Di Blasio Andrea, Morano Teresa, Napolitano Giorgio, Bucci Ines, Di Santo Serena, Gallina Sabina, Cugusi Lucia, Di Donato Francesco, D'Arielli Alberto, Cianchetti Ettore
Department of Medicine and Aging Sciences, 'G. d'Annunzio' University of Chieti-Pescara, Chieti Scalo, Italy.
Department of Neuroscience and Imaging, 'G. d'Annunzio' University of Chieti-Pescara, Chieti Scalo, Italy.
Breast Care (Basel). 2016 Dec;11(6):428-431. doi: 10.1159/000453599. Epub 2016 Dec 5.
The negative side effects of breast cancer treatments can include upper limb lymphoedema. The growing literature indicates that Nordic walking is an effective discipline against several disease symptoms. The aim of this study was to determine whether introduction to Nordic walking alone is effective against total body extracellular water and upper limb circumferences in breast cancer survivors compared to its combination with a series of specifically created exercises (i.e. the Isa method).
16 breast cancer survivors (49.09 ± 2.24 years) were recruited and randomly assigned to 1 of 2 different training groups.
10 lessons on Nordic walking technique plus the Isa method significantly reduced both extracellular body water and the extracellular-to-total body water ratio (p = 0.01 for both), and also the circumference of the upper limb, (both relaxed arm and forearm circumferences) (p = 0.01 for all), whereas Nordic walking alone did not.
Introduction to Nordic walking does not seem to affect lymphoedema in breast cancer survivors. This might be because novice Nordic Walkers do not adequately generate an effective muscular pump through coordination of the alternated bimanual open-close cycle. The Isa method appears to close this gap.
乳腺癌治疗的负面副作用可能包括上肢淋巴水肿。越来越多的文献表明，越野行走是对抗多种疾病症状的有效方法。本研究的目的是确定与一系列专门设计的运动（即伊萨方法）相结合相比，单纯引入越野行走对乳腺癌幸存者的全身细胞外液和上肢周长是否有效。
招募了16名乳腺癌幸存者（49.09±2.24岁），并将他们随机分配到2个不同训练组中的1组。
10节越野行走技术课程加上伊萨方法显著降低了细胞外液量和细胞外液与全身液量的比值（两者p值均为0.01），以及上肢周长（包括放松时的上臂和前臂周长）（所有p值均为0.01），而单纯的越野行走则没有效果。
引入越野行走似乎对乳腺癌幸存者的淋巴水肿没有影响。这可能是因为刚开始进行越野行走的人无法通过交替双手开合循环的协调充分产生有效的肌肉泵作用。伊萨方法似乎弥补了这一差距。
