Keilani M, Hasenoehrl T, Neubauer M, Crevenna R
Department of Physical Medicine and Rehabilitation, Medical University of Vienna, 18-20, Währinger Gürtel, Austria.
Support Care Cancer. 2016 Apr;24(4):1907-16. doi: 10.1007/s00520-015-3068-z. Epub 2015 Dec 30.
The aim of the present review was to determine effects of strength exercise on secondary lymphedema in breast cancer patients.
Research was conducted by using the databases PubMed/Medline and Embase. Randomized controlled trials published from January 1966 to May 2015 investigating the effects of resistance exercise on breast cancer patients with or at risk of secondary lymphedema in accordance with the American College of Sports Medicine exercise guidelines for cancer survivors were included in the present study.
Nine original articles with a total of 957 patients met the inclusion criteria. None of the included articles showed adverse effects of a resistance exercise intervention on lymphedema status. In all included studies, resistance exercise intensity was described as moderate to high.
Strength exercise seems not to have negative effects on lymphedema status or might not increase risk of development of lymphedema in breast cancer patients. Further research is needed in order to investigate the effects of resistance exercise for patients suffering from lymphedema.
本综述的目的是确定力量训练对乳腺癌患者继发性淋巴水肿的影响。
通过使用PubMed/Medline和Embase数据库进行研究。纳入了1966年1月至2015年5月发表的随机对照试验，这些试验根据美国运动医学学院针对癌症幸存者的运动指南，研究了抗阻训练对患有继发性淋巴水肿或有继发性淋巴水肿风险的乳腺癌患者的影响。
9篇原始文章共957例患者符合纳入标准。纳入的文章均未显示抗阻训练干预对淋巴水肿状况有不良影响。在所有纳入研究中，抗阻训练强度被描述为中度至高。
力量训练似乎对淋巴水肿状况没有负面影响，或者可能不会增加乳腺癌患者发生淋巴水肿的风险。为了研究抗阻训练对淋巴水肿患者的影响，还需要进一步的研究。
