A randomized pilot study on self‐management in head and neck lymphedema. Issue 5 (15th September 2020)

• Record Type: Journal Article
• Authors: McLaughlin, Tess M.; Broadhurst, Jane J.; Harris, Courtenay J.; McGarry, Sarah; Keesing, Sharon L.
• Is Part Of: Laryngoscope investigative otolaryngology. Volume 5:Issue 5(2020)
• Page Start: 879
• Page End: 889
• Publication Date: 2020-09-15
• Subjects: head -- lymphedema -- neck -- self‐management -- treatment; Otolaryngology -- Periodicals; Laryngoscopy -- Periodicals; Otolaryngology; Otolaryngology; Periodicals; Periodicals; 617.51
• DOI: 10.1002/lio2.455
• Languages: English
• ISSNs: 2378-8038

Abstract

Abstract: Background: The purpose of this pilot trial was to determine the feasibility of a self‐managed lymphedema randomized control trial to test the effectiveness of a head and neck‐specific exercise protocol. Methods: Nine participants were randomized to receive usual treatment provided by an Australian metropolitan teaching hospital (n = 4) or usual treatment with an added head and neck exercise regime (n = 5). Feasibility was assessed through ease of recruitment, adherence, and safety. Lymphedema reduction and quality of life (QOL) data were assessed at baseline (0 week) and follow‐up (6 weeks). Results: The study was feasible in terms of safety and participant retention. However, a slow recruitment rate and low adherence may impact future trials. There were no significant differences in lymphedema reduction or QOL between groups. Conclusion: This pilot feasibility study demonstrated that a self‐management trial can be implemented, however, modifications will be required due to the slow recruitment and poor adherence rates. Level of evidence: 1b: Individualized randomized control trial. Abstract :