Edema Control in Patients With Breast Cancer-comparison of Manual Lymph Drainage and Epidermis Fascia Taping

Study Overview
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Brief Summary
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The ultrasound imaging could be used to examine the thickness of dermis and the space between dermis and subcutaneous tissue. Whether the measurement of ultrasound imaging correlate to other measurement of edema is unknown. The purpose of this study is to investigate The reliability of measurement of edema using ultrasound imaging, and the correlation of measurement of ultrasound with other measurement tools. The different effect of edema control by manual lymph drainage technique and epidermis taping technique, and the cost-effective assessment. Our hypothesis : The measurement of edema with ultrasound imaging is a reliable method and correlate with other edema measurement with moderate correlation. Ultrasound measurement could demonstrate different effect of manual lymph drainage and epidermis taping, and different cost-effectiveness analysis.

Official Title
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The Effect of Edema Control in Patients With Cancer-comparison of Manual Lymph Drainage and Epidermis Fascia Taping With Ultrasonography

Conditions
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Breast Cancer

Intervention / Treatment
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* Other: self massage
* Other: manual lymph drainage
* Other: epidermis fascia taping


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: age:20 80 y/o female patients with unilateral breast cancer after surgery unilateral lymph edema ( circumference of affected side 2cm bigger than sound side） do not receive any treatment of lymph edema Exclusion criteria 1. skin problems on affected side 2. neurological sign involved affected side, ex:stroke, brachial plexus impairment 3. involved other diseases may cause extremity edema, ex: heart failure or chronic kidney disease (stage one to stage five) 4. have medicine which may cause extremity edema 5. pregnant

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>self massage, skin care education, manual lymph drainage exercise, compression garment | Other: self massage<br>* self massage, skin care education, manual lymph drainage exercise, compression garment<br>|
| Active Comparator: manual lymph drainage group<br>manual lymph drainage by a physical therapist, skin care education, manual lymph drainage exercise, compression garment | Other: manual lymph drainage<br>* manual lymph drainage by a physical therapist, skin care education, manual lymph drainage exercise, compression garment<br>|
| Experimental: experimental group<br>epidermis fascia taping by a physical therapist, skin care education, manual lymph drainage exercise, compression garment | Other: epidermis fascia taping<br>* epidermis fascia taping by a physical therapist, skin care education, manual lymph drainage exercise, compression garment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| thickness of epidermis and dermis |  | 10 mins | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Edema,taping,ultrasound