The Effect of Yoga on Arm Volume, Strength, and Range of Motion in Women at Risk for Breast Cancer-Related Lymphedema.
| Autor: | Mazor, Melissa, Lee, Jeannette Q., Peled, Anne, Zerzan, Sarah, Irwin, Chetan, Chesney, Margaret A., Serrurier, Katherine, Sbitany, Hani, Dhruva, Anand, Sacks, Devorah, Smoot, Betty |
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| Předmět: |
ARM physiology
LYMPHEDEMA treatment BREAST tumors CONFIDENCE intervals EXERCISE tests RANGE of motion of joints EVALUATION of medical care MUSCLE contraction MUSCLE strength POSTOPERATIVE care PROBABILITY theory QUESTIONNAIRES RESEARCH funding T-test (Statistics) YOGA PILOT projects DATA analysis software DESCRIPTIVE statistics |
| Zdroj: | Journal of Alternative & Complementary Medicine; Feb2018, Vol. 24 Issue 2, p154-160, 7p |
| Abstrakt: | Objectives: To assess the feasibility, safety, and initial estimates of efficacy of a yoga program in postoperative care for women at high risk for breast cancer-related lymphedema (BCRL). Design: Single-group pretest-post-test design. Settings/Location: Patients were recruited from the University of California, San Francisco Carol Franc Buck Breast Care Center. Subjects: Twenty-one women were enrolled in the study. Women were >18 years of age, had undergone surgical treatment for breast cancer, and were at high risk for BCRL. Intervention: The women participated in an Ashtanga yoga intervention for 8 weeks. Sessions consisted of once/week instructor-led practice and once/week home practice. Particular attention was given to poses that emphasized upper body strength and flexibility, while avoiding significant time with the upper extremity (UE) in a dependent position. Outcome measures: UE volume was assessed through circumferential forearm measurement, which was converted to volume using the formula for a truncated cone. Range of motion (ROM) was assessed for the shoulders, elbows, and wrists, using a standard goniometer. UE strength was assessed for shoulder abduction, elbow flexion, wrist flexion, and grip using a dynamometer. Results: Twenty women completed the yoga intervention, with 17 returning for final assessment. Mean age was 52 (±9.1) years and body mass index was 24.8 (±5.1) kg/m2. Postintervention, mean volume in the at-risk UE was slightly reduced ( p = 0.397). ROM for shoulder flexion ( p < 0.01) and external rotation ( p < 0.05) significantly increased bilaterally. Shoulder abduction ROM significantly improved for the unaffected limb ( p = 0.001). Following intervention, strength improved on the affected side for shoulder abduction and grip strength, and bilaterally for elbow flexion ( p < 0.05 for all). Conclusions: These preliminary findings suggest that yoga is feasible and safe for women who are at risk for BCRL and may result in small improvements in shoulder ROM and UE strength. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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