Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) for Shoulder Mobility Improvement in Women with Upper Limb Lymphedema Secondary to Breast Cancer: A Multicenter Controlled Clinical Trial.
activity-oriented anti-edema therapy
breast cancer
complex decongestive therapy
manual lymphatic drainage
multidisciplinary oncological rehabilitation
occupational therapy
secondary lymphedema
upper limb
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
16 Apr 2022
16 Apr 2022
Historique:
received:
04
03
2022
revised:
31
03
2022
accepted:
12
04
2022
entrez:
23
4
2022
pubmed:
24
4
2022
medline:
24
4
2022
Statut:
epublish
Résumé
Lymphedema, secondary to breast cancer (BCRL), is the abnormal accumulation of protein-rich fluid in the interstitium caused by a malfunction of the lymphatic system. It causes swelling, deficiencies in upper limb functions and structures, sensory pain and emotional alterations, which have a chronic course and affect the upper limb's functionality. This study aims to verify the efficacy and efficiency in the upper limb´s functionality of a protocolized experimental approach based on occupational therapy, TAPA (activity-oriented proprioceptive antiedema therapy), in the rehabilitation of BCRL in stages I and II, comparing it with the conservative treatment considered as the standard, complex decongestive therapy (CDT), through a multicenter randomized clinical trial. a randomized and prospective clinical trial was conducted with experimental and control groups. Women diagnosed with BCRL belonging to institutions in Córdoba and Aragon (Spain) participated. Sociodemographic variables and those related to the functionality of the affected upper limb were evaluated before and after the intervention. The results showed statistically significant differences in the analysis of covariance performed for the variable joint balance of the shoulder´s external rotation ( TAPA may be an alternative to the conservative treatment of women with BCRL. It was shown to be just as effective for volume reduction and activity performance as CDT but more effective in improving external rotation in shoulder joint balance.
Sections du résumé
BACKGROUND
BACKGROUND
Lymphedema, secondary to breast cancer (BCRL), is the abnormal accumulation of protein-rich fluid in the interstitium caused by a malfunction of the lymphatic system. It causes swelling, deficiencies in upper limb functions and structures, sensory pain and emotional alterations, which have a chronic course and affect the upper limb's functionality. This study aims to verify the efficacy and efficiency in the upper limb´s functionality of a protocolized experimental approach based on occupational therapy, TAPA (activity-oriented proprioceptive antiedema therapy), in the rehabilitation of BCRL in stages I and II, comparing it with the conservative treatment considered as the standard, complex decongestive therapy (CDT), through a multicenter randomized clinical trial.
METHODS
METHODS
a randomized and prospective clinical trial was conducted with experimental and control groups. Women diagnosed with BCRL belonging to institutions in Córdoba and Aragon (Spain) participated. Sociodemographic variables and those related to the functionality of the affected upper limb were evaluated before and after the intervention.
RESULTS
RESULTS
The results showed statistically significant differences in the analysis of covariance performed for the variable joint balance of the shoulder´s external rotation (
CONCLUSIONS
CONCLUSIONS
TAPA may be an alternative to the conservative treatment of women with BCRL. It was shown to be just as effective for volume reduction and activity performance as CDT but more effective in improving external rotation in shoulder joint balance.
Identifiants
pubmed: 35456327
pii: jcm11082234
doi: 10.3390/jcm11082234
pmc: PMC9025521
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Call for competitive competition, of research and innovation projects in the field of Primary Care, Regional Hospitals and High Resolution Hospital Centers of the Public Health System of Anda-lusia for the year 2021, of the Andalusian Public Foundation Pr
ID : AP-0160-2021-C2-F2
Organisme : Grants for research projects in Occupational Therapy. Call 2020", granted by the Professional Association of Occupational Therapists of Extremadura (COPTOEX)
ID : No number
Organisme : Research Group in Primary Health Care of Aragon
ID : GAIAP-B21-17R group
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