- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04435639
Using an Adjustable Compression Garment for Secondary Upper Limb Lymphoedema
Can an Adjustable Compression Garment Replace Compression Bandaging in the Treatment of Patients With Breast Cancer Related Upper Limb Lymphoedema? A Pilot RCT Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The experimental group will receive 5 treatments followed by a final assessment on the 6th visit over a 3 week period: participants will receive manual lymphatic drainage for 40 minutes. They will then put on an Adjustable Compression sleeve (Juzo varocare adjustable compression system). Patients will be re-measured before the fourth treatment and again on session 6. At this point patients will receive a standard arm compression sleeve. This will be worn in alternation with their adjustable compression sleeve over the following 6 months. Patient will have their limb volume re-measured at the 6 month review.
The control group will receive 5 treatments followed by a final assessment on the 6th visit over a 3 week period: participants will receive manual lymphatic drainage for 40 minutes. They will then have their arm wrapped in Coban compression bandaging which will stay on until their next treatment. This will occur twice weekly for a period of 3 weeks. Patients will be Re-measured before the fourth treatment and again on session 6. At this point they will attend occupational therapy where they will receive 2 standard arm compression sleeves. The patient wears 1 sleeve every day over the following 6 months. Patient will have their limb volume re-measured at the 6 month review.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Kenneth Monaghan, PhD
- Phone Number: 0879480448
- Email: monaghan.kenneth@itsligo.ie
Study Contact Backup
- Name: Shane Gallagher, MSc
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Upper limb lymphoedema (secondary to breast cancer) diagnosed by a consultant
- Aged > 18 years.
- Males and females.
- Stage 2 Lymphoedema.
- >10% volume difference between upper limbs.
- Cognitive ability to understand the programme.
Exclusion Criteria:
- Involvement in other studies or rehabilitation programmes.
- Active infection disease progression.
- Congestive Cardiac Failure.
- Non-English speakers.
- Under 18's.
- Poor cognition for treatment compliance or consent.
- Pregnant, or currently breast feeding.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: MLD + Adjustable Compression Sleeve.
Manual lymph drainage + Adjustable Compression Sleeve.
|
Manual Lymphatic drainage: Patients will receive manual lymphatic drainage by massage for 40 minutes for 5 treatments over a 15 day period.
Patients wear an adjustable compression sleeve (Juzo varocare adjustable compression system) between treatments.
They will be shown how to put it on and how to tighten the sleeve when needed.
Patients will also wear the adjustable compression sleeve in alternation with a standard compression sleeve over a six month maintenance phase.
|
Active Comparator: MLD + Coban Compression Bandage.
Manual lymphatic drainage + Coban compression bandaging.
|
Manual Lymphatic drainage: Patients will receive manual lymphatic drainage by massage for 40 minutes for 5 treatments over a 15 day period.
Coban compression bandaging: Patients will be wrapped in Coban compression bandaging which stays on until the next treatment.
Patients will wear standard compression sleeves during the six month maintenance phase.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Limb Volume - Circumferential Measurements.
Time Frame: Over a 6 month period. (10 min testing time)
|
Limb Volume- circumferential measurements taken at 4cm intervals from the wrist up to the axilla. The circumferences were then entered into a spreadsheet and a truncated cone formula applied with each segment volume calculated: Vs = h(Ct x Ct + Ct x Cb x Cb) 12 π where (Vs) was volume of a segment, (h) was the distance between two points of measurement, (Ct) represented the circumference at the top measurements of the segment, (Cb) represented the circumference at the base of the segment, π = Pi. Once each segment is calculated, the sum of all segments of the arm are computed into a volume estimate. This method was found to be valid (criterion validity)in several studies when compared to the gold standard of water displacement with intra-class correlation coefficient (ICC) of >0.95. The higher the score the more lymphoedema present. |
Over a 6 month period. (10 min testing time)
|
Short Form 36 (SF-36): Quality of Life questionnaire.
Time Frame: Over a 6 month period. (10 min testing time)
|
SF-36 is a set of generic, coherent, and easily administered quality-of-life measures.
These measures rely upon patient self-reporting for routine monitoring and assessment of care outcomes in adult patients.It is scored 0-100 with a lower score indicating more disability.
|
Over a 6 month period. (10 min testing time)
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Shane Gallagher, MSc, Study Principal Investigator
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ITSligo SG
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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