An investigation into the relationship between postoperative arm and shoulder mobilisation exercises and the incidence of lymphoedema

ISRCTN ISRCTN38946256
DOI https://doi.org/10.1186/ISRCTN38946256
Secondary identifying numbers PRF/02/1
Submission date
02/07/2003
Registration date
02/07/2003
Last edited
29/05/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Jacquelyne Todd
Scientific

Lymphoedema Department
Wharfedale Hospital
Newall Carr Road
Otley
Leeds
LS21 2LY
United Kingdom

Phone +44 (0)113 3921807
Email Jacquelyne.Todd@leedsth.nhs.uk

Study information

Study designRandomised comparative trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised comparative trial of two programmes of shoulder exercise following axillary node dissection for invasive breast cancer
Study acronymLASER (Leeds Axillary Surgery Exercise Research)
Study objectivesPlease note that, as of 19/06/2008, this trial record was extensively amended. Most of the changes can be found in the relevant field. The following changes have also been made:
1. Scientific trial title was added
2. Study hypothesis was added
3. Anticipated end date has been updated from 31/12/2003 to 31/12/2007

Study hypothesis:
There is a reduced incidence of lymphoedema after post-operative exercise that delays full shoulder mobilisation for one week.
Ethics approval(s)Added as of 19/06/2008: This study was approved by the West Leeds Research Ethics Committee.
Health condition(s) or problem(s) studiedBreast cancer related lymphoedema
InterventionInterventions amended as of 19/06/2008:
Intervention group will receive a shoulder mobilisation programme that is characterised by a delayed commencement of full range gleno-humeral exercises following the removal of the axillary drain.

Control group will receive the current standard exercise regimen which commences full range gleno-humeral exercises from the first post-operative day.

Measurements for both groups are pre-operatively and at one year, with structured telephone questionnaires at one week, one month and six months.

Previous interventions:
Intervention group will receive a shoulder mobilisation programme that is characterised by a delayed commencement of full range gleno-humeral exercises following the removal of the axillary drain.

Control group will receive the current standard exercise regimen which commences full range gleno-humeral exercises from the first post-operative day.

Measurements for both groups are pre-operatively, one month, six months and one year.
Intervention typeOther
Primary outcome measureAdded as of 19/06/2008:
1. Limb volume using water displacement method
Secondary outcome measuresAdded as of 19/06/2008:
1. Range of movement using goniometer
2. Hand grip strength using dynamometer
3. Health related quality of life using FACTB+4, Shoulder Disability Questionnaire
Overall study start date01/01/2003
Completion date31/12/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participantsAdded as of 19/06/2008: 104 participants (52 per group)
Key inclusion criteriaPatients who are undergoing axillary surgery followed by radiotherapy for unilateral primary breast cancer with axillary node involvement.
Key exclusion criteriaAdded as of 26/06/2008:
1. Women under eighteen years
2. Existing history of breast cancer
3. Prior axillary surgery or irradiation
4. Pre-existing lymphoedema as measured by a difference in 200 mls
between the two arms when measured pre-operatively using the volume
displacement method
5. Women requiring full time cognitive or physical care
Date of first enrolment01/01/2003
Date of final enrolment31/12/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Lymphoedema Department
Leeds
LS21 2LY
United Kingdom

Sponsor information

Physiotherapy Research Foundation (UK)
Charity

The Chartered Society of Physiotherapy
14 Bedford Row
London
WC1R 4ED
United Kingdom

Phone +44 (0)20 7306 6601
Email attewm@csp.org.uk
Website http://www.csp.org.uk
ROR logo "ROR" https://ror.org/04sn78z72

Funders

Funder type

Charity

Physiotherapy Research Foundation (Ref: PRF/02/1)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2008 Yes No