Quality of life improvement in breast cancer survivors affected by upper limb lymphedema through a novel multiperspective physical activity methodology: a monocentric pilot study.

Autor: Carretti G; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Largo Brambilla 3, 50134, Florence, Italy., Mirandola D; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.; The Italian League Against Tumors (LILT), 50126, Florence, Italy., Maestrini F; The Italian League Against Tumors (LILT), 50126, Florence, Italy., Sequi L; The Italian League Against Tumors (LILT), 50126, Florence, Italy., Germano S; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Largo Brambilla 3, 50134, Florence, Italy., Muraca MG; Oncological Rehabilitation Centre (Ce.Ri.On.), 50139, Florence, Italy.; Oncological Network, Prevention and Research Institute (ISPRO), 50139, Florence, Italy., Miccinesi G; Oncological Network, Prevention and Research Institute (ISPRO), 50139, Florence, Italy., Manetti M; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Largo Brambilla 3, 50134, Florence, Italy., Marini M; Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Largo Brambilla 3, 50134, Florence, Italy. mirca.marini@unifi.it.
Jazyk: angličtina
Zdroj: Breast cancer (Tokyo, Japan) [Breast Cancer] 2022 May; Vol. 29 (3), pp. 437-449. Date of Electronic Publication: 2022 Jan 13.
DOI: 10.1007/s12282-021-01322-0
Abstrakt: Purpose: Chronic lymphedema causes psychophysical sequelae jeopardizing quality of life (QoL) of breast cancer (BC) survivors, and lack of effective therapies represents a major challenge for healthcare professionals. Structured adapted physical activity (APA) may represent an effective strategy to attenuate cancer treatment-related impairments and improve QoL. Here, we describe the effects of a specific APA intervention based on a novel multiperspective methodology in counteracting lymphedema-related morphofunctional alterations and improving QoL of BC survivors.
Methods: BC survivors with chronic moderate/severe lymphedema attending the Cancer Rehabilitation Center in Florence were assessed before and after 8-week APA. The protocol consisted of both APA specialist-supervised and self-leaded sessions using a tailor-designed proprioceptive board. Body mass index, bioimpedance parameters, indirect upper limb volume measurement, and ultrasonography were performed. Wrist flexion/extension and hand strength functional tests were also executed. QoL, depression/anxiety and pain intensity were evaluated by ULL27, HADS, distress thermometer and NRS questionnaires, respectively.
Results: Although bioimpedance, ultrasound and volumetric measures remained mostly unchanged, wrist mobility, pain perception, depression, and QoL were all significantly ameliorated after APA.
Conclusions: Our findings suggest that a multidisciplinary treatment approach involving APA professionals should be employed in the management of BC-related lymphedema to improve patient psychophysical outcomes and QoL.
(© 2021. The Author(s), under exclusive licence to The Japanese Breast Cancer Society.)
Databáze: MEDLINE
Externí odkaz: