The EFFECT of KINESIO TAPING and LOW LEVEL LASER THERAPY in PATIENT with POST MASTECTOMY RELATED LYMPHEDEMA on GIRTH MEASUREMENT
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Beni-Suef University
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- girth measurment
Overview
Brief Summary
find out the difference in the effect of kinesio taping and low level laser therapy on 66 patients with post mastectomy lymphedema as regards the following outcomes:
1.girth measurement between the upper limbs 2.) SPADI 3) hand grip strength 4)the quality of life by cancer specific questionnaire.
Detailed Description
60 females with BCRL will be recruited in this study for 4 weeks , their age ranged from 400 to 55 years old with stege 1,2 lymphedema and randomly divided into 3 equal groups: 2) study group (A) include 20 females with unilateral BCRL will receive kinesio taping plus manual lymphatic drainage , exercise and advices 3) study group (B) include 20 females with unilateral BCRL will receive low level laser therapy plus manual lymphatic drainage , exercise and advices 4) study group (C) include 20 females with unilateral BCRL will receive kinesio taping plus low level laser therapy and manual lymphatic drainage , exercise and advices regards the following outcomes:
1.girth measurement between the upper limbs 2.) SPADI 3) hand grip strength 4)the quality of life by cancer specific questionnaire.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to 55 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •persistence of lymphedema following mastectomy or breast conservative surgery for at least 3 months
- •minimum volume difference of 200 mL or an average difference in arm circumference of 2 cm or 10% between healthy and affected limbs.
- •Femal with unilateral lymphedema from 40 to 55 years old
Exclusion Criteria
- •• Any disease lead to swelling
- •Medication especially diuretics
- •infection
- •pregnancy
- •heart band kidney disease
- •bilateral lymphedema
- •skin disease
- •chronic inflammatory disease
Outcomes
Primary Outcomes
girth measurment
Time Frame: 4 weeks
Measurement of arm circumference is the most commonly used technique for identifying lymphedema and is reliable for both surgical and nonsurgical upper limbs It is measured using a tape with the patient in prone lying position, with elbows straight and arms relaxed at the sides. It was measured starting with 3 cm on the ulnar styloid process and proceeding with 45 cm proximal, and additionally at the metacarpal bones and mid-hand. The tape measure was put around the limb to prevent it from slacking and to ensure that there was no space in the tissue. The total circumference of the sound limb was ascertained similarly. The difference between the 2 measurements was identified using "circumference difference."
handgrip strength
Time Frame: 4 weeks
evaluated using a dynamometer ,The grip strength was measured with the patient in a standing position with adducted shoulder, elbow flexed at 90°, and forearm in mid position. The patient was instructed to do 3 trials with 15 seconds rest in between each, and the highest reading was reported
Secondary Outcomes
- shoulder pain and disability index(4 weeks)
- quality of life questionnaire(4 weeks)
Investigators
Mahmoud Awad Ramadan Elkholy
Lecturer of physical therapy
Beni-Suef University