摘要
The purpose of this systematic review was to identify the effects of weight-lifting or resistance exercise on breast cancer-related lymphedema.Published articles written in English were retrieved from electronic databases,including ScienceDirect,PubMed,Scopus,and CINAHL databases.Hand-searches for unpublished papers were also completed.Content analysis was used to examine articles that met the inclusion criteria.Among 525 searched papers,15 papers met the inclusion criteria:13 trials evaluated weight-lifting or resistance exercise alone and two trials evaluated weight-lifting or resistance exercise plus aerobic exercise.The results of the review showed that no arm volume change was observed for either exercise modality.In addition,six included studies showed that weight-lifting or resistance exercise did not cause lymphedema or adverse events in patients at risk of breast cancer-related lymphedema.For patients with breast cancer-related lymphedema,six studies reported that change of swelling outcome measures were not significantly different between the weight-lifting or resistance exercise group and the control group.However,three included studies reported that volume of arm was significantly more reduced in the weight-lifting or resistance exercise group than those in the control group.The findings suggest that supervised resistance exercise may be safe,feasible,and beneficial in patients with breast cancer-related lymphedema or at risk for breast cancer-related lymphedema.However,the limitation of small sample size implies that further research is needed to confirm these findings.
此综述的目的是确认举重或抗阻训练在乳腺癌相关淋巴水肿中的应用效果。检索ScienceDirect、PubMed、Scopus和CINAHL数据库中已经发表的英文文献。对未发表文章进行人工检索。采用内容分析检查文献是否符合纳人标准。最终纳入15篇文献,其中13篇文献仅评估举重或抗阻训练其中1项,2篇文献评估举重或抗阻训练加有氧运动。综述表明,采用两种运动方式均未观察到手臂肿胀的程度变化。此外,有6项研究表明,对于存在乳腺癌相关淋巴水肿风险的患者,举重或抗阻训练会有效缓解出现淋巴水肿或不良事件的现象。有6项研究表明,对于患有乳腺相关淋巴水肿的患者,举重或抗阻训练在肿胀结局指标的变化上与对照组差异无统计学意义。然而,有3项研究表明,举重或抗阻训练组患者手臂肿胀的程度明显小于对照组。研究结果表明,在抗阻训练时进行监督对于具有乳腺癌相关淋巴水肿风险或患有淋巴水肿的患者是安全、可行和有益的。然而,由于研究的样本量均较小,需要进一步的研究来证实这些发现。
作者
Ausanee Wanchai
Jane M.Armer
Ausanee Wanchai;Jane M.Armer(Deputy Director for Academic Services and Research,Boromarajonani College of Nursing Buddhachinaraj,Muang,Phitsanulok,Thailand;Sinclair School of Nursing,University of Missouri,Columbia,MO,USA)
