研究动态
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Kinesio贴纸对乳腺癌相关淋巴水肿患者上肢体积减少的疗效:随机对照试验的系统评价。

Efficacy of kinesio taping on upper limb volume reduction in patients with breast cancer-related lymphedema: a systematic review of randomized controlled trials.

发表日期:2023 Feb 27
作者: Nicola Marotta, Lorenzo Lippi, Valerio Ammendolia, Dario Calafiore, Maria T Inzitari, Monica Pinto, Marco Invernizzi, Alessandro de Sire
来源: European Journal of Physical and Rehabilitation Medicine

摘要:

"乳腺癌(BC)患者最常见的残疾并发症之一是乳腺癌相关淋巴水肿(BCRL),这是一种影响身体和心理功能的病理性疾病,对健康相关生命质量(HR-QoL)产生不利影响。康复在综合管理这种情况方面起到了关键作用,有多项研究报道在这些女性中进行复杂排液疗法(CDT)后产生积极的结果。肌动带绷带(KT)是治疗BCRL的一种相对较新的治疗方法,然而,有关其有效性的文献证据还远未得到完全说明。因此,本系统评价旨在评估KT在CDT中治疗BCRL中的作用。 我们系统地搜索了PubMed、Scopus和Web of Science数据库,并定于2022年5月5日前,以确定报告乳腺癌相关淋巴水肿(BCRL)患者、以KT为干预措施和以肢体体积为结果的随机对照试验(RCT)(CRD42022349720号PROSPERO)。从识别的文献中,有123篇符合数据筛选的资格,只有7项RCT满足资格标准,被纳入到研究中。我们发现在BCRL患者中,KT可能对肢体体积减少产生积极的影响,但是,包含的研究质量较低的据不足以支持这一结果。 综合来看,本系统评价表明KT并未显著减少BCRL女性的上肢体积,然而,看起来会增加被动运动时的血流速度。进一步高质量的研究是必要的,以提高知识水平,以便将KT纳入到涉及多学科的康复方法中,以治疗BC幸存者患上淋巴水肿。"
One of the most common disabling complications in breast cancer (BC) patients is breast cancer-related lymphedema (BCRL), a pathological condition affecting both physical and psychological function, with detrimental consequences on health-related quality of life (HR-QoL). Rehabilitation has a key role in the comprehensive management of this condition with several studies reporting positive results after performing complex decongestive therapies (CDT) in these women. Kinesio taping (KT) is a rather recent therapeutic approach to treat BCRL, however, evidence in literature regarding its effectiveness is far from being fully characterized. Therefore, this systematic review aimed at assessing the role of KT among the CDT to treat BCRL.PubMed, Scopus, and Web of Science were systematically searched from inception until May 5th, 2022 to determine randomized control trials (RCTs) reporting patients with BCRL; KT as intervention; limb volume as outcome (PROSPERO number: CRD42022349720).Out of the documents identified, 123 were eligible for data screening, and only 7 RCTs satisfied the eligibility criteria and were included. We found that KT might have a positive effect on limb volume reduction in patients with BCRL, albeit there is little evidence for low quality of the included studies.Taken together, this systematic review showed that KT did not significantly reduce the upper limb volume in BCRL women, albeit it seemed to increase the flow rate during the passive exercise. Further high-quality-studies are mandatory to improve the knowledge in order to include the KT might into a multidisciplinary rehabilitative approach for the management of BC survivors affected by lymphedema.