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<title>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</title>
<creator>Muñoz-Alcaraz, María Nieves</creator>
<creator>Jiménez-Vilchez, Antonio José</creator>
<creator>Santamaría Peláez, Mirian</creator>
<creator>Pérula de Torres, Luis Angel</creator>
<creator>Olmo-Carmona, María Victoria</creator>
<creator>Muñoz-García, María Teresa</creator>
<creator>Jorge-Gutiérrez, Presentación</creator>
<creator>Serrano-Merino, Jesús</creator>
<creator>Romero-Rodríguez, Esperanza</creator>
<creator>Rodríguez-Elena, Lorena</creator>
<creator>Refusta-Ainaga, Raquel</creator>
<creator>Lahoz-Sánchez, María Pilar</creator>
<creator>Miró-Palacios, Belén</creator>
<creator>Medrano-Cid, Mayra</creator>
<creator>Magallón-Botaya, Rosa</creator>
<creator>Mínguez Mínguez, Luis Alberto</creator>
<creator>González Santos, Josefa</creator>
<creator>González Bernal, Jerónimo</creator>
<subject>Occupational therapy</subject>
<subject>Breast cancer</subject>
<subject>Secondary lymphedema</subject>
<subject>Upper limb</subject>
<subject>Complex decongestive therapy</subject>
<subject>Multidisciplinary oncological rehabilitation</subject>
<subject>Activity-oriented anti-edema therapy</subject>
<subject>Manual lymphatic drainage</subject>
<description>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&#xd;
swelling, deficiencies in upper limb functions and structures, sensory pain and emotional alterations,&#xd;
which have a chronic course and affect the upper limb’s functionality. This study aims to verify the&#xd;
efficacy and efficiency in the upper limb´s functionality of a protocolized experimental approach&#xd;
based on occupational therapy, TAPA (activity-oriented proprioceptive antiedema therapy), in the&#xd;
rehabilitation of BCRL in stages I and II, comparing it with the conservative treatment considered&#xd;
as the standard, complex decongestive therapy (CDT), through a multicenter randomized clinical&#xd;
trial.</description>
<date>2023-03-29</date>
<date>2023-03-29</date>
<date>2022-04</date>
<type>info:eu-repo/semantics/article</type>
<identifier>http://hdl.handle.net/10259/7615</identifier>
<identifier>10.3390/jcm11082234</identifier>
<identifier>2077-0383</identifier>
<language>eng</language>
<relation>Journal of Clinical Medicine. 2022, V. 11, n. 8, 2234</relation>
<relation>https://doi.org/10.3390/jcm11082234</relation>
<relation>info:eu-repo/grantAgreement/Fundación Pública Andaluza Progreso y Salud//AP-0160-2021-C2-F2/</relation>
<relation>info:eu-repo/grantAgreement/GAIAP//GAIAP-B21-17R/</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>MDPI</publisher>
</thesis></metadata></record></GetRecord></OAI-PMH>