{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T08:20:54Z","timestamp":1783066854809,"version":"3.54.6"},"reference-count":39,"publisher":"Galenos Yayinevi","issue":"2","license":[{"start":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T00:00:00Z","timestamp":1621900800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk J Phys Med Rehab"],"accepted":{"date-parts":[[2020,6,17]]},"published-print":{"date-parts":[[2021,5,25]]},"abstract":"<jats:p>Objectives: The aim of this study was to evaluate the comparative efficacy of 3MTM CobanTM 2 layer system and conventional multi-layer short-stretch bandaging in terms of volume reduction, ultrasonographic measurements, functional status, and quality of life (QoL) in the treatment of patients with breast cancer-related lymphedema (BCRL).<\/jats:p>\n                  <jats:p>Patients and methods: This prospective, single-blind, randomized study included a total of 60 BCRL patients (60 females; mean age 54.9\u00b19.6 years; range, 30 to 73 years). The patients were randomly allocated to Group 1 (n=30) and Group 2 (n=30). Both groups received complex decongestive therapy (CDT) including skin care, lymphedema exercises, and manual lymphatic drainage (MLD) combined with traditional multi-layer short-stretch bandaging five times per week for three weeks in Group 1 and with 3MTM CobanTM 2 layer system bandaging two times per week for three weeks in Group 2. Differences in volumes, excess volumes, ultrasonographic measurements, QoL, and functional assessment scores were evaluated at baseline, after three weeks of intensive treatment period, and at two months of follow-up. Functional status was evaluated by the Quick Disability of Arm Shoulder and Hand Questionnaire (Q-DASH), while the QoL was assessed using the Turkish version of Lymphedema Quality of Life Questionnaire-Arm (LYMQOL-Arm). The duration and easiness of applying bandages by physiotherapists and comfortableness of bandages according to patients and physiotherapists were also evaluated using a questionnaire.<\/jats:p>\n                  <jats:p>Results: The demographic and clinical properties were similar between the groups. There were significant improvements in the volumes, excess volumes, ultrasonographic measures, functional scores, and QoL scores in both groups at the end of treatment. The improvements were sustained at two months of follow-up.<\/jats:p>\n                  <jats:p>Conclusion: The 3MTM CobanTM 2 layer bandaging as a part of CDT twice a week for a period of three weeks can significantly reduce the volume and improve the disability and impaired QoL, similar to conventional short-stretch multi-layer bandages. In addition, treatment with this layer system enables a time-efficient, easy, and comfortable application of bandaging with increased mobility of the upper extremity.<\/jats:p>","DOI":"10.5606\/tftrd.2021.6287","type":"journal-article","created":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T12:31:54Z","timestamp":1598877114000},"page":"155-166","source":"Crossref","is-referenced-by-count":9,"title":["The efficacy of different bandaging methods in patients with breast cancer-related lymphedema: A prospective, randomized study"],"prefix":"10.4274","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8097-4208","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"Yaman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1212-6797","authenticated-orcid":false,"given":"P\u0131nar","family":"Borman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3072-8399","authenticated-orcid":false,"given":"Adeviye","family":"\u0130nanl\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3638-0880","authenticated-orcid":false,"given":"Fatma","family":"Kul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8692-7266","authenticated-orcid":false,"given":"Sevilay","family":"Karahan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Tandra