[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100557997":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":28,"centralContacts":37,"locations":48,"responsibleParty":71,"collaborators":73,"id":75,"slug":76,"hasResults":77,"nctId":78,"briefTitle":79,"officialTitle":80,"acronym":24,"eligibilityCriteria":81,"healthyVolunteers":77,"sex":82,"minAge":83,"maxAge":84,"enrollmentInfo":85,"targetDuration":24,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":94,"overallStatus":96,"whyStopped":24,"lastUpdateSubmitDate":97,"lastUpdatePostDateStruct":98,"startDateStruct":101,"completionDateStruct":103,"leadSponsor":105,"locationsCount":106},{"fullName":5,"class":6},"Istanbul University - Cerrahpasa","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Dynamic Neuromuscular Stabilization Exercises","EXPERIMENTAL","Participants will be taught face-to-face the same home exercise program that was taught to the Exercise Group. In addition, Dynamic Neuromuscular Stabilization (DNS) exercises will be performed. Participants will be informed about DNS exercises and postures. Progress will be made in the exercises step by step. The exercises performed during the positions will be increased by performing 3 sets of 10 repetitions in the first 3 weeks and 3 sets of 15 repetitions in the last 3 weeks.",[13],"Other: Dynamic Neuromuscular Stabilization Exercises",{"label":15,"type":16,"description":17,"interventionNames":18},"Exercise","ACTIVE_COMPARATOR","Participants will be taught the home exercise program face to face. Exercises will start with diaphragmatic breathing. Breathing exercises will be done in 2 sets of 10 repetitions. Lower extremity joint range of motion exercises; It will consist of hip flexion in the supine position, hip abduction in the side lying position, hip extension and knee flexion in the prone position, knee extension and ankle dorsi-plantar flexion in the sitting position. Exercises will be increased to 3 sets of 10 repetitions for the first 3 weeks, and 3 sets of 15 repetitions after the 3rd week. After the exercises, they will be asked to walk for 20 minutes at moderate intensity on a flat surface. Additionally, the control group will be asked to walk at moderate intensity.",[19],"Other: Exercise",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"Exercises will last 45 minutes and will be 3 days a week for 6 weeks. Additionally DNS exercises will be performed in 40-minute sessions, 2 days a week for 6 weeks.",[9],null,{"type":6,"name":15,"description":26,"armGroupLabels":27,"otherNames":24},"Exercises will last 45 minutes and will be 3 days a week for 6 weeks. Additionally, the control group will be asked to walk at moderate intensity for 40 minutes, 2 days a week, for 6 weeks.",[15],[29,32,34],{"name":30,"affiliation":5,"role":31},"Büşra Çiftçi, BSc","PRINCIPAL_INVESTIGATOR",{"name":33,"affiliation":5,"role":31},"Rüstem Mustafaoğlu, Assoc Prof D",{"name":35,"affiliation":36,"role":31},"Teoman Aydın, Prof Dr","Bezmialem Vakif University",[38,43],{"name":39,"role":40,"phone":41,"phoneExt":24,"email":42},"Büşra Çiftçi","CONTACT","+90 543 628 61 76","busraciftci@ogr.iuc.edu.tr",{"name":44,"role":40,"phone":45,"phoneExt":46,"email":47},"Rüstem Mustafaoğlu","+90 (212) 404 03 00","53101","rustem.mustafaoglu@iuc.edu.tr",[49,63],{"facility":50,"status":24,"city":51,"state":52,"zip":24,"country":53,"countryCode":24,"cosmosGeoPoint":54,"geoPoint":59,"contacts":60},"Istanbul University-Cerrahpasa","Istanbul","Büyükçekmece","Turkey (Türkiye)",{"type":55,"coordinates":56},"Point",[57,58],28.94966,41.01384,{"lat":58,"lon":57},[61],{"name":62,"role":40,"phone":41,"phoneExt":24,"email":42},"Büşra Çiftçi, B.Sc",{"facility":36,"status":24,"city":51,"state":64,"zip":24,"country":53,"countryCode":24,"cosmosGeoPoint":65,"geoPoint":67,"contacts":68},"Fatih",{"type":55,"coordinates":66},[57,58],{"lat":58,"lon":57},[69],{"name":70,"role":40,"phone":41,"phoneExt":24,"email":42},"Büşra Çiftçi, B.Sc.",{"type":31,"investigatorFullName":39,"investigatorTitle":72,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"Principal