INFLUENCE OF ARM CRANK ERGOMETRY ON DEVELOPMENT OF LYMPHOEDEMA IN BREAST CANCER PATIENTS AFTER AXILLARY DISSECTION: A RANDOMIZED CONTROLLED TRAIL

被引:12
|
作者
Schmidt, Thorsten [1 ]
Berner, Jette [2 ]
Jonat, Walter [2 ]
Weisser, Burkhard [3 ]
Roecken, Christoph [1 ]
Van Mackelenbergh, Marion [2 ]
Mundhenke, Christoph [2 ]
机构
[1] Univ Kiel, Comprehens Canc Ctr North, Kiel, Germany
[2] Univ Kiel, Univ Hosp Women, OB GYN, Kiel, Germany
[3] Univ Kiel, Inst Sport Sci, Kiel, Germany
关键词
breast cancer-related lymphoedema; arm crank ergometer; physical activity; QUALITY-OF-LIFE; PHYSICAL-ACTIVITY; CONTROLLED-TRIAL; EXERCISE INTERVENTION; NODE BIOPSY; SURVIVORS; FATIGUE; HEALTH; SAFETY; RISK;
D O I
10.2340/16501977-2167
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To investigate the safety and efficacy of arm crank ergometry in breast cancer patients after axillary lymph node dissection, with regard to changes in bioelectrical impedance analysis, arm circumference, muscular strength, quality of life and fatigue. Design: Randomized controlled clinical intervention trial. Subjects: Forty-nine patients with breast cancer after axillary lymph node dissection. Methods: Arm crank ergometer training twice-weekly was compared with usual care over 12 weeks. Results: The arm crank ergometer group improved significantly in terms of lean body mass and skeletal muscle mass, and showed a significant decrease in body fat. In the arm crank ergometer group, as well as the usual care group, a significant increase in armpit circumference was detected during the training period. The magnitude of the gain was higher in the usual care group. For all other measured regions of the arm a significant decrease in circumference was seen in both groups. Muscular strength of the upper extremity increased significantly in both groups, with a greater improvement in the arm crank ergometer group. In both groups a non-significant trend towards improvement in quality of life was observed. The arm crank ergometer group showed significant improvements in physical functioning, general fatigue and physical fatigue. Conclusion: These results confirm the feasibility of arm crank ergometer training after axillary lymph node dissection and highlight improvements in strength, quality of life and reduced arm symptoms with this training.
引用
收藏
页码:78 / 83
页数:6
相关论文
共 50 条
  • [31] Axillary Dissection Versus No Axillary Dissection in Older Patients With T1N0 Breast Cancer 15-Year Results of a Randomized Controlled Trial
    Martelli, Gabriele
    Boracchi, Patrizia
    Ardoino, Ilaria
    Lozza, Laura
    Bohm, Silvia
    Vetrella, Gaetano
    Agresti, Roberto
    ANNALS OF SURGERY, 2012, 256 (06) : 920 - 924
  • [32] Identification and Preservation of Arm Lymphatic System in Axillary Dissection for Breast Cancer to Reduce Arm Lymphedema Events: A Randomized Clinical Trial
    Yuan, Qianqian
    Wu, Gaosong
    Xiao, Shu-Yuan
    Hou, Jinxuan
    Ren, Yuqi
    Wang, Hongying
    Wang, Kun
    Zhang, Dan
    ANNALS OF SURGICAL ONCOLOGY, 2019, 26 (11) : 3446 - 3454
  • [33] Effectiveness of Cyanoacrylate in Reducing Seroma Formation in Breast Cancer Patients Post-Axillary Dissection: A Randomized Controlled Trial
    Al-Masri, Mahmoud
    Alawneh, Fade
    Daoud, Faiez
    Ebous, Ali
    Hamdan, Basem
    Al-Najjar, Hani
    Al-Masri, Rama
    Abu Farah, Marwan
    FRONTIERS IN ONCOLOGY, 2021, 10
  • [34] Evaluation of ultrasonic axillary dissection in preservation of intercostobrachial nerve and lymphatic sealing in breast cancer patients: Randomized controlled trial
    Salama, Ahmed M. F.
    Nawar, Ahmed M.
    Zayed, Mohamed E.
    Essa, Mohamed S.
    ANNALS OF MEDICINE AND SURGERY, 2020, 60 : 255 - 260
  • [35] Morbidity after conventional dissection of axillary lymph nodes in breast cancer patients
    Emerson Wander Silva Soares
    Hildebrando Massahiro Nagai
    Luis César Bredt
    Ademar Dantas da Cunha
    Reginaldo José Andrade
    Géser Vinícius Silva Soares
    World Journal of Surgical Oncology, 12
  • [36] Morbidity after conventional dissection of axillary lymph nodes in breast cancer patients
    Silva Soares, Emerson Wander
    Nagai, Hildebrando Massahiro
    Bredt, Luis Cesar
    da Cunha, Ademar Dantas, Jr.
    Andrade, Reginaldo Jose
    Silva Soares, Geser Vinicius
    WORLD JOURNAL OF SURGICAL ONCOLOGY, 2014, 12
  • [37] Risk of Lymphedema in a Contemporary Cohort of Breast Cancer Patients after Axillary Dissection
    Brennan, Sarah K.
    Calhoun, Kristine E.
    Inchauste, Suzanne M.
    Flanagan, Meghan R.
    JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2023, 237 (05) : S58 - S59
  • [38] In post-operative adjuvant chemotherapy, does using the arm on the operated side after axillary lymph node dissection following breast cancer surgery induce lymphoedema?
    Yanagita, Y.
    Miyamoto, T.
    Fujisawa, T.
    Matsumoto, H.
    Saitoh, T.
    Arisawa, F.
    Matsushima, R.
    Katayama, K.
    Hirakata, T.
    Ichikawa, K.
    EUROPEAN JOURNAL OF CANCER, 2014, 50 : S89 - S90
  • [39] The efficacy of intermittent pneumatic compression as a decongestive therapy for lymphoedema associated with axillary lymph node dissection in breast cancer patients
    Tasi, S.
    INTERNATIONAL JOURNAL OF NURSING PRACTICE, 2012, 18 : 43 - 43
  • [40] Arm lymphoscintigraphy after axillary lymph node dissection or sentinel lymph node biopsy in breast cancer
    Sarri, Almir Jose
    Dias, Rogerio
    Laurienzo, Carla Elaine
    Pereira Goncalves, Monica Carboni
    Dias, Daniel Spadoto
    Moriguchi, Sonia Marta
    ONCOTARGETS AND THERAPY, 2017, 10 : 1451 - 1457