- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03765996
Effectiveness of Taping on Anastomotic Regions in Patients With Breast Cancer-Related Lymphoedema
April 24, 2020 updated by: Ertan Sahinoglu, Dokuz Eylul University
Effectiveness of Kinesio® Taping on Anastomotic Regions in Patients With Breast Cancer-Related Lymphoedema: A Randomized Controlled Study
One of the most common conservative treatments of lymphoedema is Complex Decongestive Physiotherapy (CDP).
The bandage is one of the most important components of the treatment process.
The multilayer short-stretch bandage is used to maintain volume reduction and prevent lymph backflow caused by compression.
However, some patients refuse or postpone treatment or show a lower compliance with compression bandaging.Kinesio® Tex tape (KT) is a new technique for managing lymphoedema in the field of physical and alternative therapy, and it may affect decongestion of lymphatic fluid accumulated under the skin.
Some studies which showed that KT was an effective for patients with BCRL, it was applied on both the affected arm and anastomosis.
One of these studies also reported that a significant reduction in limb volume in patients who were applied of the tape only to the affected arm.
This significant effect could also be seen by applying KT only to the anastomosis.
In literature, however, there is no evidence to support this theory.
So the aim of this study is to determine the effectiveness of KT which was applied to anastomotic regions along with CDP in the management of BCRL.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
36
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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İzmir, Turkey
- Dr. İsmail Atabek Physical Therapy and Rehabilitation Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Patients who had unilateral BCRL and women aged over 18 who were 'significant', 'marked', or 'severe' lymphoedema.
Exclusion Criteria:
- Patients with paralysis on part of the affected arm,
- Patients who had undergone CDP more than once within six months,
- Patients who had an active infection,
- Patients who had a skin disease.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Decongestive Physiotherapy
This group received Complex Decongestive Physiotherapy.
|
This group received CDP, which include MLD, short-stretch bandages, lymph-reducing exercises, and skin care.
MLD was applied to the anterior trunk, posterior trunk, and the base of the neck, progressing to the affected limb.
Short-stretch bandages were applied in multiple layers after MLD.
A low pH skin lotion was applied prior to bandaging and then stockinette was placed on the arm.
The fingers and the hand were wrapped in gauze.
A layer of cotton was wrapped around the arm.
Bandages (6, 8 and/or 10cm) were sequentially applied in a spiral fashion around the limb with the smallest bandage starting at the hand.
The most compression was at the most distal points and gradually decreased proximally.
Exercises were done by patients to improve mobility and enhance lymphatic flow.
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Experimental: Decongestive Physiotherapy plus taping
This group received Complex Decongestive Physiotherapy, and also applying taping to anastomosis regions.
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This group received CDP as same protocol of active comparator.
In addition, Kinesiotaping was applied to anterior and posterior axillo-axillary anastomosis and axillo-inguinal anastomosis.
The tape was started on the unaffected side and strips of tape were applied so as to reach the affected side regarding anterior and posterior axillo-axillary anastomosis.
For axillo-inguinal anastomosis, the tape was started in the inguinal region of the affected side and strips of tape were applied so that they reached the axillary region.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of the Limb Volume, (Last Value of the Follow-up - Baseline Value)
Time Frame: At baseline and at 4 weeks
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Limb size was quantified by using circumferential limb measurements.
Measurements were taken with patients in a prone position and the arm abducted at 30°.
The circumference was measured every 5cm, starting at the ulnar styloid and continuing 45cm proximally for both limbs.
Limb volume was calculated for each segment by using the frustum formula.
Frustum formula is a mathematical method for calculating limb volume based on the circumference measures, and this formula gives the result in milliliters.
Limb measuring was carried out at the beginning of and after treatment (twenty sessions).
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At baseline and at 4 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Gülbin Ergin, PhD, European University of Lefke
- Study Director: Didem Karadibak, Prof., Dokuz Eylül University
- Study Director: Tuğba Yavuzşen, Prof., Dokuz Eylül University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2012
Primary Completion (Actual)
January 1, 2014
Study Completion (Actual)
January 1, 2015
Study Registration Dates
First Submitted
December 1, 2018
First Submitted That Met QC Criteria
December 4, 2018
First Posted (Actual)
December 5, 2018
Study Record Updates
Last Update Posted (Actual)
May 6, 2020
Last Update Submitted That Met QC Criteria
April 24, 2020
Last Verified
April 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2301-GOA
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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