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Conclusion Conclusion  Kinesiology taping may be beneficial for breast-cancer related lymphedema, although a formal systematic review is necessary to.

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Presentation on theme: "Conclusion Conclusion  Kinesiology taping may be beneficial for breast-cancer related lymphedema, although a formal systematic review is necessary to."— Presentation transcript:

1 Conclusion Conclusion  Kinesiology taping may be beneficial for breast-cancer related lymphedema, although a formal systematic review is necessary to confirm.  There was no evidence to judge usefulness of kinesiology taping for the management of pain, fatigue, breathlessness, & abdominal discomfort.  Anecdotes & case reports from practitioners that use kinesiology taping in oncology/palliative care would be welcomed for guiding future research & clinical practice. Introduction Introduction  Cancer presents with a variety of symptoms including pain, fatigue, oedema, breathlessness, & abdominal discomfort.  Palliation of these symptoms usually involve a pharmacology-led approach with a trade-off between symptom relief & adverse effects.  Kinesiology taping is a non-pharmacological technique which involves application of elastic cotton adhesive tape on the skin. It is often used by healthcare professionals to manage musculoskeletal-related pain & injuries but could also be used as an adjunct to manage some of the symptoms related to cancer. Figure: Application of kinesiology taping over the lower back and diaphragm regions Aim Aim To scope research literature on kinesiology taping for management of symptoms related to cancer. Method Method Search strategy  MEDLINE, CENTRAL, EMBASE, CINAHL, AMED, BNI, PEDro, OTseeker, Web of Science, Scopus were searched using controlled vocabulary & keywords for studies published from 1970 to December 2015. Eligibility  Clinical studies including RCTs, non-RCTs, case series and case reports published in English. Analysis of studies  Information from included studies was tabulated.  Studies were analysed by a tally of outcome against the comparison group.  A descriptive analysis was performed on studies without comparison groups. Kinesiology taping as a novel adjunct in oncology and palliative care? Gourav Banerjee [1*], Alison Rose [1,2], Michelle Briggs [1], Mark I. Johnson [1] 1. Centre for Pain Research, Faculty of Health and Social Sciences, Leeds Beckett University, Leeds, U.K. 2. Coach House Sports Physiotherapy Clinic, Leeds, U.K. Contact email [*]: g.banerjee@leedsbeckett.ac.uk Results Results  Seven studies with a comparison group & nine studies without a comparison group (i.e. pre/post-test design, case reports/series) were found on the use of kinesiology taping for breast cancer-related outcomes (lymphedema, seroma, grip strength, upper limb movability & quality of life).  Authors of 14 of these studies concluded that kinesiology taping may be beneficial for improving outcomes in cancer. Positive effects in favour of kinesiology taping were found in 5/7 studies with a comparison group and in all studies without a comparison group.  No studies were found on the use of kinesiology taping for other cancer conditions. AuthorsMethod SummaryFindings Tsai et al., 2009 n = 41 (BCL, moderate to severe) divided into bandage group (n=21) & KT group (n=20) No differences in reductions in excess limb size or water composition between the two groups. KT was preferred because it was more comfortable, convenient, & could be worn for longer periods. Bosman and Piller, 2010 n = 8 (breast cancer-related seroma) divided equally ‘lymph taping group’ & ‘current best practice group’ KT reduced extracellular fluid accumulation & improved sensations of pain, burning, tightness & heaviness associated with seroma, & hence quality of life measures. Smykla et al., 2014 n = 64 (BCL stage II & III) divided into KT group (n=20), quasi KT group (n=22) & MLB group (n=23) MLB + pneumatic + MLD was superior to KT + pneumatic + MLD for reducing stage II & III lymphedema. Pop et al., 2014 n = 44 (BCL stage I & II lymphedema) divided equally ‘own taping KT method’ & traditional KT for lymphedema KT own method was superior to KT traditional method for improving stage I & II lymphedema. KT was associated with improvement of upper limb joint movability & grip strength. Pekyava ş et al., 2014 n = 45 (BCL stage II & III) divided equally into CDT + bandage, CDT + bandage + KT, CDT + KT KT + CDT was more effective than CDT alone for reducing grade II & III lymphedema. Malicka et al., 2014 n = 28 (BCL stage I) divided equally into KT group & no treatment group KT reduced early stage I lymphedema. Taradaj et al., 2015 n = 70 (BCL stage II & III) divided into KT + pneumatic + MLD (n=22), quasi-KT+ pneumatic + MLD (n=23), & pneumatic + MLD + MLB KT + pneumatic + MLD was not superior to MLB + pneumatic + MLD for improving limb size, grip strength & range of motion associated with upper extremity stage II & III lymphedema. Table showing summary of studies with a comparison group KT = kinesiology taping; BCL = breast cancer-related lymphedema; CDT = complex decongestive therapy; MLB = Multi-layered bandaging; MLD = manual lymphatic drainage


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