Kadirhan Ozdemir1, Ilke Keser2, Mehmet Duzlu3, Ozge P Erpolat4, Uluc Saranli5, Hakan Tutar3. 1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Bakircay University, Izmir, Turkey. 2. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey. 3. Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey. 4. Department of Radiation Oncology, Faculty of Medicine, Gazi University, Ankara, Turkey. 5. Department of Computer Engineering, Faculty of Engineering, Middle East Technical University, Ankara, Turkey.
Abstract
OBJECTIVES/HYPOTHESIS: To determine the effects of complex decongestive physiotherapy (CDP) and home programs on external lymphedema, staging of lymphedema, fibrosis, and three-dimensional (3D) surface scanning and volume evaluation in head and neck lymphedema. STUDY DESIGN: A prospective randomized controlled study. METHODS:Twenty-one patients were randomly divided into three groups: CDP (n:7), home program (n:7), and control (n:7). Assessment methods were applied at baseline and 4 weeks later for all groups. MD. Anderson Cancer Center Head and Neck Lymphedema Protocol was implemented to evaluate head and neck external lymphedema, staging of lymphedema, and fibrosis. A 3D scanner and a software were used to determine and calculate the volume of the head and neck region via 3D surface scanning. Head and neck external lymphedema and fibrosis assessment criteria were performed to evaluate visible soft tissue edema and the degree of stiffness. RESULTS: The severity and volume of lymphedema decreased in the CDP program group (P < .05). Besides, external lymphedema and fibrosis at submental region were decreased in both CDP program and home program groups (P < .05). CONCLUSIONS: While the benefits of home program are limited, a CDP program may be more effective in the management of lymphedema and fibrosis in patients diagnosed with head and neck cancer. The clinical trial registration number: NCT04286698, date: 02/25/2020, retrospectively registered. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E1550-E1557, 2021.
RCT Entities:
OBJECTIVES/HYPOTHESIS: To determine the effects of complex decongestive physiotherapy (CDP) and home programs on external lymphedema, staging of lymphedema, fibrosis, and three-dimensional (3D) surface scanning and volume evaluation in head and neck lymphedema. STUDY DESIGN: A prospective randomized controlled study. METHODS: Twenty-one patients were randomly divided into three groups: CDP (n:7), home program (n:7), and control (n:7). Assessment methods were applied at baseline and 4 weeks later for all groups. MD. Anderson Cancer Center Head and Neck Lymphedema Protocol was implemented to evaluate head and neck external lymphedema, staging of lymphedema, and fibrosis. A 3D scanner and a software were used to determine and calculate the volume of the head and neck region via 3D surface scanning. Head and neck external lymphedema and fibrosis assessment criteria were performed to evaluate visible soft tissue edema and the degree of stiffness. RESULTS: The severity and volume of lymphedema decreased in the CDP program group (P < .05). Besides, external lymphedema and fibrosis at submental region were decreased in both CDP program and home program groups (P < .05). CONCLUSIONS: While the benefits of home program are limited, a CDP program may be more effective in the management of lymphedema and fibrosis in patients diagnosed with head and neck cancer. The clinical trial registration number: NCT04286698, date: 02/25/2020, retrospectively registered. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E1550-E1557, 2021.
Authors: Sara C Parke; David Michael Langelier; Jessica Tse Cheng; Cristina Kline-Quiroz; Michael Dean Stubblefield Journal: Curr Oncol Rep Date: 2022-02-19 Impact factor: 5.075
Authors: Jose Maria Pereira de Godoy; Henrique Jose Pereira de Godoy; Ana Carolina Pereira de Godoy; Maria de Fatima Guerreiro Godoy Journal: F1000Res Date: 2022-01-28