Abstract
Abstract
Background
Postoperative oedema is a common condition affecting wound healing and function. Traditionally, manual lymphatic drainage is employed to reduce swelling. Kinesiotaping might be an alternative resource-sparing approach. This article explores current evidence for the effectiveness of kinesiotaping for the reduction of oedema in the postoperative setting.
Methods
A systematic literature search was performed on the basis of five databases (Pubmed, CINAHL, Embase, Cochrane Library, and Clinicaltrials.gov) for studies published between January 2000 and October 2019.
Only prospective controlled trials were included. Case studies, uncontrolled case series, studies on oedema caused by other etiologies than by surgery, as well as studies on malignant disease related oedema (especially breast cancer related oedema) were excluded.
Articles were screened by title, abstract, and full text and the references were searched for further publications on the topic. A narrative and quantitative (using STATA) analysis was performed.
Results
One thousand two hundred sixty-three articles were screened, twelve were included in the analysis. All studies evaluated either oedema after extremity surgery or maxillofacial interventions, and showed relevant methodological flaws. Only three studies employed an active comparator. Of the twelve included studies ten found positive evidence for kinesiotape application for the reduction of swelling and beneficial effects on secondary outcome parameters such as pain and patient satisfaction. The available trials were heterogenic in pathology and all were compromised by a high risk of bias.
Conclusion
There is some evidence for the efficacy of kinesiotaping for the treatment of postoperative oedema. This evidence is, however, not yet convincing given the limitations of the published trials. Methodologically sound comparison to standard of care or an active comparator is indispensable for an evaluation of effectiveness. In addition, assessments of patient comfort and cost-benefit analyses are necessary to evaluate the potential relevance of this novel technique in daily practice.
Systematic review registration number
International prospective register of systematic reviews (PROSPERO) ID 114129).
Publisher
Springer Science and Business Media LLC
Subject
Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine
Reference44 articles.
1. Scallan J, Huxley V, Korthuis R. Pathophysiology of edema formation. In: Capillary Fluid Exchange: Regulation, Functions, and Pathology; 2010. p. 58–9.
2. Bringezu G, Schreiner O. Lehrbuch der Entstauungstherapie. Grundlagen, Beschreibung und Bewertung der Verfahren, Behandlungskonzepte für diePraxis. 4., vollständig überarbeitete und erweiterte Auflage. Berlin: Springer Medizin Verlag GmbH; 2014.
3. Preston NJ, Seers K, Mortimer PS. Physical therapies for reducing and controlling lymphoedema of the limbs. Cochrane Database Syst Rev. 2004;(4). https://doi.org/10.1002/14651858.CD003141.pub2.
4. Ezzo J, Manheimer E, McNeely ML, Howell DM, Weiss R, Johansson KI, et al. Manual lymphatic drainage for lymphedema following breast cancer treatment. 2015;5:CD003475.
5. Kase K, Wallis J, Kase T. Clinical therapeutic applications of the kinesio taping method, vol. 12. Tokyo: Ken I kai Co Ltd; 2003. p. 32.
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