The effects of pole walking on arm lymphedema and cardiovascular fitness in women treated for breast cancer: a pilot and feasibility study
Autor: | Karin Johansson, Charlotta Jönsson |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Physical fitness MEDLINE Breast Neoplasms Pilot Projects Physical Therapy Sports Therapy and Rehabilitation Walking Body weight Postoperative Complications Breast cancer Physical medicine and rehabilitation Skiing medicine Humans Lymphedema skin and connective tissue diseases Cardiovascular fitness Aged Arm Injuries business.industry Body Weight Middle Aged medicine.disease Exercise Therapy Clinical trial Physical Fitness Arm Physical therapy Feasibility Studies Canes Female business |
Zdroj: | Physiotherapy Theory and Practice. 30:236-242 |
ISSN: | 1532-5040 0959-3985 |
DOI: | 10.3109/09593985.2013.848961 |
Popis: | The benefit of exercise for breast cancer-treated women is well documented. However, studies of cardiovascular fitness training for women with breast cancer-related arm lymphedema are rare. The purpose of this study was to investigate the effects of intensive pole walking on arm lymphedema in women treated for breast cancer. Thirty-five women with unilateral lymphedema were included and twenty-three completed an eight-week exercise intervention consisting of pole walking 3-5 times per week, for 30-60 min, at 70%-80% of their maximum heart rate, preceded by a two-week control period. Measurements of arm lymphedema (water displacement method), body weight, cardiovascular fitness (sub-maximal bicycle ergometer test) and subjective assessments (disability of the arm, shoulder and hand (DASH) questionnaire; heaviness and tightness using a visual analogue scale (VAS); and well-being) were performed before the control period and before and after the exercise intervention. The results indicated a significant reduction in total arm volume of the lymphedema arm (p = 0.001), in lymphedema absolute volume (p = 0.014) and lymphedema relative volume (p = 0.015). Significant decreases of heart rate (p = 0.004), DASH score (p = 0.053) and rating of tightness in the arm (p = 0.043) were found. Positive and negative influences on well-being were reported. The conclusion of this study is that pole walking is feasible for breast cancer-treated women with arm lymphedema. |
Databáze: | OpenAIRE |
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