Effect of Exercise Mode in Breast Cancer-Related Lymphedema (Lymphedema)
Effect of Exercise Mode on Physical Function and Quality of Life in Breast Cancer-Related Lymphedema: A Randomized Controlled Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Cairo, Egypten, 11241
- Shorook Physical Therapy Centers
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Age more than 30.
- Histological diagnosis of breast cancer at least 1 year prior to the study.
- Clinical diagnosis of unilateral Breast cancer-related lymphedema and obtained medical clearance from their medical oncologists or surgeons.
- Clinical diagnosis of lymphedema was defined as having at least a 5 % inter-limb discrepancy in volume or circumference.
Exclusion Criteria:
- Unstable lymphedema, receiving intensive therapy within the previous 3 months.
- A musculoskeletal, cardiovascular and/or neurological disorder that could inhibit them from exercising.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Virtual Reality Group
The Kinect based rehabilitation group received virtual reality therapy using Xbox Kinect-based games, in addition to complex decongestive physiotherapy.
The intervention was led once per day, five days a week, over 8 weeks.
All participants wearing multilayer bandage or compression stocking during training to avoid exacerbation of the lymphedema in the affected limb.
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Intervention was led once per day, five days a week, over 8 weeks.
Andre navne:
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Eksperimentel: Resistance exercise Group
The resistance exercise group received resistance training, in addition to complex decongestive physiotherapy.
The intervention was led once per day, five days a week, over 8 weeks.
All participants wearing multilayer bandage or compression stocking during training to avoid exacerbation of the lymphedema in the affected limb.
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Intervention was led once per day, five days a week, over 8 weeks.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Limb volume measurement
Tidsramme: at baseline
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assessed by circumference measurements using a non-elastic tape.
Measures started just distal to the metacarpal-phalangeal joints and were taken at 4-cm intervals up the arm until the base of the axilla.
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at baseline
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Limb volume measurement
Tidsramme: after 8 weeks
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assessed by circumference measurements using a non-elastic tape.
Measures started just distal to the metacarpal-phalangeal joints and were taken at 4-cm intervals up the arm until the base of the axilla.
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after 8 weeks
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Limb volume measurement
Tidsramme: after 12 weeks
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assessed by circumference measurements using a non-elastic tape.
Measures started just distal to the metacarpal-phalangeal joints and were taken at 4-cm intervals up the arm until the base of the axilla.
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after 12 weeks
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Health-related quality of life, Medical Outcomes Study short-form (SF-36)
Tidsramme: at baseline
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assessed using the Medical Outcomes Study short-form (SF-36).
Outcomes of physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role emotional and mental health domains were reported as norm-based scores.
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at baseline
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Health-related quality of life, Medical Outcomes Study short-form (SF-36)
Tidsramme: after 8 weeks
|
assessed using the Medical Outcomes Study short-form (SF-36).
Outcomes of physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role emotional and mental health domains were reported as norm-based scores.
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after 8 weeks
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Health-related quality of life, Medical Outcomes Study short-form (SF-36)
Tidsramme: after 12 weeks
|
assessed using the Medical Outcomes Study short-form (SF-36).
Outcomes of physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role emotional and mental health domains were reported as norm-based scores.
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after 12 weeks
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Shoulder range of motion
Tidsramme: at baseline
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Active flexion and abduction of the shoulder were assessed with the elbow extended in the supine position.
External rotation was measured while the shoulder was adducted and in neutral position with the forearm in neutral supination and pronation while sitting on a chair.
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at baseline
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Shoulder range of motion
Tidsramme: after 8 weeks
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Active flexion and abduction of the shoulder were assessed with the elbow extended in the supine position.
External rotation was measured while the shoulder was adducted and in neutral position with the forearm in neutral supination and pronation while sitting on a chair.
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after 8 weeks
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Shoulder range of motion
Tidsramme: after 12 weeks
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Active flexion and abduction of the shoulder were assessed with the elbow extended in the supine position.
External rotation was measured while the shoulder was adducted and in neutral position with the forearm in neutral supination and pronation while sitting on a chair.
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after 12 weeks
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Visual analogue scale
Tidsramme: at baseline
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used to quantify the severity of perceived pain, heaviness, and tightness.
Participants rated their symptom severity from no pain/no discomfort (score = 0) to very severe pain/worst imaginable discomfort (score = 10)
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at baseline
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Visual analogue scale
Tidsramme: after 8 weeks
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used to quantify the severity of perceived pain, heaviness, and tightness.
Participants rated their symptom severity from no pain/no discomfort (score = 0) to very severe pain/worst imaginable discomfort (score = 10)
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after 8 weeks
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Visual analogue scale
Tidsramme: after 12 weeks
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used to quantify the severity of perceived pain, heaviness, and tightness.
Participants rated their symptom severity from no pain/no discomfort (score = 0) to very severe pain/worst imaginable discomfort (score = 10)
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after 12 weeks
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Muscle strength
Tidsramme: at baseline
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The affected upper extremity flexion, abduction, and external rotation muscle strength were measured during maximal voluntary isometric muscle contraction with the J Tech Commender Muscle Tester (Salt Lake City, Utah, USA) handheld dynamometer according to reported positions.
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at baseline
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Muscle strength
Tidsramme: after 8 weeks
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The affected upper extremity flexion, abduction, and external rotation muscle strength were measured during maximal voluntary isometric muscle contraction with the J Tech Commender Muscle Tester (Salt Lake City, Utah, USA) handheld dynamometer according to reported positions.
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after 8 weeks
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Muscle strength
Tidsramme: after 12 weeks
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The affected upper extremity flexion, abduction, and external rotation muscle strength were measured during maximal voluntary isometric muscle contraction with the J Tech Commender Muscle Tester (Salt Lake City, Utah, USA) handheld dynamometer according to reported positions.
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after 12 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Maged Basha, PhD, College of medical rehabilitation, Qassim University
- Studieleder: Fatma Alzahraa Kamel, PhD, Cairo University
Publikationer og nyttige links
Generelle publikationer
- Vicini F, Shah C, Arthur D. The Increasing Role of Lymphedema Screening, Diagnosis and Management as Part of Evidence-Based Guidelines for Breast Cancer Care. Breast J. 2016 May;22(3):358-9. doi: 10.1111/tbj.12586. Epub 2016 Feb 29. No abstract available.
- Morgan PA, Franks PJ, Moffatt CJ. Health-related quality of life with lymphoedema: a review of the literature. Int Wound J. 2005 Mar;2(1):47-62. doi: 10.1111/j.1742-4801.2005.00066.x.
- Aguilar-Lazcano CA, Rechy-Ramirez EJ, Hu H, Rios-Figueroa HV, Marin-Hernandez A. Interaction Modalities Used on Serious Games for Upper Limb Rehabilitation: A Systematic Review. Games Health J. 2019 Oct;8(5):313-325. doi: 10.1089/g4h.2018.0129. Epub 2019 Jul 9.
- Basha MA, Aboelnour NH, Alsharidah AS, Kamel FH. Effect of exercise mode on physical function and quality of life in breast cancer-related lymphedema: a randomized trial. Support Care Cancer. 2022 Mar;30(3):2101-2110. doi: 10.1007/s00520-021-06559-1. Epub 2021 Oct 20.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2449PT
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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