{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T01:56:59Z","timestamp":1784858219464,"version":"3.55.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to evaluate and compare the effectiveness of telerehabilitation (TR) and home exercise program (HEP) in patients with breast cancer-related lymphedema and the patients\u2019 compliance with these treatment processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      23 patients were prospectively included in the HEP group and 22 patients in the TR group, who were followed up in the Lymphedema Outpatient Clinic of the Department of Physical Medicine and Rehabilitation of a University Hospital. These patients were randomized. The volume difference between the extremities of the patients was calculated with the truncated cone formula, before and after treatment. The patients\u2019 pain, tightness, heaviness, and stiffness symptoms associated with lymphedema were questioned using a numerical scale. The patients\u2019 functionality and participation in daily life activities were evaluated with disabilities of arm, shoulder, and hand Quick Questionnaire (Quick-DASH) and the Lymphedema Life Impact Scale (LLIS). Patients\u2019 treatment satisfaction and compliance with treatment were questioned using Likert scales. A total of 45 patients were included in the study. The mean age and body mass index were similar between the groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2265 0.05). In the evaluations performed, no significant differences were observed within groups or between groups in terms of volume difference, quick DASH, pain, tightness, heaviness, stiffness, and LLIS scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2265 0.05). Patient satisfaction was significantly higher in the TR group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2264 0.001). During treatment follow-up, only one person from the TR group missed the 5th-week checkup (4.5%), whereas five patients from the HEP missed the 5th-week checkup and three missed the 8th-week checkup. Overall, eight patients discontinued treatment (34%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although there were no significant differences in clinical assessments between TR and HEP groups, patient satisfaction, and treatment adherence were significantly higher in the TR group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2024.0038","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T05:01:08Z","timestamp":1737954068000},"page":"169-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of the Treatment Process with Home Exercise Program and Telerehabilitation in Patients with Breast Cancer-Related Lymphedema: A Case-Control Study"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7327-1130","authenticated-orcid":false,"given":"Merve","family":"Demirci","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canan","family":"\u015eanal","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-019-0072-5"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2015.06.015"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20001"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12032-024-02442-1"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.3109\/02841860903302905"},{"issue":"6","key":"e_1_3_4_7_2","first-page":"Cd005211","article-title":"Exercise interventions for upper-limb dysfunction due to breast cancer treatment","volume":"6","author":"McNeely ML","year":"2010","unstructured":"McNeely ML, , Campbell K, , Ospina M, et al. Exercise interventions for upper-limb dysfunction due to breast cancer treatment. Cochrane Database Syst Rev, 2010; 6(6):Cd005211; doi: 10.1002\/14651858.CD005211.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2008.49.3.443"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3332\/ecancer.2020.1085"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39094.648553.AE"},{"issue":"4","key":"e_1_3_4_11_2","first-page":"77","article-title":"Role of exercise in the management of Lymphedema","volume":"9","author":"Hilal YSE","year":"2016","unstructured":"Hilal YSE. Role of exercise in the management of Lymphedema. Turkiye Klinikleri J PM&R-Special Topics, 2016; 9(4):77\u201385.","journal-title":"Turkiye Klinikleri J PM&R-Special Topics"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2010.03.0039"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000233678.80203.c1"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2008.0165"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-020-05926-6"},{"key":"e_1_3_4_16_2","first-page":"99","article-title":"Reliability and validity of the Turkish version of the disabilities of the arm, shoulder and hand (DASH) questionnaire","volume":"17","author":"D\u00fcger T","year":"2006","unstructured":"D\u00fcger T, , \u00dcnal E, , \u00d6ks\u00fcz \u00c7, et al. Reliability and validity of the Turkish version of the disabilities of the arm, shoulder and hand (DASH) questionnaire. Fizyoterapi Rehabilitasyon, 2006; 17:99\u2013107.","journal-title":"Fizyoterapi Rehabilitasyon"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.5606\/tftrd.2019.3041"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-1971-8"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-14-187"},{"issue":"4","key":"e_1_3_4_20_2","first-page":"239","article-title":"Evaluating telehealth for the education and monitoring of lymphoedema and shoulder dysfunction after breast cancer surgery","volume":"31","author":"Naumann L","year":"2023","unstructured":"Naumann L, , Reul-Hirche H, , Comans T, et al. Evaluating telehealth for the education and monitoring of lymphoedema and shoulder dysfunction after breast cancer surgery. Support Care Cancer, 2023; 31(4):239; doi: 10.1007\/s00520-023-07693-8","journal-title":"Support Care Cancer"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.2743"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X19887265"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30172"},{"key":"e_1_3_4_24_2","first-page":"608059","article-title":"Design and development of a telerehabilitation self-management program for persons with chronic lower limb swelling and mobility limitations: Preliminary evidence","volume":"2012","author":"Faett BL","year":"2012","unstructured":"Faett BL, , Geyer MJ, , Hoffman LA, et al. Design and development of a telerehabilitation self-management program for persons with chronic lower limb swelling and mobility limitations: Preliminary evidence. Nurs Res Pract, 2012; 2012:608059; doi: 10.1155\/2012\/608059","journal-title":"Nurs Res Pract"},{"issue":"3","key":"e_1_3_4_25_2","article-title":"Effect of telerehabilitation and outpatient rehabilitation in women with breast cancer","volume":"8","author":"Scaturro D","year":"2023","unstructured":"Scaturro D, , Vitagliani F, , Mangano MS, et al. Effect of telerehabilitation and outpatient rehabilitation in women with breast cancer. J Funct Morphol Kinesiol, 2023; 8(3); doi: 10.3390\/jfmk8030105","journal-title":"J Funct Morphol Kinesiol"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-022-06417-3"}],"container-title":["Lymphatic Research and Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lrb.2024.0038","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2024.0038","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2024.0038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:15:26Z","timestamp":1777666526000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lrb.2024.0038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,1]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6,1]]}},"alternative-id":["10.1089\/lrb.2024.0038"],"URL":"https:\/\/doi.org\/10.1089\/lrb.2024.0038","relation":{},"ISSN":["1539-6851","1557-8585"],"issn-type":[{"value":"1539-6851","type":"print"},{"value":"1557-8585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,1]]}}}