Manual Lymphatic Drainage in the Superior Member in Women in Post-surgery for Breast Cancer

Not Applicable

• Conditions: Lymphedema
• Interventions: Other: Without upper limb elevation; Other: Upper limb elevation to 30º

• Registration Number: NCT02475174
• Lead Sponsor: University of Sao Paulo

Brief Summary

Evaluate the effect of Manual Lymphatic Drainage (MLD) massage in arterial and venous circulation of the upper limb ipsilateral of women submitted after axillary lymphadenectomy breast cancer.

Detailed Description

The aim of the study is to evaluate the effect of Manual Lymphatic Drainage (MLD) massage in arterial and venous circulation of the upper limb ipsilateral of women submitted after axillary lymphadenectomy breast cancer. Will be evaluated 30 volunteers aged between 40 and 60 years, divided into 2 equal groups, submitted at MLD: Group 1 - volunteers who underwent surgery for breast cancer that have lymphedema, subject to manual lymphatic drainage without upper limb elevation; Group 2 - volunteers who underwent surgery for breast cancer that have lymphedema, subject to manual lymphatic drainage with the upper limb elevation to 30º. Data will be collected by ultrasound Doppler in vein and brachial artery before, after MLD, immediately after, and 30 minutes after therapeutic treatment, with and without elevation of 30°, cross over delimitation, being made a therapy session for therapeutic use with and without elevation, with interval period (washout) for seven days. The order of treatment protocols will be randomized by simple raffle for each volunteer. The data within and between groups will be evaluated by a statistical test t student or ANOVA. Otherwise it will be used Kruskal-Wallis followed test by Dunn. Data processing will be performed by software and fixed the critical level of 5% (p\<0,05).

Study Timeline

• Status Verified: 2015-06
• Study Start: 2015-06
• Primary Completion: 2015-06
• Study First Submitted: 2015-06-10
• Study First Submitted QC: 2015-06-15
• Last Update Submitted: 2015-06-15
• Study First Posted: 2015-06-18
• Last Update Posted: 2015-06-18
• Study Completion: 2016-03

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 30

Inclusion Criteria

• Women with axillary lymphadenectomy surgery
• Lymphedema
• Aged 40-60 years.

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Exclusion Criteria

• Women with muscle-tendon injury and / or joint injuries member
• Skin disorders
• circulatory diseases.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Without upper limb elevation	Without upper limb elevation	Manual lymphatic drainage will be held with the voluntary supine without upper limb elevation.
Upper limb elevation to 30º	Upper limb elevation to 30º	Manual lymphatic drainage will be held with the voluntary supine with the upper limb elevation to 30º.

Primary Outcome Measures

Name	Time	Method
Blood flow velocity (Flow velocity in brachial artery and vein)	one day	Flow velocity in brachial and artery vein

Secondary Outcome Measures

Name	Time	Method
Volume upper limbs	one day	Volume upper limbs