Compression Bandages in Upper Limb Lymphedema

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

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.

Sponsors & Collaborators

• University of Alcala

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

20 Years

Max Age

70 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-08-10

Primary Completion

2019-09-30

Completion

2020-01-10

Countries

• Spain

Study Locations