Lymphedema Clinical Trial
Official title:
Effect of Early Compression Therapy and Individualized Exercise on Incidence of Lymphedema in Patients Treated for Gynecological Cancer: a Pilot Randomized Controlled Trial
Objectives: 1) To evaluate the effect of early compression therapy with individualized exercise on the incidence of lower limb lymphedema at 12 months post-operatively in patients treated for gynecological cancer who are at risk of developing lymphedema; 2) To evaluate the effect of early compression therapy with individualized exercise on lower limb volume, quality of life and incidence of cellulitis infections at 12 months post-operatively in this population.
Study design and setting: A pilot randomized controlled trial will be conducted on 50
patients with gynecological cancer recruited from the McGill University Health Centre (MUHC)
Royal Victoria Hospital and the Jewish General Hospital (JGH) Segal Cancer Centre in
Montreal, Quebec. The data collection and interventions will be conducted at the MUHC
Lymphedema Support Centre.
Intervention: At 4-6 weeks post-operatively, each participant in the experimental group will
be prescribed Jobst Elvarex compression class 1 (18 to 21 mmHg) standard or custom-made
stockings for both lower limbs with or without panty. The participants will be recommended to
wear the garments for 12 to 16 hours daily for at least 6 months post-operatively. At this
time, the participants will also receive individualized education on exercise, self-lymphatic
drainage and skin care by an unblinded lymphedema therapist.
Control: At 4-6 weeks post-operatively (T2), both groups will receive standard education on
lymphedema risk reduction along with printed materials from the Lymphedema Association of
Quebec.
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