000136406 001__ 136406 000136406 005__ 20240826132401.0 000136406 0247_ $$2doi$$a10.3390/jcm11082234 000136406 0248_ $$2sideral$$a129242 000136406 037__ $$aART-2022-129242 000136406 041__ $$aeng 000136406 100__ $$aMuñoz-Alcaraz, Maria Nieves 000136406 245__ $$aActivity-Oriented Antiedema Proprioceptive Therapy (TAPA) for Shoulder Mobility Improvement in Women with Upper Limb Lymphedema Secondary to Breast Cancer: A Multicenter Controlled Clinical Trial 000136406 260__ $$c2022 000136406 5060_ $$aAccess copy available to the general public$$fUnrestricted 000136406 5203_ $$aBackground: 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. Methods: a randomized and prospective clinical trial was conducted with experimental and control groups. Women diagnosed with BCRL belonging to institutions in Cordoba and Aragon (Spain) participated. Sociodemographic variables and those related to the functionality of the affected upper limb were evaluated before and after the intervention. Results: 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 (eta(2) <= 0.080). In the rest of the variables, no significant differences were found. Conclusions: 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. 000136406 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B21-17R 000136406 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000136406 590__ $$a3.9$$b2022 000136406 591__ $$aMEDICINE, GENERAL & INTERNAL$$b58 / 169 = 0.343$$c2022$$dQ2$$eT2 000136406 592__ $$a0.935$$b2022 000136406 593__ $$aMedicine (miscellaneous)$$c2022$$dQ1 000136406 594__ $$a5.4$$b2022 000136406 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000136406 700__ $$aJimenez-Vilchez, Antonio José 000136406 700__ $$aSantamaria-Peláez, Mirian 000136406 700__ $$aPerula de Torres, Luis A. 000136406 700__ $$aOlmo-Carmona, Maria Victoria 000136406 700__ $$aMuñoz-Garcia, María Teresa 000136406 700__ $$aJorge-Gutierrez, Presentacion 000136406 700__ $$aSerrano-Merino, Jesús 000136406 700__ $$aRomero-Rodriguez, Esperanza 000136406 700__ $$aRodriguez-Elena, Lorena 000136406 700__ $$aRefusta-Ainaga, Raquel 000136406 700__ $$aLahoz-Sanchez, Maria Pilar 000136406 700__ $$aMiro-Palacios, Belen 000136406 700__ $$aMedrano-Cid, Mayra$$uUniversidad de Zaragoza 000136406 700__ $$0(orcid)0000-0002-5494-6550$$aMagallon-Botaya, Rosa$$uUniversidad de Zaragoza 000136406 700__ $$aMinguez-Minguez, Luis A. 000136406 700__ $$aGonzalez-Santos, Josefa 000136406 700__ $$aGonzalez-Bernal, Jeronimo J. 000136406 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000136406 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000136406 773__ $$g11, 8 (2022), 2234 [11 pp.]$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383 000136406 8564_ $$s381581$$uhttps://zaguan.unizar.es/record/136406/files/texto_completo.pdf$$yVersión publicada 000136406 8564_ $$s2974213$$uhttps://zaguan.unizar.es/record/136406/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000136406 909CO $$ooai:zaguan.unizar.es:136406$$particulos$$pdriver 000136406 951__ $$a2024-08-22-13:17:30 000136406 980__ $$aARTICLE