NCT03250364

Compression Bandages in Upper Limb Lymphedema

Compression Bandages in Upper Limb Lymphedema After Breast Cancer

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (actual)
• Sponsor: University of Alcala · Academic / Other
• Sex: Female
• Age: 20 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

Despite different types of bandages are using in the lymphedema treatment, numerous of them have not been directly compared. The aim of this study is to compare the efficacy of five different kinds of bandages on limb volume and lymphedema-related symptoms. It was also measured as secondary variables the comfort of the bandage related by the participants and the directly cost of each kind of bandage during the treatment.

Conditions

• Lymphedema

Interventions

Type	Name	Description
DEVICE	Multilayer bandage	See arm/group descriptions
DEVICE	Double compression bandage	See arm/group descriptions
DEVICE	Cohesive bandage	See arm/group descriptions
DEVICE	Adhesive compression bandage	See arm/group descriptions
DEVICE	Kinesiotaping bandage	See arm/group descriptions
OTHER	Manual lymphatic drainage (MLD) + Intermittent Pneumatic Compression	MLD using a modification of the strokes described by Leduc will be applied to lymphedema "resorption". It will be included resorption maneuver in the oedematous areas of the affected limb, in cranial to caudal direction, since the physiotherapist seeing a change in the tissue qualities of the oedema. Then, the subjects will be received thirty minutes of Intermittent Pneumatic Compression ("EureducTM") with a pression of 40 mmHg.
OTHER	Upper limb exercises	After the bandage will be put, proprioceptive neuromuscular facilitation exercises without resistance in two diagonal in asymmetrical reciprocal patterns with the affected limb will be taught. The first diagonal into flexion from hitch hike to swat fly, and into extension from swat fly to hitch hike, and the second diagonal from hand in opposite pocket to carry tray, and into extension from carry tray to hand in opposite pocket. These exercises must be done at home two times per day, ten repetitions each exercise.
BEHAVIORAL	Educational strategy	Instructions about lymphatic system anatomy and pato-physiology, the prevention and identification of possible lymphedema complication or infection, how to use and exercise this arm, avoidance of trauma, injury, an excess of heat and arm constriction.

Timeline

• Start date: 2014-08-10
• Primary completion: 2019-09-01
• Completion: 2020-01-10
• First posted: 2017-08-15
• Last updated: 2020-06-04

Locations

2 sites across 1 country: Spain