Clinical trial NCT04824807: Effects of Clinical Pilates and Yoga Training in Lymphedema
Official title: The Comparison of the Effects of Clinical Pilates and Yoga Training in Women With Lymphedema After Breast Cancer
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lymphedema
Exercise
Keywords: Pilates
Yoga
Volumetric measurement
Muscle Strength Dynamometer
Respiratory Function Tests
Lead sponsor: Eastern Mediterranean University
Sponsor class: OTHER
First posted: 2021-04-01
Enrollment: 28
Sex: FEMALE
Minimum age (years): 35
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of our study is to compare the effects of clinical Pilates and yoga training on lymphedema, upper limb muscle strength, proprioception, functions and quality of life in women with lymphedema after breast cancer.

Detailed description: A total of 60 post breast cancer lymphedema individuals will be included in our study. The study will be performed in individuals who live in T.R.N.C and who develop mild, moderate or severe lymphedema after breast cancer in the 35-70 age range.

A randomized controlled trial design with three groups were used; 1) A Hatha yoga intervention group, 2) Clinical Pilates intervention group, 3) Control group.

Individuals in the intervention groups will be given 24 sessions of yoga or Clinical Pilates training 3 times a week for 8 weeks. Control group will not receive any treatment. During the training, and control group individuals will be asked to wear compression stockings during the 8 weeks and an educational booklet will be given to the each group.

The yoga classes included a progression of low-impact, modified poses, stretching and isometric exercises focused on the shoulders, arms, and chest, and meditation. Breathing and poses to drain the lymphatic system were incorporated throughout the yoga practice to assist with lymphatic flow. Before starting the Clinical Pilates exercise program, the patients will be trained on Pilates exercises and postures. During training, the patients will be taught how to create lumbopelvic stability (core stabilization), which is the basis for Pilates exercises, and spinal stabilization and appropriate posture techniques.

As a result of the research, the data will be analyzed to determine which treatment method is more effective in lymphedematous individuals.

Eligibility criteria: Inclusion Criteria:

* Breast cancer survivors,
* who are between the ages of 35-70,
* who have unilateral mild, moderate or severe
* lymphedema in the upper extremities after breast cancer treatment,
* who have taken any of the Lymphedema treatment methods at least 6 months ago will be included.

Exclusion Criteria:

* Presence of metastatic breast cancer,
* Currently receiving adjuvant therapy (chemotherapy, radiotherapy, hormone therapy),
* Severe heart failure (Class III),
* Infections in extremities (fungal, redness, temperature increase),
* Severe pain in the axillary region (eg: axillary web syndrome,
* reflex sympathetic dystrophy, neuropathy),
* Persons participating in a regular exercise program in the last 6 months will be excluded from the study.

Primary outcomes:
measure: upper extremity lymphedema
timeFrame: eight weeks
Secondary outcomes:
measure: upper extremity muscle endurance
timeFrame: eight weeks
measure: upper extremity muscle strength
timeFrame: eight weeks
measure: upper extremity proprioception
timeFrame: eight weeks
measure: upper extremity functions
timeFrame: eight weeks
measure: Quality of Life Questionnaire
timeFrame: eight weeks
Other outcomes:
Locations:
city: Famagusta
country: Cyprus
facility: Eastern Mediterranean University
Study officials:
References: