The effects of clinical and home-based physiotherapy programs in secondary head and neck lymphedema

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dc.authoridOzdemir, Kadirhan / 0000-0002-0486-6878
dc.authoridduzlu, mehmet / 0000-0002-5641-2915
dc.authorscopusid57194507920
dc.authorscopusid6701531347
dc.authorscopusid26667724000
dc.authorscopusid8894510900
dc.authorscopusid6602240964
dc.authorscopusid57216998760
dc.authorwosidOzdemir, Kadirhan/ABC-8280-2020
dc.contributor.authorÖzdemir, Kadirhan
dc.contributor.authorKeser, İlke
dc.contributor.authorDüzlü, Mehmet
dc.contributor.authorErpolat, Özge P.
dc.contributor.authorSaranli, Uluc
dc.contributor.authorTutar, Hakan
dc.date.accessioned2022-02-15T16:58:17Z
dc.date.available2022-02-15T16:58:17Z
dc.date.issued2021
dc.departmentBakırçay Üniversitesien_US
dc.description.abstractObjectives/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, 2020en_US
dc.description.sponsorshipProjects of Scientific Investigation at Gazi University [47/2018-06]en_US
dc.description.sponsorshipThis study was funded by Projects of Scientific Investigation at Gazi University (grant number 47/2018-06).en_US
dc.identifier.doi10.1002/lary.29205
dc.identifier.endpageE1557en_US
dc.identifier.issn0023-852X
dc.identifier.issn1531-4995
dc.identifier.issue5en_US
dc.identifier.pmid33111977en_US
dc.identifier.scopus2-s2.0-85094649028en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageE1550en_US
dc.identifier.urihttps://doi.org/10.1002/lary.29205
dc.identifier.urihttps://hdl.handle.net/20.500.14034/379
dc.identifier.volume131en_US
dc.identifier.wosWOS:000583509000001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.journalLaryngoscopeen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComplex decongestive physiotherapyen_US
dc.subjecthome programen_US
dc.subjectmanual lymph drainageen_US
dc.subjectface masken_US
dc.subject3D analysisen_US
dc.subjectManagementen_US
dc.subjectEdemaen_US
dc.titleThe effects of clinical and home-based physiotherapy programs in secondary head and neck lymphedemaen_US
dc.typeArticleen_US

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