Breast Neoplasms Clinical Trial
Official title:
LYCA: Preventive Intervention Against Lymphedema After Breast Cancer Surgery - a Randomized Controlled Trial
This study will examine whether lymphedema after breast cancer surgery can be reduced. In a randomised controlled design the aim is to investigate whether an early intervention with progressive resistance training and close monitoring of arm swelling can reduce the incidence of lymphedema after breast cancer surgery.
Lymphedema is a well known and much dreaded complication after breast cancer surgery. The aim
in this study is to examine if lymphedema can be prevented with early progressive strength
training focusing on the arm, and close monitoring of pre clinical lymphedema in the 1 year
exercise period. The primary outcome is lymphedema, and secondary outcomes are pain,
self-reported symptoms of swelling, sensory disturbance, physical and psychological
functioning, fatigue, depression, anxiety and health related quality of life.
158 patients operated for breast cancer with axillary node dissection, will be invited from
three hospitals in Denmark, Sealand (Rigshospitalet, Ringsted Hospital, and Herlev Hospital),
while on the surgical wards. Two weeks later upon consent they are recruited, baseline tested
and randomized to either exercise intervention or usual care control.
The exercise intervention consists of progressive resistance training, combined with a
stretching programme, with a total duration of 60 minutes per session. The group attend
supervised exercises twice a week and a once weekly home exercise programme of 45 to 60
minutes duration. After 20 weeks, exercises are converted to home exercises, and they are
monitored by a weekly sms-service. At 12 months, follow-up measurements are taken for both
groups. Lymphedema is defined as 3% limb volume change from the baseline measurement.
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