Utilização da bandagem elástica funcional no tratamento do linfedema pós câncer de mama: uma revisão integrativa
Data
2023-01-03
Autores
Martins, Raquel Veiga 
Orientadores
Aveiro, Mariana Chaves
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A Terapia Complexa Descongestiva (TCD) ou linfoterapia é a mais efetiva para
o tratamento do Linfedema. Entretanto, há outros recursos que podem ser utilizados no
tratamento de redução do volume do linfedema secundário ao câncer de mama, por exemplo,
a bandagem elástica funcional (kinesio taping) que atua promovendo a melhora do fluxo
linfático através das diferentes pressões na pele, melhorando a absorção do líquido intersticial
no membro superior com linfedema. Objetivos: Sintetizar as evidências na literatura sobre a
efetividade do uso de bandagem elástica funcional (kinesio taping) para redução do volume
do membro superior em mulheres adultas e submetidas ao tratamento oncológico mamário
que estão em tratamento do Linfedema pós câncer de mama. Métodos: Foi realizada a seleção
dos artigos nas bases de dados BVS, PubMed e PEDro. A busca teve como desfecho primário
a avaliação da volumetria, perimetria e quaisquer técnicas que façam a medição do volume do
membro superior e como desfecho secundário a funcionalidade e a qualidade de vida durante
e após a intervenção. Resultados: Foram registrados 38 artigos, 28 não se encaixavam nos
critérios de inclusão, sendo selecionados 10 artigos. Apenas um estudo mostrou que houve
redução de volume no grupo apresentando Linfedema estágio I que utilizaram o Kinesio
Taping (KT) em comparação ao grupo que não recebeu nenhuma intervenção. O estudo que
utilizou KT em associação com a malha de compressão e terapia complexa descongestiva
(TCD) apresentou diminuição do volume quando comparado a outro tipo de intervenção. O
uso da TCD associado com Compressão Pneumática Intermitente (CPI) em comparação com
KT isolado mostrou que o grupo que recebeu o KT não apresentou redução do volume do
linfedema. A utilização do KT associado a um programa de exercícios, em comparação com o
uso de malha de compressão, mostraram que houve diminuição do volume. Já em outro
estudo a utilização da intervenção com TCD comparando KT associado a um programa de
exercícios mostrou que não houve redução do linfedema no grupo que recebeu KT e
exercícios. Conclusão: Essa revisão integrativa mostrou que a associação do uso do KT com
TCD ou exercícios no tratamento do linfedema pode contribuir para a redução do volume do
membro superior, entretanto, a associação de exercícios com KT para redução do linfedema
apenas foi explorada em pessoas com linfedema no estágio I, quanto ao uso isolado do KT os
estudos mostraram que não há contribuição na diminuição do volume.
Introduction: Secondary lymphedema occurs due to obstruction or changes in the lymphatic system that can be evaluated in stage 0 or Ia; stage I; stage II and stage III, the latter being the most serious. Complex decongestive therapy is the most effective treatment for Lymphedema. However, other resources can be used in the treatment to reduce the volume of lymphedema secondary to breast cancer, for example, functional elastic bandage (kinesiotaping) which acts by promoting the improvement of lymphatic flow through different pressures on the skin, improving absorption of interstitial fluid in the upper limb with lymphedema. Objectives: To synthesize the evidence in the literature on the effectiveness of the use of functional elastic bandage (kinesiotaping) to reduce the volume of the upper limb in adult women, mastectomized in the treatment of Lymphedema after breast cancer and the importance of its use for functionality and quality of life for these women. Methods: Articles were selected from the BVS, PubMed and PEDro databases. The search had as a primary outcome the evaluation of volumetry, perimetry and any techniques that measure the volume of the upper limb and as a secondary outcome the functionality and quality of life during and after the intervention. Results: 38 articles were registered, 28 didn't fit the inclusion criteria, 10 articles were selected. One study showed that there was a reduction in volume in the group with stage I lymphedema that used Kinesio Taping (KT) compared to the group that did not receive any intervention. The study that used KT in association with compression mesh and complex decongestive therapy (CDT) showed a decrease in volume when compared to another type of intervention. The use of TCD associated with intermittent pneumatic compression (IPC) in comparison with KT sole, showed that the group that received KT didn’t present a reduction in lymphedema volume. The use of KT associated with an exercise program, in comparison with the use of compression mesh, showed that there was a decrease in volume. In another study, the intervention with CDT comparing KT associated with an exercise program showed that there was no reduction in lymphedema in the group that received KT and exercises. Conclusion: This integrative review showed that the association of the use of KT with TCD or exercises in the treatment of lymphedema can contribute to the reduction of the volume of the upper limb, however, the association of exercises with KT for the reduction of lymphedema it has only been explored in people with stage I lymphedema, as for the isolated use of KT, studies have shown that there is no contribution to volume reduction.
Introduction: Secondary lymphedema occurs due to obstruction or changes in the lymphatic system that can be evaluated in stage 0 or Ia; stage I; stage II and stage III, the latter being the most serious. Complex decongestive therapy is the most effective treatment for Lymphedema. However, other resources can be used in the treatment to reduce the volume of lymphedema secondary to breast cancer, for example, functional elastic bandage (kinesiotaping) which acts by promoting the improvement of lymphatic flow through different pressures on the skin, improving absorption of interstitial fluid in the upper limb with lymphedema. Objectives: To synthesize the evidence in the literature on the effectiveness of the use of functional elastic bandage (kinesiotaping) to reduce the volume of the upper limb in adult women, mastectomized in the treatment of Lymphedema after breast cancer and the importance of its use for functionality and quality of life for these women. Methods: Articles were selected from the BVS, PubMed and PEDro databases. The search had as a primary outcome the evaluation of volumetry, perimetry and any techniques that measure the volume of the upper limb and as a secondary outcome the functionality and quality of life during and after the intervention. Results: 38 articles were registered, 28 didn't fit the inclusion criteria, 10 articles were selected. One study showed that there was a reduction in volume in the group with stage I lymphedema that used Kinesio Taping (KT) compared to the group that did not receive any intervention. The study that used KT in association with compression mesh and complex decongestive therapy (CDT) showed a decrease in volume when compared to another type of intervention. The use of TCD associated with intermittent pneumatic compression (IPC) in comparison with KT sole, showed that the group that received KT didn’t present a reduction in lymphedema volume. The use of KT associated with an exercise program, in comparison with the use of compression mesh, showed that there was a decrease in volume. In another study, the intervention with CDT comparing KT associated with an exercise program showed that there was no reduction in lymphedema in the group that received KT and exercises. Conclusion: This integrative review showed that the association of the use of KT with TCD or exercises in the treatment of lymphedema can contribute to the reduction of the volume of the upper limb, however, the association of exercises with KT for the reduction of lymphedema it has only been explored in people with stage I lymphedema, as for the isolated use of KT, studies have shown that there is no contribution to volume reduction.
Descrição
Citação
MARTINS, Raquel Veiga. Utilização da bandagem elástica funcional no tratamento do linfedema pós câncer de mama: uma revisão integrativa. 2023. 45 f. Trabalho de conclusão de curso (Graduação em Fisioterapia) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2023.