Department of Surgery, Cheng-Hsin General Hospital, Taipei, Taiwan; School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Heart Center, Cheng-Hsin General Hospital, Taipei, Taiwan.
Complement Ther Clin Pract. 2019 Aug;36:49-55. doi: 10.1016/j.ctcp.2019.05.004. Epub 2019 May 25.
To synthesize recent empirical evidence on yoga-based interventions for patients with breast cancer-related lymphedema.
We searched the PubMed/MEDLINE, Cochrane Central Register of Controlled Trials and EMBASE databases for studies published between October 2007 and September 2018 in any language. Risk of bias and methodological quality were evaluated using the PRISMA statement and checklist and the Cochrane Collaboration tool.
There was significant improvement in lymphedema status, range of shoulder motion and spinal mobility after an 8-week yoga intervention, whereas there was no consistency in quality of life following yoga intervention. Additionally, there was no difference in lymphedema status, extracellular fluid and tissue resistance outcomes in the affected arm following a long-term yoga practice.
The current findings could not be clearly demonstrated that yoga programme intervention as an addition to usual care is superior to along usual care, and keep yoga exercise does not provide significant added benefits.
综合近期有关瑜伽干预乳腺癌相关淋巴水肿患者的实证证据。
我们检索了 2007 年 10 月至 2018 年 9 月间以任何语言发表的PubMed/MEDLINE、Cochrane 对照试验中心注册库和 EMBASE 数据库中的研究。采用 PRISMA 声明和清单以及 Cochrane 协作工具评估了偏倚风险和方法学质量。
8 周瑜伽干预后，淋巴水肿状况、肩部运动范围和脊柱灵活性均有显著改善，而瑜伽干预后生活质量的一致性较差。此外，长期瑜伽练习后，患侧手臂的淋巴水肿状况、细胞外液和组织阻力结果无差异。
目前的研究结果不能明确表明瑜伽方案干预作为常规治疗的辅助手段优于常规治疗，而且保持瑜伽锻炼并不能带来显著的额外益处。
