Manual Lymphatic Drainage for Rheumatoid Arthritis

Not Applicable

Completed

• Conditions: Effect of Manual Lymphatic Drainage on Upper Extremity Functionality in Rheumatoid Arthritis
• Interventions: Other: excersize; Other: manual lymphatic drainage

• Registration Number: NCT05529537
• Lead Sponsor: Selcuk University

Brief Summary

Rheumatoid arthritis (RA) is a chronic, progressive, autoimmune disease characterized by inflammation of the synovial joints and tendon sheaths. As a result of synovitis, progressive damage occurs in cartilage, bone and joints. This damage leads to severe functional limitations and deterioration in quality of life. Synovial tissues are the main site of involvement. Manual lymph drainage reduces the levels of inflammatory mediators associated with edema and pain in the acute phase. On the basis of this concept; Stimulating the lymph system and increasing circulation, removing biochemical residues, regulating sympathetic and parasympathetic system responses, and thus reducing edema and pain. The increase in cardiac parasympathetic activity measured after MLD also contributes to relaxation. In addition to the transport of lymphatic fluid, manual lymph drainage stimulates free nerve endings in the skin with the touches it contains. Gentle stimulation to the skin increases tactile input and closes the pain pathways. In addition, the superficial relaxation and warming provided by soft stimulation creates an effect on the autonomic nervous system and activates the parasympathetic system. The aim of this study is to evaluate the effect of manual lymphatic drainage on upper extremity functionality in individuals with rheumatoid arthritis.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2022-08-17
• Study First Submitted: 2022-09-01
• Study First Submitted QC: 2022-09-02
• Study First Posted: 2022-09-07
• Primary Completion: 2022-09-30
• Study Completion: 2022-10-01
• Status Verified: 2022-12
• Last Update Submitted: 2022-12-16
• Last Update Posted: 2022-12-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 39

Inclusion Criteria

• Diagnosed with RA according to ACR criteria
• Being between the ages of 18-65
• Volunteering to participate in the study

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Exclusion Criteria

• Presence of neuromuscular disease
• Having difficulty walking
• Cognitive impairment
• Having systemic disease such as diabetes mellitus and osteoarthritis
• History of upper extremity sIf you have Hand Deformity

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control	excersize	-
MLD	manual lymphatic drainage	-
MLD	excersize	-

Primary Outcome Measures

Name	Time	Method
Rheumatoid Arthritis Quality of Life Scale (QOL-RA)	10 minutes	In the scale consisting of 30 questions; questions are scored as "yes-1" and "no-0". The scores obtained range from 0-30, and high scores indicate poor quality of life.
pressure pain threshold	5 minutes	It is used for the assessment of sensitivity to pain and the determination of pressure perception. will be evaluated with a digital algometer device with a surface area of 1 cm2 and a sensitivity of 0.25 kg/cm2 (Jtech Medical Industries, ZEVEX Company, USA).
hand grip strength	5 minutes	The Jamar hand dynamometer, which is recommended by the American Association of Hand Therapists (AETD) and has high validity and reliability in many studies and is therefore accepted as the gold standard, will be used.
finger grip strength	5 minutes	Finger pinchmeter (Baseline) will be used to measure finger grip strength.

Trial Locations

Locations (1)

Kutahya Health Science University Hospital; 🇹🇷 Kütahya, Turkey