RT Journal Article
T1 Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) for Shoulder Mobility Improvement in Women with Upper Limb Lymphedema Secondary to Breast Cancer: A Multicenter Controlled Clinical Trial.
A1 Muñoz-Alcaraz, Maria Nieves
A1 Jimenez-Vilchez, Antonio Jose
A1 Santamaria-Pelaez, Mirian
A1 Perula-de Torres, Luis A
A1 Olmo-Carmona, Maria Victoria
A1 Muñoz-Garcia, Maria Teresa
A1 Jorge-Gutierrez, Presentacion
A1 Serrano-Merino, Jesus
A1 Romero-Rodriguez, Esperanza
A1 Rodriguez-Elena, Lorena
A1 Refusta-Ainaga, Raquel
A1 Lahoz-Sanchez, Maria Pilar
A1 Miro-Palacios, Belen
A1 Medrano-Cid, Mayra
A1 Magallon-Botaya, Rosa
A1 Minguez-Minguez, Luis A
A1 Gonzalez-Santos, Josefa
A1 Gonzalez-Bernal, Jeronimo J
K1 Activity-oriented anti-edema therapy
K1 Breast cancer
K1 Complex decongestive therapy
K1 Manual lymphatic drainage
K1 Multidisciplinary oncological rehabilitation
K1 Occupational therapy
K1 Secondary lymphedema
K1 Upper limb
K1 Área Sanitaria Norte de Córdoba
AB Lymphedema, secondary to breast cancer (BCRL), is the abnormal accumulation of protein-rich fluid in the interstitium caused by a malfunction of the lymphatic system. It causes swelling, deficiencies in upper limb functions and structures, sensory pain and emotional alterations, which have a chronic course and affect the upper limb's functionality. This study aims to verify the efficacy and efficiency in the upper limb´s functionality of a protocolized experimental approach based on occupational therapy, TAPA (activity-oriented proprioceptive antiedema therapy), in the rehabilitation of BCRL in stages I and II, comparing it with the conservative treatment considered as the standard, complex decongestive therapy (CDT), through a multicenter randomized clinical trial. a randomized and prospective clinical trial was conducted with experimental and control groups. Women diagnosed with BCRL belonging to institutions in Córdoba and Aragon (Spain) participated. Sociodemographic variables and those related to the functionality of the affected upper limb were evaluated before and after the intervention. The results showed statistically significant differences in the analysis of covariance performed for the variable joint balance of the shoulder´s external rotation (p = 0.045) that could be attributed to the intervention performed; however, the effect size was minimal (η2 ≤ 0.080). In the rest of the variables, no significant differences were found. TAPA may be an alternative to the conservative treatment of women with BCRL. It was shown to be just as effective for volume reduction and activity performance as CDT but more effective in improving external rotation in shoulder joint balance.
PB MDPI
SN 2077-0383
YR 2022
FD 2022-04-12
LK http://hdl.handle.net/10668/21272
UL http://hdl.handle.net/10668/21272
LA en
NO Muñoz-Alcaraz MN, Jiménez-Vílchez AJ, Santamaría-Peláez M, Pérula-de Torres LA, Olmo-Carmona MV, Muñoz-García MT, et al. Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) for Shoulder Mobility Improvement in Women with Upper Limb Lymphedema Secondary to Breast Cancer: A Multicenter Controlled Clinical Trial. J Clin Med. 2022 Apr 16;11(8):2234
DS RISalud
RD Apr 8, 2025