Kinesiology Taping Technique in Post-mastectomy Breast Cancer Related Lymphedema

Dow University of Health Sciences50 enrolled

Overview

Generally, Breast cancer related to lymphedema is commonly found in the female population after mastectomy. It has many complications which affects the normal functions of an individual and quality of life. This randomized control trial will be conducted on patients who are admitted as patients after mastectomy to determine the effects of kinesiology taping technique in post mastectomy breast cancer related lymphedema on swelling, upper limb function and strength.

Generally, Breast cancer related to lymphedema is commonly found in the female population after mastectomy. It has many complications which affects the normal functions of an individual and quality of life. Traditional therapies like compression decongestive therapies and kinesiology taping techniques are used for the management of post mastectomy breast cancer related lymphedema.This randomized control trial will be conducted on patients who are admitted as patients after mastectomy to determine the effects of kinesiology taping technique in post mastectomy breast cancer related lymphedema on swelling, upper limb function and strength. Total 50 patients with post mastectomy who fulfill the inclusion criteria will be selected after taking consent. The subjects will be allocated into two groups through simple random sampling. Subjects ingroup A will be given kinesiology taping technique and exercise therapy whereas; patients in group B will be given compression decongestive therapy (manual lymphatic drainage, short stretch bandage and exercise therapy). All subjects will be assessed using assessment form, upper limb functional index, dynamometer, pinch meter and tape measure. Assessment will be conducted at base line, after 2 \& 4 weeks.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Post Mastectomy Lymphedema

Interventions

Kinesiology taping technique with exercise therapyOTHER

Kinesiology tape is a latex-free fiber that stretches longitudinally \& elastic with an acrylic adhesive. It is used to stimulate dermal mechanoreceptors, encourages sensory and mechanical stimuli resulting in reduction of clogging lymphatic flow which limits the circumference of the affected limb in the region where it is applied due to its flexibility and acts over the lymphatic system. However, exercise therapy is systematic movement program to strengthen muscles.

Compression decongestive therapyOTHER

It consists of two phases: First is the intensive phase (volume reduction phase), in this phase short stretch bandage, manual lymphatic drainage, skincare and exercises will be given for a period of 4 weeks. In the second phase (maintenance phase), compression garments and exercises will be given to the patient for maintaining the limb volume or to reduce the risk of lymphedma.

Eligibility

Sex: FEMALEMin age: 35 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 30 to 65 * Patient undergoing Unilateral Modified Radical Mastectomy * Within 1 week post Mastectomy * Subjects without swelling or with mild swelling Exclusion Criteria: * active cancer or disease that might lead to swelling * subjects taking anticoagulant therapy * diagnose skin disease and skin allergies * vascular insufficiency * sensory impairments * open wound and scars which have not healed * Functional limitations of upper limb before mastectomy e.g. adhesive capsulitis.

Locations (2)

Dr. Ruth K. M. Pfau, Civil Hospital

Karachi, Sindh, Pakistan

Sindh Institute Physical Medicine and Redhabilitation

Karachi, Sindh, Pakistan

Outcomes

Primary Outcomes

Change form baseline in upper limb function on the upper limb functional index at sixth session

tI is a questionnaire to quantify the disability in people with upper extremity conditions.The patient gives a score to each of 20 listed activities based on the difficulty in completing the activities. It consists of 20 activities items in which a score range from 0 to 80. Where, 80 score shows a high level of function and 0 shows disability, each activity score is 0 to 4.This measurement is used for upper limb function and self-reported by patient.

Time frame: Baseline and 2 weeks

Change form baseline in upper limb function on the upper limb functional index at twelfth session

It is a questionnaire to quantify the disability in people with upper extremity conditions.The patient gives a score to each of 20 listed activities based on the difficulty in completing the activities. It consists of 20 activities items in which a score range from 0 to 80. Where, 80 score shows a high level of function and 0 shows disability, each activity score is 0 to 4.This measurement is used for upper limb function and self-reported by patient.

Time frame: Baseline and 4 weeks

Change from baseline in upper limb volume on tape measure at sixth session

It is a tool used for the arm circumference measurements and to evaluate the degree of lymphedma. The Patient sits on a chair and his arm is flexed to 900. First measure is taken at the wrist and after 10cm proximal to wrist and so on

Time frame: Baseline and 2 week

Change from baseline in upper limb volume on tape measure at sixth session

Time frame: Baseline and 4 weeks

Change from baseline in upper limb strength on dynamometer and pinch meter at sixth session

Data from ClinicalTrials.gov

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