Loudon Annette, Barnett Tony, Williams Andrew D, Visentin Denis, Immink Maarten A, Piller Neil
1. Centre for Rural Health, University of Tasmania, Australia.
2. School of Health Sciences, University of Tasmania, Australia.
Int J Yoga Therap. 2017 Nov;27(1):95-112. doi: 10.17761/1531-2054-27.1.95.
Breast cancer-related lymphoedema (BCRL) is a chronic condition that requires lifelong management to prevent the condition worsening and to reduce the threat of infection. Women are affected in all domains of their life. As a holistic practice, yoga may be of benefit by reducing both the physical and psychosocial effects of lymphoedema. Women with BCRL are attending yoga classes in increasing numbers, so it is essential that yoga be based on principles that ensure lymphoedema is controlled and not exacerbated. Two Randomised Controlled Trials with a yoga intervention have had positive results after an 8-week intervention (n=28) and 6-months after a 4-week intervention (n=18). The first study had several significant results and women reported increased biopsychosocial improvements. Both studies showed trends to improved lymphoedema status. The yoga interventions compromised breathing, physical postures, meditation and relaxation practices based on Satyananda Yoga®, with modifications to promote lymphatic drainage and following principles of best current care for those with BCRL. Individual needs were considered. The yoga protocol that was used in the 8-week trial is presented. Our aim is to provide principles for yoga teachers/therapists working with this clientele that can be adapted to other yoga styles. Further, these principles may provide a basis for the development of yoga programs for people with secondary lymphoedema in other areas of their body as the population requiring cancer treatment continues to increase. Whilst the style of yoga presented here has had positive outcomes, further application and research is needed to fully demonstrate its effectiveness.
乳腺癌相关淋巴水肿（BCRL）是一种慢性疾病，需要终身管理以防止病情恶化并降低感染风险。女性生活的各个方面都会受到影响。作为一种整体疗法，瑜伽可能有助于减轻淋巴水肿的身体和心理社会影响。越来越多的BCRL女性参加瑜伽课程，因此瑜伽必须基于确保淋巴水肿得到控制而不是加重的原则。两项针对瑜伽干预的随机对照试验在8周干预后（n = 28）和4周干预6个月后（n = 18）都取得了积极成果。第一项研究有几个显著结果，女性报告说生物心理社会方面有了更大改善。两项研究都显示出淋巴水肿状况有改善的趋势。瑜伽干预包括基于萨特亚南达瑜伽（Satyananda Yoga®）的呼吸、体式、冥想和放松练习，并进行了调整以促进淋巴引流，同时遵循BCRL患者当前最佳护理原则。考虑了个体需求。本文介绍了8周试验中使用的瑜伽方案。我们的目标是为与这类客户合作的瑜伽教师/治疗师提供可适用于其他瑜伽风格的原则。此外，随着需要癌症治疗的人群不断增加，这些原则可能为身体其他部位继发性淋巴水肿患者制定瑜伽项目提供基础。虽然这里介绍的瑜伽风格已取得积极成果，但仍需要进一步应用和研究以充分证明其有效性。
