Virtual Reality Versus Proprioceptive Neuromuscular Facilitation on Postmastectomy Lymphedema

Postmastectomy Lymphedema Clinical Trial

Official title:

Virtual Reality Versus Proprioceptive Neuromuscular Facilitation on Postmastectomy Lymphedema

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04185181
• Other study ID #: Doaa Atef
• Status: Completed
• Phase: N/A
• Start date: June 30, 2018
• Est. completion date: August 31, 2019

Study information

• Verified date: December 2019
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aimed to compare the therapeutic efficacy of VR and PNF on lymphedema and function in unilateral post-mastectomy lymphedema (UPML) patients. The patients were subdivided into two equal groups, 15 in each. Fifteen patients performed virtual reality-based exercises plus complete decongestive therapy, while the other fifteen patients performed proprioceptive neuromuscular facilitation plus complete decongestive therapy. The volume difference between normal and affected limbs was calculated before and after eight sessions of treatment for both groups by using the circumferential method. And the upper limb function was assessed before and after eight sessions of treatment for both groups by using the Arabic version of the Quick DASH scale.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: August 31, 2019
• Est. primary completion date: August 5, 2019
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 40 Years to 65 Years

Eligibility

Inclusion Criteria:

• Patients will suffer from unilateral post-mastectomy lymphedema.

• Stage I and stage II lymphedema as defined by the classification of the International Society of Lymphology (The International Society of Lymphology, 2003).

• Patients had no physical therapy before the current treatment or the last time to receive sessions was at least three months ago.

Exclusion Criteria:

• Excluded patients were having musculoskeletal or neurological disorders that would impair performance during training and tests.

• Visual disorders that could affect imitation of video game-based exercise.

• Uncontrolled cardiovascular or pulmonary diseases.

• Psychiatric illness, severe behavior, and cognitive disorders.

Related Conditions & MeSH terms

• Breast Cancer Lymphedema
• Lymphedema
• Postmastectomy Lymphedema

Intervention

Other:
• virtual reality
wii video game based exercise
• proprioceptive neuromuscular facilitation
PNF with breathing
• complete decogestive therapy
pneumatic compression, manual lymph drainage, skin care and home exercise program

Locations

Country	Name	City	State
Egypt	faculty of physical therapy, Cairo university	Giza

Sponsors (1)

Lead Sponsor	Collaborator
doaa atef

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	lymphedema volume	turncated cone formula using circumferential measurement of both upper limbs	4 weeks
Primary	upper limb function	quick-disability of arm, shoulder and hand (DASH) scale. minimum score is zero and maximum score is 44. higher score means worse outcome.	4 weeks