{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T14:47:46Z","timestamp":1792853266638,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this pilot trial was to determine the feasibility of a self\u2010managed lymphedema randomized control trial to test the effectiveness of a head and neck\u2010specific exercise protocol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nine participants were randomized to receive usual treatment provided by an Australian metropolitan teaching hospital (n = 4) or usual treatment with an added head and neck exercise regime (n = 5). Feasibility was assessed through ease of recruitment, adherence, and safety. Lymphedema reduction and quality of life (QOL) data were assessed at baseline (0 week) and follow\u2010up (6\u2009weeks).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study was feasible in terms of safety and participant retention. However, a slow recruitment rate and low adherence may impact future trials. There were no significant differences in lymphedema reduction or QOL between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This pilot feasibility study demonstrated that a self\u2010management trial can be implemented, however, modifications will be required due to the slow recruitment and poor adherence rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>1b: Individualized randomized control trial.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.455","type":"journal-article","created":{"date-parts":[[2020,9,25]],"date-time":"2020-09-25T07:21:37Z","timestamp":1601018497000},"page":"879-889","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["A randomized pilot study on self\u2010management in head and neck lymphedema"],"prefix":"10.1002","volume":"5","author":[{"given":"Tess M.","family":"McLaughlin","sequence":"first","affiliation":[{"name":"The School of Occupational Therapy, Social Work and Speech Pathology Curtin University  Perth Western Australia Australia"},{"name":"Occupational Therapy Department Sir Charles Gardiner Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane J.","family":"Broadhurst","sequence":"additional","affiliation":[{"name":"The School of Occupational Therapy, Social Work and Speech Pathology Curtin University  Perth Western Australia Australia"},{"name":"Occupational Therapy Department Sir Charles Gardiner Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtenay J.","family":"Harris","sequence":"additional","affiliation":[{"name":"The School of Occupational Therapy, Social Work and Speech Pathology Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"McGarry","sequence":"additional","affiliation":[{"name":"The School of Occupational Therapy, Social Work and Speech Pathology Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon L.","family":"Keesing","sequence":"additional","affiliation":[{"name":"The School of Occupational Therapy, Social Work and Speech Pathology Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12134"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23899"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2016.0001"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-015-2893-4"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1188\/11.ONF.E1-E10"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23084"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814558402"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2015.01.005"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3283393799"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2012.05.003"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2015.20.Sup4.S6"},{"issue":"1","key":"e_1_2_9_13_1","first-page":"50","article-title":"Lymphoedema in patients treated for head and neck cancer","volume":"6","author":"Huit M","year":"2011","journal-title":"J Lymphoedema"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-011-1270-1"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25086"},{"issue":"6","key":"e_1_2_9_16_1","article-title":"Exercising after cancer: newest evidence\u2010based guidelines","volume":"23","author":"Feldman E","year":"2020","journal-title":"Integr Med Alert"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12330"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23853"},{"key":"e_1_2_9_19_1","first-page":"S8","article-title":"Pilot study of an assessment tool for measuring head and neck lymphoedema","volume":"6","author":"Nixon J","year":"2014","journal-title":"Br J Community 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