P, Kallam A, Krishnamurthy J. Identification and management of lymphedema in patients with breast cancer. J Oncol Pract 2019;15:255-62.","DOI":"10.1200\/JOP.18.00141"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Michelotti A, Invernizzi M, Lopez G, Lorenzini D, Nesa F, De Sire A, et al. Tackling the diversity of breast cancer related lymphedema: Perspectives on diagnosis, risk assessment, and clinical management. Breast 2019;44:15-23.","DOI":"10.1016\/j.breast.2018.12.009"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Anbari AB, Wanchai A, Armer JM. Breast cancer-related lymphedema and quality of life: A qualitative analysis over years of survivorship. Chronic Illn 2019:1742395319872796.","DOI":"10.1177\/1742395319872796"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Zuther JE, Norton S. Pathology. In: Zuther JE, Norton S, editors. Lymphedema Management: The Comprehensive Guide for Practitioners. 3rd ed. Sttuttgard: Thieme Verlag; 2013. p. 45-126.","DOI":"10.1055\/b-0034-91077"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Sezgin Ozcan D, Dalyan M, Unsal Delialioglu S, Duzlu U, Polat CS, Koseoglu BF. Complex decongestive therapy enhances upper limb functions in patients with breast cancer- related lymphedema. Lymphat Res Biol 2018;16:446-52.","DOI":"10.1089\/lrb.2017.0061"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Lasinski BB, McKillip Thrift K, Squire D, Austin MK, Smith KM, Wanchai A, et al. A systematic review of the evidence for complete decongestive therapy in the treatment of lymphedema from 2004 to 2011. PM R 2012;4:580-601.","DOI":"10.1016\/j.pmrj.2012.05.003"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Sayegh HE, Asdourian MS, Swaroop MN, Brunelle CL, Skolny MN, Salama L, et al. Diagnostic methods, risk factors, prevention, and management of breast cancer- related lymphedema: past, present, and future directions. Curr Breast Cancer Rep 2017;9:111-21.","DOI":"10.1007\/s12609-017-0237-8"},{"key":"ref-8","unstructured":"Executive Committee. The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the \u0131nternational society of lymphology. Lymphology 2016;49:170-84."},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Franks PJ, Moffatt CJ, Murray S, Reddick M, Tilley A, Schreiber A. Evaluation of the performance of a new compression system in patients with lymphoedema. Int Wound J 2013;10:203-9.","DOI":"10.1111\/j.1742-481X.2012.00958.x"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Moffatt CJ, Franks PJ, Hardy D, Lewis M, Parker V, Feldman JL. A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. Br J Dermatol 2012;166:624-32.","DOI":"10.1111\/j.1365-2133.2011.10731.x"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Morgan PA, Murray S, Moffatt CJ, Young H. The experience of patients with lymphoedema undergoing a period of compression bandaging in the UK and Canada using the 3MTM CobanTM 2 compression system. Int Wound J 2011;8:586-98.","DOI":"10.1111\/j.1742-481X.2011.00832.x"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Schuren J, Bernatchez SF, Tucker J, Schnobrich E, Parks PJ. 3M Coban 2 Layer Compression Therapy: Intelligent Compression Dynamics to Suit Different Patient Needs. Adv Wound Care (New Rochelle) 2012;1:255-8.","DOI":"10.1089\/wound.2011.0283"},{"key":"ref-13","unstructured":"International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology. Lymphology 2013;46:1-11."