy Lymphedema, Kinesiotaping, Intermittent Pneumatic Compression, Multilayer Bandage
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