- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT04990960
Experimental Study About Physiotherapy Treatment vs Self-treatment In Axillary Web Syndrome After Axillary Dissection
2. august 2021 oppdatert av: Laura Mutti, Ospedale "Carlo Poma" - Mantova
Experimental Study About Efficacy Of Physiotherapy Treatment vs Self-treatment In Axillary Web Syndrome After Axillary Dissection In Breast Cancer
BACKGROUND Dissection and removal of Lymph nodes in the Axilla (ALND) remains a method used in breast cancer management across the world.
Post- surgical scar tissue that forms in this dissection is therefore beyond the linear scar, is characterized by less elasticity than healthy tissue and can over time, because of the anatomical location, cause significant limitations of the Active Range of Motion (AROM) of the scapulohumeral joint.
After this procedure it's possible that Axillary Web Syndrome (AWS) occurs.
This study discusses the physiotherapy management of patients with AWS.
The primary objective of the study was to verify direct and indirect changes to AWS cords with two treatment methods at a single breast cancer rehabilitation setting: Physiotherapist 's work Vs.
Self-treatment.
Studieoversikt
Detaljert beskrivelse
Breast cancer is the most common form of cancer among women.
Axillary surgical procedures have reported, with post-operative morbidity of bleeding, lymphedema and shoulder pain, also the rather underestimated Axillary Web Syndrome.
The study shows that the reduction of the problems linked to the Syndrome such as pain in shoulder Abduction and Flexion and inability in everyday life is possible with an early and competent treatment.
Two different approaches to the Syndrome were investigated.
The patients were divided in two groups.
Good results were obtained within 5 weeks since the appearance of AWS with both of them but if the Physiotherapist is able to teach the convenient exercises, the selftreatment seemed to have the best outcome.
This fact can change the awareness that an early approach is necessary inside the path to recovery.
In the last years the Axillary Web Syndrome was the topic of many studies: the etiology, its clinical diagnosis, the relation with lymphedema…But the treatment was often reported like a combination of different techniques without indications about kinds, times.
Instead the investigators examined a detailed procedure, the same in both groups.
The work was different only as regards the cords treatment.
This fact shows the value of a comprehensive treatment for neck, shoulder, breast and two different but specific works on the Axillary Web Syndrome.
For these reasons its publishing could be important for all the professionals working with women after Surgery for breast cancer and metastatic lymphnodes.
Studietype
Intervensjonell
Registrering (Faktiske)
19
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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-
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Mantova, Italia, 46100
- Laura Mutti
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Barn
- Voksen
- Eldre voksen
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Hunn
Beskrivelse
Inclusion Criteria:
- Age > 18years;
- Patients able to sign informed consent;
- Patients who underwent ALND surgery for breast cancer;
- Presence of cords associated with A.W.S.;
- Surgeon examination carried no more than 10 days after the operation.
Exclusion Criteria:
1. Presence of cords after AD due to Melanoma metastasis.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Aktiv komparator: Physiotherapist
The Physiotherapist worked on adhered breast scars, stiffness in neck and arm movements and actively worked on AWS cords with gentle extensions and / or energetic detachment maneuvers.
No self-treatment methods were offered and required of the subject.
|
During each session (45 minutes)the patient was assessed and trained in self-treatment exercises assigned to treat their cords.
This later method was chosen to ensure regular participation in their exercises and early correction of any inaccuracies in the implementation of the exercises regarding AWS treatment .
Or the Physiotherapist worked actively on cords with soft or vigorous stretching.
Andre navn:
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Eksperimentell: Self-treatment
The Physiotherapist worked on adhered breast scars, stiffness in neck and arm movements.
During each session the patient was also assessed and trained in self-treatment exercises assigned to treat their cords.
Subjects were trained to perform self-treatment extension exercises with four exercises selected by the Physiotherapist
|
During each session (45 minutes)the patient was assessed and trained in self-treatment exercises assigned to treat their cords.
This later method was chosen to ensure regular participation in their exercises and early correction of any inaccuracies in the implementation of the exercises regarding AWS treatment .
Or the Physiotherapist worked actively on cords with soft or vigorous stretching.
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Average flexion
Tidsramme: 5 weeks
|
Starting position:the patient is laying on the table with the arm placed on the table and the hand opened touching the side with the palm (0° position). Flexion: the patient raises the arm towards the headboard (complete at 180°) The movements had been measured with a standard goniometer. |
5 weeks
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Average abduction
Tidsramme: 5 weeks
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Abduction: from the same start-position (0°), the patient moves the arm away from the leg (complete at 180°)
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5 weeks
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Laura Mutti, Hospital "Carlo Poma" - Mantova - Italy
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
1. oktober 2017
Primær fullføring (Faktiske)
30. september 2019
Studiet fullført (Faktiske)
30. oktober 2019
Datoer for studieregistrering
Først innsendt
28. april 2021
Først innsendt som oppfylte QC-kriteriene
2. august 2021
Først lagt ut (Faktiske)
5. august 2021
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
5. august 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
2. august 2021
Sist bekreftet
1. august 2021
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 78-2017-SPERIM_ALTRO-MN28
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
NEI
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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