The aim of this study is to examine the effect of inspiratory muscle training on lymphedema volume, subcutaneous tissue thickness, upper extremity functionality and sleep quality in the treatment of upper extremity lymphedema. Two groups included 24 patients with lymphedema will be divided into gropus (intervetion and control) and they will compare each other.
All patients will be treated 5 days a week, 4 weeks, with each session lasting 45-60 minutes. While only decongestive treatment will be applied to the control group, inspiratory muscle training will be given to the interventional group in addition to decongestive treatment. Evaluations of the patients will be made before and after of 4-week treatment program.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
24
Inspiratory muscle training
Decongestive treatment
Faculty of Health Sciences in Biruni University
Istanbul, Zeytinburnu, Turkey (Türkiye)
Volumetric Measurement
to measure volume of the upper extremity in milliliter (increased volume compared to the normal upper extremity- increased score means worse outcome)
Time frame: baseline and immediately after the intervention (in the 5th week)
Measurement of Subcutaneous Tissue Thickness with Ultrasound (US)
to measure thickness of the tissue (increased thickness compared to the normal upper extremity- increased score means worse outcome)
Time frame: baseline and immediately after the intervention (in the 5th week)
VISUAL ANALOG SCALE-VAS
to measure swelling feel, heaviness of edema, and tension of edema (min. score is 0- max.score is10: higher score means worse outcome)
Time frame: baseline and immediately after the intervention (in the 5th week)
HAND DYNAMOMETER
to measure hand grip (in Newton- higher score means better score)
Time frame: baseline and immediately after the intervention (in the 5th week)
Quick Disabilities Of the Arm,Shoulder And Hand (Quick DASH)
to measure physical functioning of upper extremities (min. scorre is 0-max.score is 100- higher score means worse outcome)
Time frame: baseline and immediately after the intervention (in the 5th week)
Respiratory Function Test
to measure respiratory parameters (FEV1, FVC- higher score means better)
Time frame: before and after the intervention (in the 5th week)
Intraoral pressure measure
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to measure Intraoral Pressure parameters (MEP and MIP- higher score means better)
Time frame: before and after the intervention (in the 5th week)
Lymphedema Life Impact Scale - LLIS
to measure impact of lymphedema on the survivors with lymphedema (min. score is 18 and max. score is 90- higher score means worse outcome)
Time frame: before and after the intervention (in the 5th week)
Lymph-ICF
to describe Lymphoedema Functioning, Disability And Health status of the partifcipants (min. score is 0 and max. score is 290- higher score means worse outcome)
Time frame: before and after the intervention (in the 5th week)
Pittsburgh Sleep Quality Index (PSQI)
to measure sleep quality (min. score is 0 and max.score is 21 - higher score means worse outcome)
Time frame: before and after the intervention (in the 5th week)