Freguia Sara, Platano Daniela, Donati Danilo, Giorgi Federica, Tedeschi Roberto
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, 40136 Bologna, Italy.
Physical Medicine and Rehabilitation Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Life (Basel). 2024 Aug 11;14(8):999. doi: 10.3390/life14080999.
Dissection of the axillary lymph nodes during surgery for breast cancer with lymph node involvement is burdened by a complication: lymphedema. Approximately half of women undergoing axillary dissection suffer from it, with a notable impact in terms of perceived discomfort, presented quality of life, and alteration of body image. There is also no shortage of problems in the patient's social and professional life.
The present review aims to select Randomized Controlled Trials (RCTs) present in the literature regarding the effects of yoga as an alternative therapy in patients with breast cancer-related lymphedema. A search of four databases was undertaken: Cochrane, Pubmed, Scopus, and Web of Science. The searches were conducted on 19 May 2024, and updated to 30 June 2024 without date limits. RCTs without language limitations, in any context, and with any yoga variant were considered.
The postulated search strings highlighted a total of 69 potentially eligible studies. The study selection system consisted of two levels of screening, (1) abstract selection and (2) full-text selection, for a total of three studies included in the review. The three RCTs included involved mixed treatment sessions in an outpatient setting with a yoga teacher and at home using a DVD. In the various studies, the outcome measures concerned quality of life, ROM, spinal mobility, limb volume, and tissue induration.
According to the analysis of the data obtained, yoga as an alternative therapy could be useful if combined with the usual care routine in women with lymphedema related to sensory cancer, in terms of improving physical, professional, and emotional quality of life and reducing symptoms such as fatigue, pain, and insomnia. Furthermore, yoga could bring about a reduction in tissue induration of the limb, greater spinal mobility evaluated in terms of improvement of the pelvic and kyphotic angle, and greater strength in shoulder abduction.
在对有淋巴结受累的乳腺癌患者进行手术时，腋窝淋巴结清扫存在一种并发症负担：淋巴水肿。接受腋窝清扫术的女性中约有一半会患上淋巴水肿，这在感知不适、呈现的生活质量以及身体形象改变方面都有显著影响。患者的社交和职业生活中也不乏问题。
本综述旨在从文献中筛选关于瑜伽作为乳腺癌相关淋巴水肿患者替代疗法效果的随机对照试验（RCT）。对四个数据库进行了检索：Cochrane、PubMed、Scopus和科学网。检索于2024年5月19日进行，并更新至2024年6月30日，无日期限制。考虑任何背景下、无语言限制且有任何瑜伽变体的RCT。
假定的检索词共突出显示了69项潜在符合条件的研究。研究选择系统包括两个筛选级别，（1）摘要筛选和（2）全文筛选，本综述共纳入三项研究。纳入的三项RCT涉及在门诊与瑜伽老师一起以及在家中使用DVD进行混合治疗课程。在各项研究中，结局指标涉及生活质量、关节活动度、脊柱活动度、肢体体积和组织硬结。
根据所获数据的分析，对于与感觉性癌症相关的淋巴水肿女性，瑜伽作为一种替代疗法，若与常规护理相结合，在改善身体、职业和情感生活质量以及减轻疲劳、疼痛和失眠等症状方面可能是有用的。此外，瑜伽可以使肢体的组织硬结减轻，从骨盆和后凸角度的改善方面评估脊柱活动度更大，以及肩部外展力量更强。