},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Blaney JM, McCollum G, Lorimer J, Bradley J, Kennedy R, Rankin JP. Prospective surveillance of breast cancer-related lymphoedema in the first-year post-surgery: feasibility and comparison of screening measures. Support Care Cancer 2015;23:1549-59.","DOI":"10.1007\/s00520-014-2504-9"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Ancukiewicz M, Russell TA, Otoole J, Specht M, Singer M, Kelada A, et al. Standardized method for quantification of developing lymphedema in patients treated for breast cancer. Int J Radiat Oncol Biol Phys 2011;79:1436-43.","DOI":"10.1016\/j.ijrobp.2010.01.001"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Karges JR, Mark BE, Stikeleather SJ, Worrell TW. Concurrent validity of upper-extremity volume estimates: comparison of calculated volume derived from girth measurements and water displacement volume. Phys Ther 2003;83:134-45.","DOI":"10.1093\/ptj\/83.2.134"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Mellor RH, Bush NL, Stanton AW, Bamber JC, Levick JR, Mortimer PS. Dual-frequency ultrasound examination of skin and subcutis thickness in breast cancer-related lymphedema. Breast J 2004;10:496-503.","DOI":"10.1111\/j.1075-122X.2004.21458.x"},{"key":"ref-18","doi-asserted-by":"crossref","unstructured":"Jeon Y, Beom J, Ahn S, Bok SK. Ultrasonographic Evaluation of Breast Cancer-related Lymphedema. J Vis Exp 2017;119:54996.","DOI":"10.3791\/54996"},{"key":"ref-19","doi-asserted-by":"crossref","unstructured":"Koldas Dogan S, Ay S, Evcik D, Baser O. Adaptation of Turkish version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) in patients with carpal tunnel syndrome. Clin Rheumatol 2011;30:185-91.","DOI":"10.1007\/s10067-010-1470-y"},{"key":"ref-20","doi-asserted-by":"crossref","unstructured":"Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med 1996;29:602-8.","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L"},{"key":"ref-21","doi-asserted-by":"crossref","unstructured":"Borman P, Yaman A, Denizli M, Karahan S, \u00d6zdemir O. The reliability and validity of Lymphedema Quality of Life Questionnaire-Arm in Turkish patients with upper limb lymphedema related with breast cancer. Turk J Phys Med Rehabil 2018;64:205-12.","DOI":"10.5606\/tftrd.2018.2843"},{"key":"ref-22","unstructured":"Keeley V, Crooks S, Locke J, Veigas D, Riches K, Hilliam R. A quality of life measure for limb lymphoedema (LYMQOL). Journal of Lymphoedema 2010;5:26-37."},{"key":"ref-23","doi-asserted-by":"crossref","unstructured":"Shao Y, Zhong DS. Manual lymphatic drainage for breast cancer-related lymphoedema. Eur J Cancer Care (Engl) 2017;26:e12517.","DOI":"10.1111\/ecc.12517"},{"key":"ref-24","unstructured":"Zuther JE. Treatment sequences. Treatment. In: Zuther JE, Norton S, editors. Lymphedema Management. The Comprehensive guide for practitioners. 4th ed. New York: Thieme; 2018. p. 311-2."},{"key":"ref-25","unstructured":"Zuther JE. Upper extremity bandaging. Application of compression bandages. In: Zuther JE, Norton S, editors. Lymphedema Management. The Comprehensive guide for practitioners. 4th ed. New York: Thieme; 2018. p. 408-12."},{"key":"ref-26","unstructured":"Available at: https:\/\/multimedia.3m.com\/mws\/ media\/973854O\/3m-coban-2-for-lymphoedema-poster-hand- and-arm-applications.pdf [Accessed: September 01, 2015]"},{"key":"ref-27","doi-asserted-by":"crossref","unstructured":"Zhang L, Fan A, Yan J, He Y, Zhang H, Zhang H, et al. Combining manual lymph drainage with physical exercise after modified radical mastectomy effectively prevents upper limb lymphedema. Lymphat Res Biol 2016;14:104-8.","DOI":"10.1089\/lrb.2015.0036"},{"key":"ref-28","doi-asserted-by":"crossref","unstructured":"Brown JC, Cheville AL, Tchou JC, Harris SR, Schmitz KH. Prescription and adherence to lymphedema self- care modalities among women with breast cancer-related lymphedema. Support Care Cancer 