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
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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Cairo, Egitto, 11241
- Shorook Physical Therapy Centers
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: 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.
Altri nomi:
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Sperimentale: 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.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Limb volume measurement
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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.
|
after 8 weeks
|
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Health-related quality of life, Medical Outcomes Study short-form (SF-36)
Lasso di tempo: 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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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Shoulder range of motion
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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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Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Maged Basha, PhD, College of medical rehabilitation, Qassim University
- Direttore dello studio: Fatma Alzahraa Kamel, PhD, Cairo University
Pubblicazioni e link utili
Pubblicazioni generali
- 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.
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Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
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