A randomized pilot study on self‐management in head and neck lymphedema

Autor: Tess M. McLaughlin, Sarah McGarry, Courtenay Harris, Sharon Keesing, Jane J. Broadhurst
Rok vydání: 2020
Předmět:
Zdroj: Laryngoscope Investigative Otolaryngology
Laryngoscope Investigative Otolaryngology, Vol 5, Iss 5, Pp 879-889 (2020)
ISSN: 2378-8038
Popis: Background The purpose of this pilot trial was to determine the feasibility of a self‐managed lymphedema randomized control trial to test the effectiveness of a head and neck‐specific exercise protocol. Methods Nine participants were randomized to receive usual treatment provided by an Australian metropolitan teaching hospital (n = 4) or usual treatment with an added head and neck exercise regime (n = 5). Feasibility was assessed through ease of recruitment, adherence, and safety. Lymphedema reduction and quality of life (QOL) data were assessed at baseline (0 week) and follow‐up (6 weeks). Results The study was feasible in terms of safety and participant retention. However, a slow recruitment rate and low adherence may impact future trials. There were no significant differences in lymphedema reduction or QOL between groups. Conclusion This pilot feasibility study demonstrated that a self‐management trial can be implemented, however, modifications will be required due to the slow recruitment and poor adherence rates. Level of evidence 1b: Individualized randomized control trial.
Databáze: OpenAIRE
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