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A randomized pilot study on self-management in head and neck lymphedema
Tess M McLaughlin1,2, Jane J Broadhurst1,2, Courtenay J Harris1
1The School of Occupational Therapy, Social Work and Speech Pathology Curtin University Perth Western Australia Australia.
Laryngoscope Investigative Otolaryngology
|November 2, 2020
Summary
This pilot study found a self-managed lymphedema exercise trial feasible but noted slow recruitment and low adherence. Modifications are needed for future head and neck cancer lymphedema research.
Area of Science:
- Oncology
- Rehabilitation Medicine
- Clinical Trials
Background:
- Lymphedema is a common side effect of head and neck cancer treatments.
- Self-management strategies are being explored to improve patient outcomes.
- Exercise protocols show promise in managing lymphedema.
Purpose of the Study:
- To assess the feasibility of a self-managed, randomized controlled trial (RCT) for head and neck lymphedema.
- To evaluate the effectiveness of a head and neck-specific exercise protocol.
- To determine the safety and adherence of the intervention.
Main Methods:
- A pilot RCT involving nine participants randomized to usual care or usual care plus a head and neck exercise regime.
- Feasibility assessed by recruitment, adherence, and safety.
- Lymphedema and quality of life (QOL) measured at baseline and 6 weeks.
Main Results:
- The trial was feasible regarding safety and participant retention.
- Slow recruitment and low adherence were identified as challenges.
- No significant differences in lymphedema reduction or QOL were observed between groups.
Conclusions:
- Self-management trials for lymphedema are implementable.
- Future trials require modifications to address recruitment and adherence issues.
- Further research is needed to optimize exercise protocols for head and neck lymphedema.
