University Department of Rural Health, University of Tasmania, Launceston, Australia.
BMC Complement Altern Med. 2012 May 28;12:66. doi: 10.1186/1472-6882-12-66.
Women who develop secondary arm lymphoedema subsequent to treatment associated with breast cancer require life-long management for a range of symptoms including arm swelling, heaviness, tightness in the arm and sometimes the chest, upper body impairment and changes to a range of parameters relating to quality of life. While exercise under controlled conditions has had positive outcomes, the impact of yoga has not been investigated. The aim of this study is to determine the effectiveness of yoga in the physical and psycho-social domains, in the hope that women can be offered another safe, holistic modality to help control many, if not all, of the effects of secondary arm lymphoedema.
A randomised controlled pilot trial will be conducted in Hobart and Launceston with a total of 40 women receiving either yoga intervention or current best practice care. Intervention will consist of eight weeks of a weekly teacher-led yoga class with a home-based daily yoga practice delivered by DVD. Primary outcome measures will be the effects of yoga on lymphoedema and its associated symptoms and quality of life. Secondary outcome measures will be range of motion of the arm and thoracic spine, shoulder strength, and weekly and daily physical activity. Primary and secondary outcomes will be measured at baseline, weeks four, eight and a four week follow up at week twelve. Range of motion of the spine, in a self-nominated group, will be measured at baseline, weeks eight and twelve. A further outcome will be the women's perceptions of the yoga collected by interview at week eight.
The results of this trial will provide information on the safety and effectiveness of yoga for women with secondary arm lymphoedema from breast cancer treatment. It will also inform methodology for future, larger trials.
ACTRN12611000202965.
患有继发上肢淋巴水肿的女性需要终身管理一系列症状，包括手臂肿胀、沉重、紧绷，有时还包括胸部和上半身功能障碍，以及与生活质量相关的一系列参数的变化。尽管在受控条件下进行运动已取得积极成果，但瑜伽的影响尚未得到调查。本研究旨在确定瑜伽在身体和心理社会领域的有效性，希望为女性提供另一种安全、整体的方法，以帮助控制继发上肢淋巴水肿的许多（如果不是全部）影响。
将在霍巴特和朗塞斯顿进行一项随机对照试点试验，共有 40 名女性接受瑜伽干预或当前最佳实践护理。干预措施将包括八周每周一次的教师主导瑜伽课程，以及通过 DVD 进行家庭日常瑜伽练习。主要结局指标将是瑜伽对淋巴水肿及其相关症状和生活质量的影响。次要结局指标将是手臂和胸腰椎的活动范围、肩部力量以及每周和每日的身体活动。主要和次要结局将在基线、四周、八周和十二周的四周随访时进行测量。在自我提名的一组中，脊柱的活动范围将在基线、八周和十二周时进行测量。另一个结果将是女性在第八周通过访谈收集的对瑜伽的看法。
该试验的结果将提供有关瑜伽对乳腺癌治疗后继发上肢淋巴水肿女性的安全性和有效性的信息。它还将为未来更大规模的试验提供方法学信息。
ACTRN12611000202965。
