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瑜伽上肢运动对中国乳腺癌幸存者肢体肿胀的影响——一项初步研究

The Effects of Upper Limb Exercise Through Yoga on Limb Swelling in Chinese Breast Cancer Survivors - A Pilot Study.

作者信息

Lai Yen-Ting, Hsieh City C, Huang Li-Sheng, Liu Wen-Sheng, Lin Shu-Huan, Wang Ling-Li, Chen Shyh-Fang, Lin Chih-Ching

机构信息

1 Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan2 Department of Nursing, Yuanpei University, Hsinchu, Taiwan3 Department of Health and Leisure Management, Yuanpei University, Hsinchu, Taiwan4 Department of Physical Education, National Hsinchu University of Education, Hsinchu, Taiwan5 Division of Nephrology, Department of Medicine, Taipei City Hospital, Zhongxing Branch, Taipei, Taiwan6 Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan7 Fu-Jen University, New Taipei City, Taiwan8 Division of Nephrology, Department of Medicine, General Hospital, Taipei, Taiwan.

出版信息

Rehabil Nurs. 2017 Jan/Feb;42(1):46-54. doi: 10.1002/rnj.217.

DOI:10.1002/rnj.217
PMID:25980790
Abstract

PURPOSE

Breast cancer is the most common female cancer. The aim of this study was to assess the impact of yoga on lymphedema in breast cancer survivors.

DESIGN

Repeated measures before and after the intervention. We enrolled 15 women with breast cancer who had not previously worn elastic clothing to treat lymphedema.

METHODS

The program was led by a certified trainer and consisted of 60-minute sessions, three times a week for 12 weeks. The volumes of the affected and normal limbs were measured. A self-assessed edema score was also recorded.

FINDINGS

Fifteen patients completed the program, none of whom suffered from complications related to exercise. There was no significant edema after exercise. No significant differences were noted in subgroup analysis by age or the affected arm.

CONCLUSIONS

Yoga does not induce lymphedema.

CLINICAL RELEVANCE

Lymphedema is usually treated with uncomfortable elastic clothing, and high-resistance exercise may induce edema. Yoga may be suitable for these patients.

摘要

目的

乳腺癌是最常见的女性癌症。本研究的目的是评估瑜伽对乳腺癌幸存者淋巴水肿的影响。

设计

干预前后的重复测量。我们招募了15名未曾穿着弹性衣物治疗淋巴水肿的乳腺癌女性患者。

方法

该项目由一名认证教练指导,每次课程时长60分钟,每周三次,共12周。测量患侧和正常肢体的体积。还记录了自我评估的水肿评分。

结果

15名患者完成了该项目,无一例出现与运动相关的并发症。运动后无明显水肿。在按年龄或患侧手臂进行的亚组分析中未发现显著差异。

结论

瑜伽不会诱发淋巴水肿。

临床意义

淋巴水肿通常用穿着不适的弹性衣物治疗,而高阻力运动可能诱发水肿。瑜伽可能适合这些患者。

相似文献

1
The Effects of Upper Limb Exercise Through Yoga on Limb Swelling in Chinese Breast Cancer Survivors - A Pilot Study.瑜伽上肢运动对中国乳腺癌幸存者肢体肿胀的影响——一项初步研究
Rehabil Nurs. 2017 Jan/Feb;42(1):46-54. doi: 10.1002/rnj.217.
2
Effects of yoga on arm volume among women with breast cancer related lymphedema: A pilot study.瑜伽对乳腺癌相关淋巴水肿女性手臂体积的影响:一项试点研究。
J Bodyw Mov Ther. 2014 Oct;18(4):559-65. doi: 10.1016/j.jbmt.2014.02.006. Epub 2014 Mar 1.
3
Effect of yoga exercise on the quality of life and upper extremity volume among women with breast cancer related lymphedema: A pilot study.瑜伽运动对乳腺癌相关淋巴水肿妇女生活质量和上肢容量的影响:一项初步研究。
Eur J Oncol Nurs. 2019 Oct;42:103-109. doi: 10.1016/j.ejon.2019.08.008. Epub 2019 Aug 22.
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Effects of qigong exercise on upper limb lymphedema and blood flow in survivors of breast cancer: a pilot study.气功运动对乳腺癌幸存者上肢淋巴水肿和血流的影响:一项初步研究。
Integr Cancer Ther. 2014 Jan;13(1):54-61. doi: 10.1177/1534735413490797. Epub 2013 Jun 7.
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The Effect of Yoga on Arm Volume, Strength, and Range of Motion in Women at Risk for Breast Cancer-Related Lymphedema.瑜伽对有患乳腺癌相关淋巴水肿风险女性的手臂体积、力量及活动范围的影响
J Altern Complement Med. 2018 Feb;24(2):154-160. doi: 10.1089/acm.2017.0145. Epub 2017 Oct 24.
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Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study.上肢运动对乳腺癌患者继发性淋巴水肿的影响:一项试点研究。
J Clin Oncol. 2003 Feb 1;21(3):463-6. doi: 10.1200/JCO.2003.04.069.
7
Evidence for adapted physical activity as an effective intervention for upper limb mobility and quality of life in breast cancer survivors.适应性身体活动作为一种有效的干预措施,可改善乳腺癌幸存者上肢活动能力和生活质量。
J Phys Act Health. 2014 May;11(4):814-22. doi: 10.1123/jpah.2012-0119. Epub 2013 Apr 5.
8
Yoga, breast cancer-related lymphoedema and well-being: A descriptive report of women's participation in a clinical trial.瑜伽、乳腺癌相关淋巴水肿与幸福感:关于女性参与一项临床试验的描述性报告
J Clin Nurs. 2017 Dec;26(23-24):4685-4695. doi: 10.1111/jocn.13819. Epub 2017 Jun 22.
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A home-based weight lifting program for patients with arm lymphedema following breast cancer treatment: a pilot and feasibility study.基于家庭的乳腺癌治疗后手臂淋巴水肿患者举重计划:一项试点和可行性研究。
Lymphology. 2014 Jun;47(2):51-64.
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WATER EXERCISE COMPARED TO LAND EXERCISE OR STANDARD CARE IN FEMALE CANCER SURVIVORS WITH SECONDARY LYMPHEDEMA.水上运动与陆地运动或标准护理对患有继发性淋巴水肿的女性癌症幸存者的影响比较
Lymphology. 2015 Jun;48(2):64-79.

引用本文的文献

1
Rehabilitation interventions for the management of breast cancer-related lymphedema: developing a patient-centered, evidence-based plan of care throughout survivorship.乳腺癌相关淋巴水肿管理的康复干预措施:制定贯穿整个生存期的以患者为中心、基于证据的护理计划。
J Cancer Surviv. 2023 Feb;17(1):237-245. doi: 10.1007/s11764-021-00991-2. Epub 2021 Jan 22.
2
Interventions for Breast Cancer-Related Lymphedema: Clinical Practice Guideline From the Academy of Oncologic Physical Therapy of APTA.癌症相关性淋巴水肿的干预措施:美国物理治疗协会肿瘤物理治疗学院的临床实践指南。
Phys Ther. 2020 Jul 19;100(7):1163-1179. doi: 10.1093/ptj/pzaa087.