2014;22:135-43.","DOI":"10.1007\/s00520-013-1962-9"},{"key":"ref-29","doi-asserted-by":"crossref","unstructured":"Partsch H, Clark M, Mosti G, Steinlechner E, Schuren J, Abel M, et al. Classification of compression bandages: practical aspects. Dermatol Surg 2008;34:600-9.","DOI":"10.1111\/j.1524-4725.2007.34116.x"},{"key":"ref-30","doi-asserted-by":"crossref","unstructured":"Mander A, Venosi S, Menegatti E, Byung-Boong L, Neuhardt D, Maietti E, et al. Upper limb secondary lymphedema ultrasound mapping and characterization. Int Angiol 2019;38:334-42.","DOI":"10.23736\/S0392-9590.19.04176-2"},{"key":"ref-31","doi-asserted-by":"crossref","unstructured":"Hwang JH, Lee CH, Lee HH, Kim SY. A new soft tissue volume measurement strategy using ultrasonography. Lymphat Res Biol 2014;12:89-94.","DOI":"10.1089\/lrb.2013.0030"},{"key":"ref-32","doi-asserted-by":"crossref","unstructured":"Lee JH, Shin BW, Jeong HJ, Kim GC, Kim DK, Sim YJ. Ultrasonographic evaluation of therapeutic effects of complex decongestive therapy in breast cancer-related lymphedema. Ann Rehabil Med 2013;37:683-9.","DOI":"10.5535\/arm.2013.37.5.683"},{"key":"ref-33","unstructured":"Kim W, Chung SG, Kim TW, Seo KS. Measurement of soft tissue compliance with pressure using ultrasonography. Lymphology 2008;41:167-77."},{"key":"ref-34","unstructured":"Sezgin Ozcan D, Oken O, Dalyan Aras M, Koseoglu BF. Is Ultrasonography a Useful Method to Evaluate the Effectiveness of Complex Decongestive Therapy in Breast Cancer-related Lymphedema? Lymphology 2017;50:84-94."},{"key":"ref-35","unstructured":"Pinto M, Gimigliano F, Tatangelo F, Megna M, Izzo F, Gimigliano R, et al. Upper limb function and quality of life in breast cancer related lymphedema: a cross-sectional study. Eur J Phys Rehabil Med 2013;49:665-73."},{"key":"ref-36","doi-asserted-by":"crossref","unstructured":"O'Toole JA, Ferguson CM, Swaroop MN, Horick N, Skolny MN, Brunelle CL, et al. The impact of breast cancer- related lymphedema on the ability to perform upper extremity activities of daily living. Breast Cancer Res Treat 2015;150:381-8.","DOI":"10.1007\/s10549-015-3325-3"},{"key":"ref-37","doi-asserted-by":"crossref","unstructured":"Imamo\u011flu N, Karadibak D, Ergin G, Yavuz\u015fen T. The Effect of Education on Upper Extremity Function in Patients with Lymphedema after Breast Cancer Treatments. Lymphat Res Biol 2016;14:142-7.","DOI":"10.1089\/lrb.2015.0010"},{"key":"ref-38","doi-asserted-by":"crossref","unstructured":"Cornelissen AJM, Kool M, Keuter XHA, Heuts EM, Piatkowski de Grzymala AA, van der Hulst RRWJ, et al. Quality of Life Questionnaires in Breast Cancer-Related Lymphedema Patients: Review of the Literature. Lymphat Res Biol 2018;16:134-9.","DOI":"10.1089\/lrb.2017.0046"},{"key":"ref-39","doi-asserted-by":"crossref","unstructured":"Coroneos CJ, Wong FC, DeSnyder SM, Shaitelman SF, Schaverien MV. Correlation of L-Dex Bioimpedance Spectroscopy with Limb Volume and Lymphatic Function in Lymphedema. Lymphat Res Biol 2019;17:301-7.","DOI":"10.1089\/lrb.2018.0028"}],"container-title":["Turkish Journal of Physical Medicine and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.ftrdergisi.com\/uploads\/pdf\/pdf_4215.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.ftrdergisi.com\/uploads\/pdf\/pdf_4215.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T08:07:45Z","timestamp":1783066065000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.ftrdergisi.com\/uploads\/pdf\/pdf_4215.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,25]]},"references-count":39,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,1]]}},"URL":"https:\/\/doi.org\/10.5606\/tftrd.2021.6287","relation":{},"ISSN":["2587-1250"],"issn-type":[{"value":"2587-1250","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,25]]}}}