During the Covid-19 pandemic, rehabilitation services for all patients were affected, and a term that was previously in use but gained popularity during the pandemic entered our vocabulary: 'Telerehabilitation'. The purpose of our study is to evaluate the treatment process and adherence of patients undergoing telerehabilitation.
Our study is a randomized single-blind prospective study. Patients aged 18 to 75 years with stage 1-2 lymphedema associated with breast cancer and upper extremity lymphedema, who had undergone breast surgery at least 3 months prior, were included in the study. Group 1: Patients were given a brochure explaining the massage and exercises they should perform. They were periodically contacted by a physiotherapist and clinician to remind them of their tasks. Group 2: Patients underwent telerehabilitation exercises and massages three times a week guided by a physiotherapist and clinician, and on the remaining days, they continued their self-administered tasks. Patients were evaluated three times: before treatment, at weeks 5 and 8 after treatment. During each visit, patients' inter-limb volume difference, Quick DASH and Life Impact Scale scores, pain, tension, stiffness, and heaviness sensations were assessed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
40
MLD:It is a unique massage technique that uses specific hand movements to provide a gentle pumping effect on the skin. Massage movements follow the direction of lymph flow and produce rapid results. The aim of this method is to achieve maximum skin tightening effect with minimum pressure. Exercise, on the other hand, increases physical performance, improves body composition, and provides an increase in quality of life by providing acute and chronic reductions in fatigue. Both aerobic exercises and strengthening exercises have been found effective on physical performance. It shows that a mixed program consisting of components such as aerobics, strengthening, coordination and stretching can positively affect flexibility, pain and energy expenditure in breast cancer patients.
Canan Şanal-Toprak
Istanbul, Turkey (Türkiye)
Marmara University School of Medicine, Pendik Education and Research Hospital, Department of Physical Medicine and Rehabilitation
Istanbul, Turkey (Türkiye)
Volume Measurements
Arm measurement was measured with a tape measure at 4 cm intervals and calculated using the cone method in cm3
Time frame: Time Frame: Day 0
Volume Measurements
Arm measurement was measured with a tape measure at 4 cm intervals and calculated using the cone method in cm3
Time frame: Time Frame: 5 weeks
Volume Measurements
Arm measurement was measured with a tape measure at 4 cm intervals and calculated using the cone method in cm3
Time frame: Time Frame: 8 weeks
Symptom Severity
Shoulder pain, tightness, sensation of heaviness, and stiffness were evaluated using a numerical scale (1 to 10 points)
Time frame: Time Frame: Day 0
Symptom Severity
Shoulder pain, tightness, sensation of heaviness, and stiffness were evaluated using a numerical scale (1 to 10 points)
Time frame: Time Frame: 5 weeks
Symptom Severity
Shoulder pain, tightness, sensation of heaviness, and stiffness were evaluated using a numerical scale (1 to 10 points)
Time frame: Time Frame: 8 weeks
Functionality
Ouick Disabilities of the Arm, Shoulder and Hand (Quick DASH) questionnaire
Time frame: Time Frame: Day 0
Functionality
Ouick Disabilities of the Arm, Shoulder and Hand (Quick DASH) questionnaire
Time frame: Time Frame: 5 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Functionality
Ouick Disabilities of the Arm, Shoulder and Hand (Quick DASH) questionnaire
Time frame: Time Frame: 8 weeks
Efficacity
Lymphedema Quality of Life Impact Scale
Time frame: Time Frame: Day 0
Efficacity
Lymphedema Quality of Life Impact Scale
Time frame: Time Frame: 5 weeks
Efficacity
Lymphedema Quality of Life Impact Scale
Time frame: Time Frame: 8 weeks
Patient satisfaction with the treatment
Responses were gathered on a scale of very satisfied - satisfied - somewhat satisfied - unsatisfied
Time frame: Time Frame: 5 weeks
Patient satisfaction with the treatment
Responses were gathered on a scale of very satisfied - satisfied - somewhat satisfied - unsatisfied
Time frame: Time Frame: 8 weeks
patients were asked to compare their hand functionality to before the injury
Responses were gathered on a scale of 'much better - somewhat better - same - somewhat worse - much worse
Time frame: Time Frame: 5 weeks
patients were asked to compare their hand functionality to before the injury
Responses were gathered on a scale of 'much better - somewhat better - same - somewhat worse - much worse
Time frame: Time Frame: 8 weeks