运动对乳腺癌相关性继发性淋巴水肿的影响：系统评价。
Effects of physical exercise on breast cancer-related secondary lymphedema: a systematic review.
机构信息
Department I of Internal Medicine, Center of Integrated Oncology Köln Bonn, University Hospital of Cologne, Cologne, Germany.
Department of Molecular and Cellular Sport, Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Cologne, Germany.
出版信息
Breast Cancer Res Treat. 2018 Jul;170(1):1-13. doi: 10.1007/s10549-018-4725-y. Epub 2018 Feb 22.
PURPOSE
The aim of this systematic review is to assess the effect of different types of exercise on breast cancer-related lymphedema (BCRL) in order to elucidate the role of exercise in this patient group.
METHODS
A systematic data search was performed using PubMed (December 2016). The review is focused on the rehabilitative aspect of BCRL and undertaken according to the PRISMA statement with Levels of Evidence (LoE) assessed.
RESULTS
11 randomized controlled trials (9 with LoE 1a and 2 with LoE 1b) that included 458 women with breast cancer in aftercare were included. The different types of exercise consisted of aqua lymph training, swimming, resistance exercise, yoga, aerobic, and gravity-resistive exercise. Four of the studies measured a significant reduction in BCRL status based on arm volume and seven studies reported significant subjective improvements. No study showed adverse effects of exercise on BCRL.
CONCLUSION
The evidence indicates that exercise can improve subjective and objective parameters in BCRL patients, with dynamic, moderate, and high-frequency exercise appearing to provide the most positive effects.
目的
本系统评价旨在评估不同类型的运动对乳腺癌相关淋巴水肿（BCRL）的影响，以阐明运动在这一患者群体中的作用。
方法
使用 PubMed（2016 年 12 月）进行系统的数据检索。本综述侧重于 BCRL 的康复方面，并根据 PRISMA 声明进行，评估证据水平（LoE）。
结果
纳入了 11 项随机对照试验（9 项 LoE1a，2 项 LoE1b），共纳入 458 例处于康复期的乳腺癌女性。不同类型的运动包括水上淋巴训练、游泳、阻力运动、瑜伽、有氧运动和重力抵抗运动。四项研究根据手臂体积测量到 BCRL 状况的显著改善，七项研究报告了显著的主观改善。没有研究显示运动对 BCRL 有不良影响。
结论
证据表明，运动可以改善 BCRL 患者的主观和客观参数，动态、适度和高频运动似乎提供最积极的效果。
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