The reduction in breast cancer-related lymphoedema with kinesiotaping

Abstract

Background: Breast cancer-related lymphoedema (BCRL) is a possible complication of the treatment of breast cancer, which is the most prevalent cancer worldwide (WHO 2021). The current unclear literature regarding the safety and potential beneficial effects of kinesio-taping (KT) on BCRL led to the research question below, aiming to optimize BCRL management. Research question: Is the use of kinesio-tape effective in reducing breast cancer-related lymphoedema in females, when compared to the use of complex decongestive therapy approaches? This research question was formulated using the PICO framework: (P) females suffering from BCRL, (I) KT, (C) complex decongestive therapy (CDT), (O) reduction in BCRL. Search method: A systematic literature search was conducted through several electronic databases and reference hand-searching. Limiters and inclusion/exclusion criteria were applied to refine the search outcome. Study designs were restricted to systematic reviews (SRs), meta-analyses and randomised controlled trials (RCTs) in the English language. The studies included were those investigating the effects of KT on BCRL in female participants versus any of the CDT components when used as part of the CDT approach. Five key studies were selected, one SR and four RCTs, and critically appraised using the CASP tool. Results: The SR and the two RCTs concerning the CDT intensive phase found that KT is less effective than bandaging in reducing BCRL. The other two RCTs resulted in KT being more effective than compression garments (CGs) in the maintenance phase of CDT. Conclusions: The findings suggested that KT is more effective than CGs in the maintenance phase of CDT but less effective than bandaging in the intensive phase. Recommendations: The use of KT may be considered in the CDT maintenance phase with regular monitoring to ensure safe practice. Standardized guidelines must be implemented for the application of KT, which may also be taught to the patients empowering them in the self-care of their condition.