136406 20240826132401.0 doi 10.3390/jcm11082234 sideral 129242 ART-2022-129242 eng Muñoz-Alcaraz, Maria Nieves Activity-Oriented Antiedema Proprioceptive Therapy (TAPA) for Shoulder Mobility Improvement in Women with Upper Limb Lymphedema Secondary to Breast Cancer: A Multicenter Controlled Clinical Trial 2022 Background: 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. Access copy available to the general public Unrestricted info:eu-repo/grantAgreement/ES/DGA/B21-17R info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.9 2022 MEDICINE, GENERAL & INTERNAL 58 / 169 = 0.343 2022 Q2 T2 0.935 2022 Medicine (miscellaneous) 2022 Q1 5.4 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Jimenez-Vilchez, Antonio José Santamaria-Peláez, Mirian Perula de Torres, Luis A. Olmo-Carmona, Maria Victoria Muñoz-Garcia, María Teresa Jorge-Gutierrez, Presentacion Serrano-Merino, Jesús Romero-Rodriguez, Esperanza Rodriguez-Elena, Lorena Refusta-Ainaga, Raquel Lahoz-Sanchez, Maria Pilar Miro-Palacios, Belen Medrano-Cid, Mayra Universidad de Zaragoza Magallon-Botaya, Rosa Universidad de Zaragoza (orcid)0000-0002-5494-6550 Minguez-Minguez, Luis A. Gonzalez-Santos, Josefa Gonzalez-Bernal, Jeronimo J. 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 11, 8 (2022), 2234 [11 pp.] J. clin.med. Journal of Clinical Medicine 2077-0383 381581 http://zaguan.unizar.es/record/136406/files/texto_completo.pdf Versión publicada 2974213 http://zaguan.unizar.es/record/136406/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:136406 articulos driver 2024-08-22-13:17:30 ARTICLE