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Trial Title: The Effect of Complex Decongestıve Therapy on Oxıdatıve Stress and Antıoxıdants

NCT ID: NCT06572098

Condition: What Are the Effects of Lymphedema Treatment

Conditions: Official terms:
Lymphedema

Conditions: Keywords:
Breast cancer
Lymphedema
Oxidative stress

Study type: Interventional

Study phase: N/A

Overall status: Enrolling by invitation

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Intervention model description: 1. Working Group (Complex decongestive therapy) 2. Control Group

Primary purpose: Health Services Research

Masking: Single (Participant)

Masking description: 1. Study Group-Patient with Lymphedema 2. Control Group-Healthy Group

Intervention:

Intervention type: Other
Intervention name: Complex decongestive therapy
Description: Complex decongestive therapy consists of 4 phases. It will be performed by a lymphedema physiotherapist trained in Complex Decongestive Physiotherapy. Complex decongestive therapy consists of manual lymph drainage, skin care, multilayer bandaging and therapeutic exercises.
Arm group label: working group

Summary: It is aimed to determine the changes of complex decongestive therapy applications on oxidative stress parameters and antioxidants in patients with lymphedema after breast cancer treatment.

Detailed description: Lymphedema, which is the most common late complication of patients undergoing cancer treatment, affects the physical, social and psychological lives of the individual and decreases the quality of life as it causes motor dysfunctions, cosmetic deformations and psychological disorders. The addition of radiotherapy to surgical intervention increases the risk of lymphedema by 36%. When free radicals increase in intensity, they cause structural defects in lipids, proteins and nucleic acids, and as a result, they are a cause and risk factor for chronic diseases such as cancer, neurodegenerative diseases and cardiovascular diseases. Cancer cells produce high levels of reactive oxygen species (ROS) due to their fast metabolism and impaired cellular signaling mechanisms. High levels of ROS are generally harmful to cells and the redox state of cancer cells is different from normal cells. Therefore, cancer cells maintain ROS levels at a moderately high tumorigenic level, above the low cytostatic level, but below levels that may be cytotoxic. The oxidative stress state in a cancer cell is different from the oxidative stress state in a normal cell. It is also well known that increased oxidative stress and inflammation are associated with cancer risk. The number of studies investigating the effect of complex decongestive therapy, which is stated to be the most effective treatment method in the treatment of lymphedema, the most common complication after breast cancer treatment, on oxidative stress and antioxidant levels is quite limited. In this study, it was aimed to reveal the changes of complex decongestive therapy applications on oxidative stress parameters and antioxidants in participants with lymphedema after breast cancer treatment.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Development of lymphedema after breast cancer treatment - Clinical stage of lymphedema Stage-2 or Stage-3 diagnosis Exclusion Criteria: - Receiving treatment for lymphedema in the last three months - Those diagnosed with severe heart failure and/or arrhythmia - Persistent infection in the affected extremities - Ongoing chemotherapy treatment - Diagnosed with liver disease

Gender: Female

Gender based: Yes

Gender description: Female

Minimum age: 25 Years

Maximum age: N/A

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Baskent University

Address:
City: Adana
Zip: 01250
Country: Turkey

Start date: April 3, 2024

Completion date: April 3, 2028

Lead sponsor:
Agency: Baskent University
Agency class: Other

Source: Baskent University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06572098

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