Effects of Scapulathoracic Stabilization Exercises Plus Complex Decongestive Therapy in Women With Lymphedema
Kľúčové slová
Abstrakt
Popis
Lymphedema is a chronic and progressive condition that occurs with the accumulation of protein-rich fluid in interstitial tissue spaces as a result of abnormal development or damage to the lymphatic system. Lymphedema is divided into 2 as primary and secondary. Secondary lymphedema is the most common form seen in upper extremity, usually after breast cancer treatment approaches. In lymphedema, not only upper limb affected, but also posture, balance, shoulder girdle, scapula and quality of life can be adversely affected. Complex decongestive therapy has been accepted as the gold standard treatment in lymphedema to reduce edema, however, there were insufficient studies investigating the effects on the posture and the balance in patients with lymphedema. Scapulatoracic stabilization exercises aim to increase muscle stability ability, kinesthetic awareness, ovarall stability and balance. However, when the literature is reviewed, no study is found investigating the effect of scapulatoracic stabilization exercises in individuals who developed lymphedema after mastectomy.
Termíny
| Naposledy overené: | 05/31/2020 |
| Prvý príspevok: | 05/28/2020 |
| Odhadovaná registrácia bola odoslaná: | 06/03/2020 |
| Prvý príspevok: | 06/08/2020 |
| Posledná aktualizácia bola odoslaná: | 06/03/2020 |
| Posledná aktualizácia bola zverejnená: | 06/08/2020 |
| Aktuálny dátum začatia štúdie: | 05/19/2020 |
| Odhadovaný dátum dokončenia primárneho okruhu: | 12/31/2020 |
| Odhadovaný dátum dokončenia štúdie: | 05/31/2021 |
Stav alebo choroba
Intervencia / liečba
Other: Exercise+Complex decongestive therapy (CDT) group
Other: Complex decongestive therapy (CDT)
Fáza
Skupiny zbraní
| Arm | Intervencia / liečba |
|---|---|
| Experimental: Exercise+Complex decongestive therapy (CDT) group The patients diagnosed with lymphedema with 18-65years of age followed by routine controls and who were volunteered will be included in the study | Other: Exercise+Complex decongestive therapy (CDT) group Scapulatoracic stabilization exercises consisted of 3 phases; the warming phase which consists of mobility and stretching; exercise phase consisting of static, dynamic and functional phase; the cooling phase consisting of mobility and stretching. Scapulatoracic stabilization exercises additionally applied to CDT were performed 3 days a week for 8 weeks. These exercises were specially planned for the patients and applied gradually |
| Active Comparator: Only Complex decongestive therapy (CDT) group The patients diagnosed with lymphedema with 18-65years of age followed by routine controls and who were volunteered will be included in the study |
Kritériá oprávnenosti
| Vek vhodný na štúdium | 18 Years To 18 Years |
| Pohlavia vhodné na štúdium | Female |
| Prijíma zdravých dobrovoľníkov | Áno |
| Kritériá | Inclusion Criteria: - 18 to 65 years of age - Agree to participate in the study, - Undergoing unilateral mastectomy due to breast cancer treatment and additionally development of limb lymphedema, - Lymphedema stage 2 and 3, - Being a woman, - Having spent at least 6 months after the operation - With or without radiotherapy and / or chemotherapy. Exclusion Criteria: - Irregular participation to the treatment program, - Severe heart failure and / or rhythm disturbance, - Uncontrolled hypertension, - Presence of metastasis, - Infection in the affected arm, - Any problems that may affect balance (rheumatological, vestibular, visual, neurological), - Muscular and skeletal system problems (limb shortness, ankle sprain ...), which may affect the balance and posture negatively. - Presence of spinal deformity, - Those who have had spinal surgery in the last 6 months. |
Výsledok
Primárne výstupné opatrenia
1. Thoracic khyphosis [change from baseline , at 4 weeks and at 8 weeks]
2. Posture angle [change from baseline , at 4 weeks and at 8 weeks]
3. General posture status [change from baseline , at 4 weeks and at 8 weeks]
Opatrenia sekundárnych výsledkov
1. Balance [change from baseline , at 4 weeks and at 8 weeks]
2. Quality of life outcomes [change from baseline , at 4 weeks and at 8 weeks]
3. The severity of the lymphoedema [change from baseline , at 4 weeks and at 8 weeks]
4. Lymphedema symptoms [change from baseline , at 4 weeks and at 8 weeks]
5. Range of motion of shoulder [change from baseline , at 4 weeks and at 8 weeks]
6. Scapulatoracic muscle strength [change from baseline , at 4 weeks and at 8 weeks]
7. Scapular dyskinesia [change from baseline , at 4 weeks and at 8 weeks]
8. Upper extremity functions [change from baseline , at 4 weeks and at 8 weeks]
