Department of Women's Health, University Hospital of Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
Research Institute for Women's Health, University of Tuebingen, Tuebingen, Germany.
Arch Gynecol Obstet. 2023 May;307(5):1529-1537. doi: 10.1007/s00404-022-06609-x. Epub 2022 Jul 26.
Surgery and radiotherapy as part of breast cancer treatment can lead to lymphoedema of the upper extremities (breast cancer-related lymphoedema = BCRL) and reduce the quality of life (health-related quality of life = HRQoL). The aim of the present study was to investigate the influence of paddling in a dragon boat (PP) on HRQoL and BCRL in breast cancer survivors (BCS).
Between April and October 2017, a prospective case-control study evaluated the effects of PP compared to a control group. In the paddle group (n = 28), weekly arm circumference measurements were taken at four defined anatomic areas of the arm before and after training; in the control group (n = 70), the measurements were taken once a month. At the beginning and end of the study, questionnaires from both groups (SF 36, EORTC QLQ C30) were evaluated to understand the differences in HRQoL.
The paddle group started with a higher HRQoL compared to the control group. Most interesting, whether the affected or unaffected arm, whether before or after training-the arm circumference decreased over time in the paddling group. A pre-existing lymphoedema was not negatively influenced by paddling. In the paddle group, the physical health was constant over the season, while the physical health of the control group decreased significantly over time.
PP in a dragon boat does not lead to the development or worsening of pre-existing lymphoedema due to breast cancer therapy, and seems to have a positive effect on the quality of life.
作为乳腺癌治疗的一部分，手术和放疗会导致上肢淋巴水肿（乳腺癌相关淋巴水肿=BCRL），降低生活质量（健康相关生活质量=HRQoL）。本研究旨在探讨划龙舟（PP）对乳腺癌幸存者（BCS）的 HRQoL 和 BCRL 的影响。
在 2017 年 4 月至 10 月期间，前瞻性病例对照研究评估了与对照组相比，PP 的影响。在桨手组（n=28）中，在训练前后在手臂的四个定义解剖区域测量手臂周长；在对照组（n=70）中，每月测量一次。在研究开始和结束时，两组都填写了 SF 36 和 EORTC QLQ C30 问卷，以了解 HRQoL 的差异。
桨手组开始时的 HRQoL 高于对照组。最有趣的是，无论受影响的手臂还是未受影响的手臂，无论训练前还是训练后，桨手组的手臂周长都随着时间的推移而减少。以前存在的淋巴水肿并没有因划桨而受到负面影响。在桨手组中，身体状况在整个赛季都保持不变，而对照组的身体状况随着时间的推移显著下降。
划龙舟不会因乳腺癌治疗而导致或加重先前存在的淋巴水肿，并且似乎对生活质量有积极影响。
