Lymphedema occurs not only in patients with breast cancer and gynecological cancers but also in those where lymphatic drainage is obstructed. Accumulation of lymphatic fluid within tissues results in limb swelling. Additionally, proteins present in lymphatic fluid might lead to fibrosis within tissues, causing various challenges for patients. The changes in volume and weight can significantly impact daily life activities such as eating, brushing teeth, and other routine tasks. Furthermore, it can lead to clothing difficulties and provoke unwanted attention due to aesthetic concerns.
Currently, there is no definitive treatment for lymphedema. However, prospective research has shown promising results in applying extracorporeal shock wave therapy (ESWT), originally used for musculoskeletal disorders like plantar fasciitis, tennis elbow, frozen shoulder, and non-union fractures, to lymphedema patients. Similarly, Pulse Electromagnetic Field Therapy (PEMFT), widely used for pain management and muscle strengthening, has the potential for treating lymphedema as it can enhance blood circulation and stimulate muscle contractions.
This research project aims to explore the effectiveness and sustainability of using ESWT and PEMFT for lymphedema patients. By applying these therapies to lymphedema patients, this study aims to evaluate their treatment outcomes and long-term effects.
Participants must be at least 20 years old and have no significant cognitive, language comprehension, or communication issues, be able to understand and follow instructions, and sign the informed consent form.
Individuals with lymphedema after treatment for breast cancer or gynecologic cancer are eligible (lymphedema is defined as a circumference difference of >2 cm in the same location on both limbs).
You must be able to attend follow-up appointments at specific times during the 12 months of the trial, referred by a rehabilitation physician in the outpatient department.
The affected limb has unhealed open wounds, acute infections, or other conditions unsuitable for contact-based treatment.
The affected limb has metastatic tumors.
The affected limb has untreated deep vein thrombosis.
Severe clotting abnormalities.
Parallel
Extracorporeal shock wave therapy
Device2 times/week for 12 weeks
Pulse electromagnetic field therapy
Device2 times/week for 12 weeks
Rehabilitation
Other intervention2 times/week for 12 weeks
circumference
Limb circumference
Thickness
thickness of skin and Subcutaneous tissue
Hardness
Hardness by shearwave elastography
Click on the lead sponsor to view all of their trials.
Zheng-Yu Hoe, MD., PhD.
Lead sponsor
Kaohsiung Veterans General Hospital.
Sponsor institution
