100
Participants
Start Date
August 10, 2014
Primary Completion Date
September 30, 2019
Study Completion Date
January 10, 2020
Multilayer bandage
See arm/group descriptions
Double compression bandage
See arm/group descriptions
Cohesive bandage
See arm/group descriptions
Adhesive compression bandage
See arm/group descriptions
Kinesiotaping bandage
See arm/group descriptions
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."
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.
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.
University of Alcalá. FPSM research group. HUPA, Alcalá de Henares
Physiotherapy in women´s health research group. University of Alcalà, Alcalà de Henares
University of Alcala
OTHER