Investigator",[74],{"name":36,"class":6},"100557997","the-effect-of-dynamic-neuromuscular-stabilization-exercises-in-patients-with-lower-extremity-lymphedema-100557997",false,"NCT06545383","The Effect of Dynamic Neuromuscular Stabilization Exercises in Patients With Lower Extremity Lymphedema","The Effect of Dynamic Neuromuscular Stabilization Exercises on Balance, Proprioception and Functional Level in Patients With Lower Extremity Lymphedema","Inclusion Criteria:\n\n* Being 18 years or older\n* Being diagnosed with lymphedema due to primary or secondary causes in the lower extremity\n* Having progressed to Complex Decongestive Treatment Phase 2\n* Volunteering to participate in research\n\nExclusion Criteria:\n\n* No mental or cognitive problems\n* Not receiving any other concurrent conservative or surgical treatment during the study.\n* Presence of metastatic cancer\n* Having a neurological disorder that may affect balance or an orthopedic disorder that may prevent walking\n* Presence of active infection in the affected limb\n* Uncontrolled hypertension, presence of serious cardiovascular system disease\n* There is a risk of deep vein thrombosis\n* Presence of open skin wound\n* Having a history of falling in the last 3 months","ALL","18 Years","65 Years",{"count":86,"type":87},42,"ESTIMATED","INTERVENTIONAL",[90],"NA","After lower extremity lymphedema, individuals physical activity levels and functionality remain very low. This decrease can cause balance problems over time. Surgical and medical treatments reduce the nerve conduction efficiency of the nervous system and negatively affect proprioception, which is the perception of the joint's position in space during movement. Increasing errors in joint position sense reduce control of movement and restrict active movement, which lead to an assumption that balance could be affected. Joint position sense and balance may be negatively affected, causing injuries, and injuries may cause damage to ligaments and sensory nerve fibers. The main aim of the Dynamic Neuromuscular Stabilization (DNS) approach is to restore physiological movement patterns. By activating the deep stabilizer system with DNS exercises, joint movements could improved, and exercise positions will have positive effects on the quality of sensory perception. In addition, positive effects on balance are expected due to decrease in joint position sense errors. Therefore, the aim of the study is to investigate\u002Funderstand the effect of DNS exercises on balance, proprioception and functional level in patients with lower extremity lymphedema. This study will provide information for researchers, therapists, and patients by determining the effectiveness of DNS exercises in patients with lower extremity lymphedema.\n\nfrom Bezmiâlem Vakıf University Faculty of Medicine, Department of Physical Therapy and Rehabilitation, who have been diagnosed with lymphedema due to primary or secondary causes and have progressed to the Complex Decongestive Treatment Phase 2, will constitute the population of the study. The study will be carried out at Istanbul University-Cerrahpaşa Department of Physiotherapy and Rehabilitation.\n\nThe study will consist of two groups. Both groups will be included in an exercise program consisting of breathing exercises, active joint range of motion exercises and walking training. Exercises will be given as a home program for 6 weeks, 3 days a week, 45 minutes a day. Additionally, patients in the Control group will be asked to walk for 40 minutes 2 days a week for 6 weeks. In the intervention group, they will additionally be included in a program consisting of individualized DNS exercises for 40 minutes a day, 2 days a week for 6 weeks. All patients will be asked to wear compression garments during exercises.",[93],"Lymphedema, Lower Limb",[95,15],"Lower Extremity Lymphedema","NOT_YET_RECRUITING","2024-08-07",{"date":99,"type":100},"2024-08-09","ACTUAL",{"date":102,"type":87},"2024-08-01",{"date":104,"type":87},"2025-02-01",{"name":5,"class":6},2]