Richard Stockton College of NJ, Program in Physical Therapy, Pomona, NJ 08240, USA.
Explore (NY). 2012 Mar-Apr;8(2):127-35. doi: 10.1016/j.explore.2011.12.001.
PURPOSE: Adjuvant chemotherapy for women with breast cancer has significantly improved the cure rate; however, it has been associated with chemotherapy-related cognitive impact (CRCI). The literature provides preliminary support for the feasibility and efficacy of yoga interventions for the general cancer population, however, controlled trials are scarce and no studies have examined the effect of yoga on cognition for women with breast cancer during chemotherapy. This case series aims to identify the impact of yoga on measures of cognition, functional outcomes, and quality of life (QOL) for breast cancer survivors (BCS). METHODS: Four women with a diagnosis of early-stage breast cancer prior to chemotherapy treatment were administered the following physiologic measures at baseline, 6, and 12 weeks during chemotherapy, and at one and three months after the conclusion of the study: Functional Reach test (balance) and Sit and Reach test (flexibility), and QOL, POMS (Mood) and FACT-B (QOL), at baseline. Primary outcomes of cognition were measured with the Perceived Cognition Questionnaire (PCQ) and CogState, a computerized measurement of cognition. Women attended an Iyengar-inspired yoga program twice a week for 12 weeks. Qualitative questionnaires were administered after the completion of the study to determine perceived benefits and challenges of the yoga program. RESULTS: Four women with Stage II breast cancer ranged in age from 44-65 years. CogState computerized testing showed changes in varying domains of cognition through treatment and follow-up. Improved balance, flexibility, and QOL were also noted over time. No adverse events were observed. Analysis of qualitative data revealed the yoga classes were helpful and subjects continued the practice elements of yoga including relaxation, breathing, and stretching. The most challenging aspect of the study was physical limitations due to various medical complications and included fatigue, decreased range of motion, and pain. CONCLUSION: This case series suggests that yoga may impact various aspects of cognition during and after chemotherapy administration as noted through quantitative measures. Women describe yoga as improving various domains of QOL through the treatment trajectory. This mind-body intervention may stave off CRCI; however, further investigation is needed for additional randomized controlled trials on the effects of yoga on cognition for women with breast cancer undergoing adjuvant chemotherapy treatment.
目的:乳腺癌患者的辅助化疗显著提高了治愈率;然而,它与化疗相关的认知影响(CRCI)有关。文献为一般癌症患者的瑜伽干预措施的可行性和疗效提供了初步支持,然而,对照试验很少,没有研究检查瑜伽对化疗期间乳腺癌女性认知的影响。本病例系列旨在确定瑜伽对乳腺癌幸存者(BCS)认知、功能结果和生活质量(QOL)测量的影响。
方法:在化疗期间的基线、6 周和 12 周,以及研究结束后的 1 个月和 3 个月,对 4 名在化疗前被诊断为早期乳腺癌的女性进行了以下生理测量:功能性伸展测试(平衡)和坐立伸展测试(柔韧性),以及 QOL、POMS(情绪)和 FACT-B(QOL),在基线。认知的主要结果是通过感知认知问卷(PCQ)和认知状态,一种计算机化的认知测量来衡量的。女性每周参加两次基于 Iyengar 的瑜伽课程,为期 12 周。在研究结束后,进行了定性问卷调查,以确定瑜伽计划的感知益处和挑战。
结果:4 名患有 II 期乳腺癌的女性年龄在 44-65 岁之间。认知状态的计算机测试显示,通过治疗和随访,认知的不同领域发生了变化。随着时间的推移,平衡、灵活性和 QOL也得到了改善。没有观察到不良事件。定性数据分析显示,瑜伽课程很有帮助,参与者继续练习瑜伽的放松、呼吸和伸展等元素。研究中最具挑战性的方面是由于各种医疗并发症导致的身体限制,包括疲劳、运动范围减小和疼痛。
结论:本病例系列表明,瑜伽可能会影响化疗期间和化疗后认知的各个方面,这可以通过定量测量来证明。女性描述瑜伽通过治疗轨迹改善了 QOL 的各个领域。这种身心干预可能会阻止 CRCI;然而,还需要进一步的随机对照试验来研究瑜伽对接受辅助化疗的乳腺癌女性认知的影响。
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