Nelson Nicole L
Clinical and Applied Movement Sciences, Brooks College of Health, University of North Florida, Jacksonville, Florida.
J Strength Cond Res. 2016 Sep;30(9):2656-65. doi: 10.1519/JSC.0000000000001355.
Nelson, NL. Breast cancer-related lymphedema and resistance exercise: a systematic review. J Strength Cond Res 30(9): 2656-2665, 2016-Breast cancer-related lymphedema (BCRL) is characterized by the accumulation of fluid in the interstitial tissues in the arm, shoulder, neck, or torso and attributed to the damage of lymph nodes during breast cancer treatments involving radiation and axillary node dissection. Resistance exercise training (RET) has recently shown promise in the management of BCRL. The aims of this review were twofold: (a) To summarize the results of recent randomized controlled trials (RCTs) investigating the effect of resistance exercise in those with, or at risk for, BCRL. (b) To determine whether breast cancer survivors can perform RET at sufficient intensities to elicit gains in strength without causing BCRL flare-up or incidence. A search was performed on the electronic databases PubMed, MEDLINE, SPORT Discus, and Science Direct, up to July 10, 2015, using the following keywords: breast cancer-related lymphedema, strength training, resistance training, systematic review, and breast cancer. Manual searches of references were also conducted for additional relevant studies. A total of 6 RCTs, involving 805 breast cancer survivors, met the inclusion criteria and corresponded to the aims of this review. The methodological quality of included RCTs was good, with a mean score 6.8 on the 10-point PEDro scale. The results of this review indicate that breast cancer survivors can perform RET at high-enough intensities to elicit strength gains without triggering changes to lymphedema status. There is strong evidence indicating that RET produces significant gains in muscular strength without provoking BCRL.
纳尔逊，NL。乳腺癌相关淋巴水肿与抗阻运动：一项系统综述。《力量与体能研究杂志》30(9): 2656 - 2665，2016年 - 乳腺癌相关淋巴水肿（BCRL）的特征是手臂、肩部、颈部或躯干的间质组织中液体积聚，这归因于在涉及放疗和腋窝淋巴结清扫的乳腺癌治疗过程中淋巴结受到的损伤。抗阻运动训练（RET）最近在BCRL的管理方面显示出前景。本综述的目的有两个：（a）总结近期随机对照试验（RCT）的结果，这些试验研究了抗阻运动对患有BCRL或有BCRL风险者的影响。（b）确定乳腺癌幸存者是否能够以足够的强度进行RET以增强力量，同时又不会引发BCRL发作或发病。截至2015年7月10日，在电子数据库PubMed、MEDLINE、SPORT Discus和ScienceDirect上进行了搜索，使用了以下关键词：乳腺癌相关淋巴水肿、力量训练、抗阻训练、系统综述和乳腺癌。还对手动检索参考文献以获取更多相关研究。共有6项RCT，涉及805名乳腺癌幸存者，符合纳入标准并与本综述的目的相符。纳入的RCT的方法学质量良好，在10分的PEDro量表上平均得分为6.8分。本综述的结果表明，乳腺癌幸存者能够以足够高的强度进行RET以增强力量，而不会引发淋巴水肿状态的变化。有强有力的证据表明，RET能显著增强肌肉力量而不会引发BCRL。
