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 datab...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were retrieved from electronic databases,including ScienceDirect,PubMed,Scopus,and CINAHL databases.Hand-searches for unpublished papers were also completed.Content analysis was used to examine articles that met the inclusion criteria.Among 525 searched papers,15 papers met the inclusion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.展开更多
Lymphedema is the swelling of soft tissues as a result of the accumulation of protein-rich fluid in extracellular spaces.Secondary lymphedema is precipitated by an event causing blockage or interruption of the lymphat...Lymphedema is the swelling of soft tissues as a result of the accumulation of protein-rich fluid in extracellular spaces.Secondary lymphedema is precipitated by an event causing blockage or interruption of the lymphatic vessels.Secondary lymphedema is a potential complication that may affect the quality of life of patients treated for breast cancer.Lifelong risk factors of post-breast cancer lymphedema are related to the extent of axillary node involvement,type of breast surgery,and radiation therapy.These factors decrease lymphatic drainage and increase stasis of fluids in the areas of skin and subcutaneous tissues that drain to regional lymph nodes.Breast cancer-related lymphedema can involve the arm and hand,as well as the breast and trunk on the operative side.Clinical symptom assessment and circumferential measures are widely used to evaluate lymphedema.Treatment of lymphedema associated with breast cancer can include combined modality approaches,compression therapy,therapeutic exercises,and pharmacotherapy.展开更多
文摘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.
文摘Lymphedema is the swelling of soft tissues as a result of the accumulation of protein-rich fluid in extracellular spaces.Secondary lymphedema is precipitated by an event causing blockage or interruption of the lymphatic vessels.Secondary lymphedema is a potential complication that may affect the quality of life of patients treated for breast cancer.Lifelong risk factors of post-breast cancer lymphedema are related to the extent of axillary node involvement,type of breast surgery,and radiation therapy.These factors decrease lymphatic drainage and increase stasis of fluids in the areas of skin and subcutaneous tissues that drain to regional lymph nodes.Breast cancer-related lymphedema can involve the arm and hand,as well as the breast and trunk on the operative side.Clinical symptom assessment and circumferential measures are widely used to evaluate lymphedema.Treatment of lymphedema associated with breast cancer can include combined modality approaches,compression therapy,therapeutic exercises,and pharmacotherapy.
