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NCT Number: NCT07086053

Reliability of Myoton in Evaluating Skin Biomechanics in Breast Cancer-Related Lymphedema

This study aims to evaluate the intra- and inter-rater reliability of the MyotonPRO, a handheld device that measures the viscoelastic properties of the skin, in patients with breast cancer-related lymphedema. Twenty women with unilateral upper extremity lymphedema will be included. Each participant will undergo repeated skin assessments using the MyotonPRO by two independent raters. Additionally, ultrasonographic tissue characteristics and limb volume measurements will be performed. The findings are expected to contribute to the validation of the MyotonPRO for use in clinical lymphedema evaluation.

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Key information

About this study

The study will be conducted at a single center with 20 women diagnosed with unilateral upper extremity lymphedema after mastectomy. Participants will be evaluated using the MyotonPRO device by two trained raters to assess intra- and inter-rater reliability. Ultrasonographic grading of subcutaneous echogenicity and echo-free space, as well as circumference and volume measurements, will be conducted to explore correlations with biomechanical tissue properties. Statistical analysis will include intraclass correlation coefficient (ICC) for reliability and Pearson correlation for validity. This study is expected to support the clinical use of MyotonPRO in lymphedema assessment.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Female participants aged 18-80 years
  • Unilateral upper extremity lymphedema secondary to breast cancer surgery
  • Diagnosed with lymphedema at International Society of Lymphology (ISL) Stage 0, I, II, or III
  • Willing and able to provide informed consent

Exclusion criteria

  • Bilateral upper extremity lymphedema
  • Cognitive or mental disorders that interfere with cooperation
  • Neurological diseases
  • Active infection
  • Scleroderma or other skin disorders affecting elasticity
  • Significant cardiac conditions that may interfere with assessment

Treatment and study plan

MyotonPRO

Device

The MyotonPRO is a non-invasive handheld device that assesses the mechanical and viscoelastic properties of soft tissue (e.g., skin stiffness, elasticity, and relaxation time). In this study, it is used in patients with breast cancer-related lymphedema (BCRL). Each participant is evaluated by two blinded raters to determine intra- and inter-rater reliability.

Primary outcomes

  1. Intra- and Inter-Rater Reliability of MyotonPRO Measurements

    Time frame: Within 1 day

    The reliability of the MyotonPRO device will be evaluated through repeated measurements of skin stiffness parameters by two independent raters on the same day. The primary outcome is the intraclass correlation coefficient (ICC) for intra- and inter-rater agreement.

  2. Intra- and Inter-Rater Reliability of MyotonPRO Measurements

    Time frame: Within 1 day

    The reliability of the MyotonPRO device will be evaluated through repeated measurements of skin stiffness parameters by two independent raters on the same day. The primary outcome is the ICC, which quantifies intra- and inter-rater agreement in repeated biomechanical measurements.

Study contacts

Contact information is provided by the study sponsor or research team.

Esra Nur Türkmen, MSc, PT

CONTACT

[email protected]

+90 554 523 9830

Sponsors and collaborators

Lead sponsor

Kahramanmaras Sutcu Imam University

Other

Collaborators

  • Fatih Sultan Mehmet Training and Research Hospital

Registry information

Official study title

Inter-rater And Intra-rater Reliability Of Biomechanical Skin Stiffness Characteristics Measurement Via MyotonPRO Device In Patients With Breast Cancer-Related Lymphedema (BCRL) And Their Relationship With Ultrasonographic Tissue Changes

Acronym: MYOLYMPH

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jul 25, 2025
Registry last updated
Jul 28, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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