Effect of progressive resistance exercise using Thera-band on edema volume, upper limb function, and quality of life in patients with breast cancer-related lymphedema
This study aimed to determine the effects of progressive resistive exercise (PRE), including complex decongestive physical therapy (CDPT), on edema volume, hand-grip strength, upper extremity function, and quality of life (QoL) in patients with breast cancer-related lymphedema (BCRL). Twenty patients were randomized between the progressive resistance exercise group (PREG) and the self-home resistance exercise group (SREG). Two patients in each group dropped out of the study, leaving 16 patients: n= 8 in the exercise group and n= 8 in the SREG. First, the PREG and the SREG received CDPT. Subsequently, the patients in the PREG performed PRE, whereas the patients in the SREG performed selfhome resistance exercises. Interventions were performed for 50 min, 3 times a week, for 6 weeks. The results showed that, for the edema volume, a significant intergroup variation was absent, whereas the intragroup variation was significant. The inter- and intragroup variations were significant for both hand-grip strength and upper extremity function. Regarding QoL, a significant difference was observed in global health status/QoL and role function between the groups. Furthermore, significant differences were observed within the PREG in global health status/QoL; physical, role, and cognitive function; and dyspnea. No significant differences were observed within the SREG. The results collectively suggest that the exercise program was an intervention with a greater potential contribution to reducing edema and enhancing physical function in patients with BCRL.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Patients Inclusion and exclusion criteria Study design Upper limb lymphedema circumference measurement Grip strength measurement K-DASH measurement Core QoL questionnaire 30 (QLQ C30) measurement CDPT intervention Progressive resistive exercise intervention Self-home resistive exercise intervention Data analysis RESULTS DISCUSSION CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES
키워드
Breast cancerLymphedemaGrip strengthQuality of lifeProgressive resistance exercise
저자
Yun-Jin Park [ Department of Health Rehabilitation, Osan University, Osan, Korea ]
Song-Ju Na [ Department of Rehabilitation Medicine, Yeouido St. Mary’s Hospital, Seoul, Korea ]
Myung-Ki Kim [ School of Global Sport Studies, Korea University, Sejong, Korea ]
Corresponding Author