A randomized pilot study on self-management in head and neck lymphedema

Background: The purpose of this pilot trial was to determine the feasibility of a self‐managed lymphedema randomized control trial to test the effectiveness of a head and neck‐specific exercise protocol. Methods: Nine participants were randomized to receive usual treatment provided by an Austra...

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Bibliographic Details
Main Authors: McLaughlin, Tess, Broadhurst, Jane, Harris, Courtenay, McGarry, Sharon, Keesing, Sharon
Format: Journal Article
Published: 2020
Online Access:http://hdl.handle.net/20.500.11937/81074
Description
Summary:Background: The purpose of this pilot trial was to determine the feasibility of a self‐managed lymphedema randomized control trial to test the effectiveness of a head and neck‐specific exercise protocol. Methods: Nine participants were randomized to receive usual treatment provided by an Australian metropolitan teaching hospital (n = 4) or usual treatment with an added head and neck exercise regime (n = 5). Feasibility was assessed through ease of recruitment, adherence, and safety. Lymphedema reduction and quality of life (QOL) data were assessed at baseline (0 week) and follow‐up (6 weeks). Results: The study was feasible in terms of safety and participant retention. However, a slow recruitment rate and low adherence may impact future trials. There were no significant differences in lymphedema reduction or QOL between groups. Conclusion: This pilot feasibility study demonstrated that a self‐management trial can be implemented, however, modifications will be required due to the slow recruitment and poor adherence rates.