Lymphatic System Stimulation in Heart Failure
Lymphatic System Stimulation and Fluid Overload Symptoms in Patients With Heart Failure
Rutgers, The State University of New Jersey
80 participants
Jun 15, 2023
INTERVENTIONAL
Conditions
Summary
The goal of this pilot clinical trial is to obtain preliminary data on the effects of lymphatic exercise training in patients with heart failure. The main question\[s\] it aims to answer are: 1. Does performing lymphatic exercise decrease fluid overload symptoms (shortness of breath, lower legs swelling, fatigue), thoracic fluid content, and body fluid level? 2. Does performing lymphatic exercise improve sleep and quality of life (QOL)? Participants with heart failure will be randomly assigned into two groups: Group 1 will receive training on lymphatic exercises, and will perform these training for 4 weeks. This group will also be trained to monitor daily their weight, heart rate and blood pressure, and fluid overload symptoms. Group 2 will be trained to daily monitor their weight, heart rate and blood pressure, and fluid overload symptoms. This group will not perform the lymphatic exercises. Researchers will compare the two groups at the baseline and after delivering the 4 week-interventions to see 1. if lymphatic exercise helped decrease symptoms associated with fluid overload like shortness of breath, lower leg swelling, and fatigue. 2. if lymphatic exercises decreased thoracic fluid content and total body fluid level . 3. if the lymphatic exercise helped improve sleep and quality of life (QOL).
Eligibility
Inclusion Criteria2
- Clinical diagnosis of HF with New York Heart Association (NYHA) functional class II, III, or IV
- Willing and able to complete the home-based TOLF program upon discharge from the hospital to home
Exclusion Criteria7
- Severe liver or kidney insufficiency or malignant tumors
- A terminal condition with a life expectancy of \< 6 months
- Received or waiting for heart transplantation
- Pregnancy
- Cognitive impairment (e.g., dementia)
- Severe psychiatric condition (psychotic disorder, severe depression, suicidal intent)
- Inability to converse in English
Interventions
Participants in TOLF intervention will complete initial in-person 40-minute session on TOLF lymphatic exercise training and daily monitoring, and 3 virtual 15-minute telehealth sessions to enhance their skills over the course of 4 weeks. These sessions will be conducted by the TOLF interventionist of the study. For 4-week study duration, participants will be asked to practice the set of 8 lymphatic exercises twice a day.
Participants will complete initial in-person training on daily monitoring of weight, heart rate and blood pressure, fluid overload symptoms; and 3 conferencing coaching sessions conducted by the monitoring coach to enhance their skills. Over the course of 4 weeks, Participants will monitor these daily fluid overload parameters and symptoms
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05834400