Lymphedema of Upper Limb Clinical Trial
Official title:
Therapeutic Quantity of Complete Decongestive Therapy in Breast Cancer-Related Lymphedema: A Double Blinded Randomized Control Trial
The purpose of this study is to investigate which number of lymphedema therapy treatments/week best reduces upper extremity swelling, increased arm function, and reduces the most lymphedema symptoms.
Complete Decongestive Therapy (CDT) is the "gold standard" in lymphedema care and has been
found to be efficacious in numerous studies. These studies have varying treatment protocols
of intensive phase I CDT with dosing ranging from 2x/wk for a mean of 7.5 wks to 6x/wk until
a plateau in arm volumes were achieved. This variability in research does not lend itself to
recommendations of evidence-based protocol use of CDT in an outpatient setting.
Although CDT is backed by efficacy studies, the daily dosing given to patients is based on
anecdotal rather than evidence-based practice. Because the traditional protocol was developed
from "longstanding experience," research is necessary to determine the best dosing of the
intensive phase of CDT. The purpose of this study is to investigate what level of dosing in
the intensive CDT phase promotes best volume reduction and increased upper extremity function
in the breast cancer-related lymphedema patient population. This particular study will
answer: What dosing produces best volumetric reduction and upper extremity function in the
intensive phase of complete decongestive therapy for outpatients with breast cancer-related
lymphedema 2x/wk for 4wks or 4x/wk for 4 wks?
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