【論文摘要】The Effect of Edema Control in Patients With Breast Cancer- Comparison of Manual Lymph Drainage, Self-Massage and Epidermis Fascia Taping With Ultrasonography

【論文摘要】以超音波影像探討乳癌病人水腫之徒手淋巴引流、自我按摩與表皮筋膜貼布之消腫效果

林芳郁(Fang-Yu Li) ； 陳佳琳(Chia-Lin Chen) ； 王淑芬(Shwu-Fen Wang) ； 楊靜蘭(Jing-Lan Yang)

《物理治療》 43卷2期 (2018/06) Pp. 169-170

https://doi.org/10.6215/FJPT.2018.75.P38

摘要

Background and Purpose: The effect of edema control by different methods is not clear. The objective of this study is to investigate the reliability of measuring severity of edema using ultrasound (USD) imaging, and to compare the effect of manual lymph drainage (MLD) technique, epidermis taping technique, and self-massage on edema control. Methods: Nineteen subjects with unilateral lymphedema were recruited. Subjects were randomized to three groups including MLD, epidermis taping and self-massage groups. Subjects' circumference (8 sites) and USD (6 sites) of the affected upper extremity were measured using tape-measurement and ultrasonography respectively. Results: USD showed good reliability (intraclass correlation coefficient [ICC] = 0.885) in measuring subcutaneous thickness. Significant difference in circumference before and after treatment was found in all three groups (p ＜ 0.05). One-way analysis of variance (one-way ANOVA) showed a significant group effect on mean differences of circumference [F(2,81.956) = 8.53, p ＜ 0.01]. Post-hoc comparisons using the Games-Howell test indicated that the mean difference for the taping group (mean [M] = 0.84, standard deviation [SD] = 0.96) and the MLD group (M = 0.66, SD = 0.47) were significantly higher (p ＜ 0.05) than the self-massage group (M = 0.27, SD = 0.53). However, no significant difference (p ＞ 0.05) was found between the taping group and the MLD group. Conclusion: Ultrasound is a reliable tool for measuring subcutaneous thickness. It is also found that all taping, MLD and self-massage could successfully decrease limb circumference, though taping and MLD were more effective than self-massage. Clinical Relevance: Taping could replace MLD treatment.