A randomized cross-over trial to detect differences in arm volume after low- and heavy-load resistance exercise among patients receiving adjuvant chemotherapy for breast cancer at risk for arm lymphedema: study protocol
Identifieur interne : 001493 ( Main/Exploration ); précédent : 001492; suivant : 001494A randomized cross-over trial to detect differences in arm volume after low- and heavy-load resistance exercise among patients receiving adjuvant chemotherapy for breast cancer at risk for arm lymphedema: study protocol
Auteurs : Kira Bloomquist [Danemark] ; Sandi Hayes ; Lis Adamsen [Danemark] ; Tom M Ller [Danemark] ; Karl Bach Christensen [Danemark] ; Bent Ejlertsen [Danemark] ; Peter Oturai [Danemark]Source :
- BMC Cancer [ 1471-2407 ] ; 2016.
Abstract
In an effort to reduce the risk of breast cancer-related arm lymphedema, patients are commonly advised to avoid heavy lifting, impacting activities of daily living and resistance exercise prescription. This advice lacks evidence, with no prospective studies investigating arm volume changes after resistance exercise with heavy loads in this population. The purpose of this study is to determine acute changes in arm volume after a session of low- and heavy-load resistance exercise among women undergoing adjuvant chemotherapy for breast cancer at risk for arm lymphedema.
This is a randomized cross-over trial.
Findings from this study are relevant for exercise prescription guidelines, as well as recommendations regarding participating in activities of daily living for women following surgery for breast cancer and who may be at risk of developing arm lymphedema.
Current Controlled Trials
The online version of this article (doi:10.1186/s12885-016-2548-y) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12885-016-2548-y
PubMed: 27449067
PubMed Central: 4957879
Affiliations:
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type="main">A randomized cross-over trial to detect differences in arm volume after low- and heavy-load resistance exercise among patients receiving adjuvant chemotherapy for breast cancer at risk for arm lymphedema: study protocol</title><author><name sortKey="Bloomquist, Kira" sort="Bloomquist, Kira" uniqKey="Bloomquist K" first="Kira" last="Bloomquist">Kira Bloomquist</name><affiliation wicri:level="1"><nlm:aff id="Aff1">University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø</wicri:regionArea><wicri:noRegion>2100 Copenhagen Ø</wicri:noRegion></affiliation></author><author><name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name><affiliation><nlm:aff id="Aff2">Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove Urban Village, Kelvin Grove, Queensland 4059 Australia</nlm:aff><wicri:noCountry code="subfield">Queensland 4059 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Adamsen, Lis" sort="Adamsen, Lis" uniqKey="Adamsen L" first="Lis" last="Adamsen">Lis Adamsen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø</wicri:regionArea><wicri:noRegion>2100 Copenhagen Ø</wicri:noRegion></affiliation></author><author><name sortKey="M Ller, Tom" sort="M Ller, Tom" uniqKey="M Ller T" first="Tom" last="M Ller">Tom M Ller</name><affiliation wicri:level="1"><nlm:aff id="Aff1">University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>University Hospitals Centre for Health Research (UCSF), Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø</wicri:regionArea><wicri:noRegion>2100 Copenhagen Ø</wicri:noRegion></affiliation></author><author><name sortKey="Christensen, Karl Bach" sort="Christensen, Karl Bach" uniqKey="Christensen K" first="Karl Bach" last="Christensen">Karl Bach Christensen</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Public Health; Section of Biostatistics, University of Copenhagen, Øster Farimagsgade 5, 1014 Copenhagen K, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Public Health; Section of Biostatistics, University of Copenhagen, Øster Farimagsgade 5, 1014 Copenhagen K</wicri:regionArea><wicri:noRegion>1014 Copenhagen K</wicri:noRegion></affiliation></author><author><name sortKey="Ejlertsen, Bent" sort="Ejlertsen, Bent" uniqKey="Ejlertsen B" first="Bent" last="Ejlertsen">Bent Ejlertsen</name><affiliation wicri:level="1"><nlm:aff id="Aff4">DBCG, Afsnit 2501, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>DBCG, Afsnit 2501, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen Ø</wicri:regionArea><wicri:noRegion>2100 Copenhagen Ø</wicri:noRegion></affiliation></author><author><name sortKey="Oturai, Peter" sort="Oturai, Peter" uniqKey="Oturai P" first="Peter" last="Oturai">Peter Oturai</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Clinical Physiology, Nuclear Medicine and PET, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Clinical