The Effects of Clinical and Home‐based Physiotherapy Programs in Secondary Head and Neck Lymphedema
 
Yazarlar (6)
Doç. Dr. Kadirhan ÖZDEMİR İzmir Bakırçay Üniversitesi, Türkiye
Prof. Dr. İlke Keser Gazi Üniversitesi, Türkiye
Mehmet Düzlü Gazi Üniversitesi, Türkiye
Prof. Dr. Özge Petek Erpolat Gazi Üniversitesi, Türkiye
Prof. Dr. Uluç Saranlı Orta Doğu Teknik Üniversitesi, Türkiye
Prof. Dr. Hakan Tutar Gazi Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı LARYNGOSCOPE (Q1)
Dergi ISSN 0023-852X Dergi Bilgileri (2021)
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 05-2021
Cilt / Sayı / Sayfa 131 / 5 / – DOI 10.1002/lary.29205
Makale Linki https://onlinelibrary.wiley.com/doi/10.1002/lary.29205
UAK Araştırma Alanları
Fizyoterapi ve Rehabilitasyon
Özet

Objectives/hypothesis

To determine the effects of complex decongestive physiotherapy (CDP) and home programs on external lymphedema, staging of lymphedema, fibrosis, and three-dimensional (3D) surface scanning and volume evaluation in head and neck lymphedema.

Study design

A prospective randomized controlled study.

Methods

Twenty-one patients were randomly divided into three groups: CDP (n:7), home program (n:7), and control (n:7). Assessment methods were applied at baseline and 4 weeks later for all groups. MD. Anderson Cancer Center Head and Neck Lymphedema Protocol was implemented to evaluate head and neck external lymphedema, staging of lymphedema, and fibrosis. A 3D scanner and a software were used to determine and calculate the volume of the head and neck region via 3D surface scanning. Head and neck external lymphedema and fibrosis assessment criteria were performed to evaluate visible soft tissue edema and the degree of stiffness.

Results

The severity and volume of lymphedema decreased in the CDP program group (P < .05). Besides, external lymphedema and fibrosis at submental region were decreased in both CDP program and home program groups (P < .05).

Conclusions

While the benefits of home program are limited, a CDP program may be more effective in the management of lymphedema and fibrosis in patients diagnosed with head and neck cancer. The clinical trial registration number: NCT04286698, date: 02/25/2020, retrospectively registered.

Level of evidence

4 Laryngoscope, 131:E1550-E1557, 2021.
Anahtar Kelimeler
3D analysis | Complex decongestive physiotherapy | face mask | home program | manual lymph drainage
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Web of Science 23
The Effects of Clinical and Home‐based Physiotherapy Programs in Secondary Head and Neck Lymphedema

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