Estudio clínico de los efectos del vendaje neuromuscular en pacientes con linfedema posmastectomía

Resum

Introduction: Despite the advances in the treatment of posmasectomy lymphedema by different techniques, the impacts of this problem, in terms of the repercussions in the perception of health and quality of life and the appearance of complications which can worst the state of the patients are still very big. As has already been said other psychosocial factors, which may alter emotional stability and for social relationships, must be taken into account and this may create a problem with greater repercussions in the general condition of the health of the sufferers. The possibility of new therapies, such as the kinesiotaping, opens the door to new alternatives, which to some degree, are already considerer effective in the treatment of lymphedema. Hypothesis: The kinesiotaping reduces the fibrosis and the circometry of the posmasectomy and lymphadenectomy lymphedema. Main objective: Assess whether with the kinesio-taping the fibrosis and the volume of the lymphedema in women operated for mastectomy and lymphadenectomy are reduced. Material and methods: This is a quasi-experimental study, in which a sample made up of 30 women with an average age of 61 years old, affected by post-mastectomy and lymphadenectomy lymphedema, who go to the “lymphedema” surgery of the H.C.D (Central Defense Hospital) in 2014. Application of the kinesiotaping with the lymphatic technique, wrapped ground the arm from the scapula to the olécranon, changing the bandage every 5 days in a month. After 6 months, the women return to surgery in order to see if the results are maintained. The measure of the effectiveness of the results will be ultrasound and circometry. Results: The follow up time is 7 months. The circometry and the ultrasound produced a statistically significant reduction in both the Friedman test (p<0,001) and Wilcoxon test (p<0,001). Conclusions: Kinesiotaping is an option for reduction of the lymphedema in women operated for mastectomy and lymphadenectomy in any condition and time since surgery.