Physiology, Nuclear Medicine and PET, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen</wicri:regionArea><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In an effort to reduce the risk of breast cancer-related arm lymphedema, patients are commonly advised to avoid heavy lifting, impacting activities of daily living and resistance exercise prescription. This advice lacks evidence, with no prospective studies investigating arm volume changes after resistance exercise with heavy loads in this population. The purpose of this study is to determine acute changes in arm volume after a session of low- and heavy-load resistance exercise among women undergoing adjuvant chemotherapy for breast cancer at risk for arm lymphedema.</p></sec><sec><title>Methods/Design</title><p>This is a randomized cross-over trial. <italic>Participants</italic>: Women receiving adjuvant chemotherapy for breast cancer who have undergone axillary lymph node dissection will be recruited from rehabilitation centers in the Copenhagen area. <italic>Intervention:</italic> Participants will be randomly assigned to engage in a low- (two sets of 15–20 repetition maximum) and heavy-load (three sets of 5–8 repetition maximum) upper-extremity resistance exercise session with a one week wash-out period between sessions. <italic>Outcome:</italic> Changes in extracellular fluid (L-Dex score) and arm volume (ml) will be assessed using bioimpedance spectroscopy and dual-energy x-ray absorptiometry, respectively. Symptom severity related to arm lymphedema will be determined using a visual analogue scale (heaviness, swelling, pain, tightness). Measurements will be taken immediately pre- and post-exercise, and 24- and 72-hours post-exercise. <italic>Sample size:</italic> A sample size of 20 participants was calculated based on changes in L-Dex scores between baseline and 72-hours post exercise sessions.</p></sec><sec><title>Discussion</title><p>Findings from this study are relevant for exercise prescription guidelines, as well as recommendations regarding participating in activities of daily living for women following surgery for breast cancer and who may be at risk of developing arm lymphedema.</p></sec><sec><title>Trial registration</title><p>Current Controlled Trials <ext-link ext-link-type="uri" xlink:href="http://www.isrctn.com/ISRCTN97332727">ISRCTN97332727</ext-link>. Registered 12 February 2015.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12885-016-2548-y) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Disipio, T" uniqKey="Disipio T">T DiSipio</name></author><author><name sortKey="Rye, S" uniqKey="Rye S">S Rye</name></author><author><name sortKey="Newman, B" uniqKey="Newman B">B Newman</name></author><author><name sortKey="Hayes, S" uniqKey="Hayes S">S Hayes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norman, Sa" uniqKey="Norman S">SA Norman</name></author><author><name sortKey="Localio, Ar" uniqKey="Localio A">AR Localio</name></author><author><name sortKey="Potashnik, Sl" uniqKey="Potashnik S">SL Potashnik</name></author><author><name sortKey="Simoes Torpey, Ha" uniqKey="Simoes Torpey H">HA Simoes 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Rowden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Ts" uniqKey="Lee T">TS Lee</name></author><author><name sortKey="Kilbreath, Sl" uniqKey="Kilbreath S">SL Kilbreath</name></author><author><name sortKey="Sullivan, G" uniqKey="Sullivan G">G Sullivan</name></author><author><name sortKey="Refshauge, Km" uniqKey="Refshauge K">KM Refshauge</name></author><author><name sortKey="Beith, Jm" uniqKey="Beith J">JM Beith</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li></country><region><li>Hovedstaden</li></region><settlement><li>Copenhague</li></settlement></list><tree><noCountry><name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name></noCountry><country name="Danemark"><noRegion><name sortKey="Bloomquist, Kira" sort="Bloomquist, Kira" uniqKey="Bloomquist K" first="Kira" last="Bloomquist">Kira Bloomquist</name></noRegion><name sortKey="Adamsen, Lis" sort="Adamsen, Lis" uniqKey="Adamsen L" first="Lis" last="Adamsen">Lis Adamsen</name><name sortKey="Christensen, Karl Bach" sort="Christensen, Karl Bach" uniqKey="Christensen K" first="Karl Bach" last="Christensen">Karl Bach Christensen</name><name sortKey="Ejlertsen, Bent" sort="Ejlertsen, Bent" uniqKey="Ejlertsen B" first="Bent" last="Ejlertsen">Bent Ejlertsen</name><name sortKey="M Ller, Tom" sort="M Ller, Tom" uniqKey="M Ller T" first="Tom" last="M Ller">Tom M Ller</name><name sortKey="Oturai, Peter" sort="Oturai, Peter" uniqKey="Oturai P" first="Peter" last="Oturai">Peter Oturai</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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