WATER EXERCISE COMPARED TO LAND EXERCISE OR STANDARD CARE IN FEMALE CANCER SURVIVORS WITH SECONDARY LYMPHEDEMA.
Identifieur interne : 001619 ( Main/Exploration ); précédent : 001618; suivant : 001620WATER EXERCISE COMPARED TO LAND EXERCISE OR STANDARD CARE IN FEMALE CANCER SURVIVORS WITH SECONDARY LYMPHEDEMA.
Auteurs : H. Lindquist ; A. Enblom ; G. Dunberger ; T. Nyberg ; K. BergmarkSource :
- Lymphology [ 0024-7766 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Eau, Enquêtes et questionnaires, Facteurs temps, Femelle, Humains, Image du corps, Immersion, Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Membre supérieur (anatomopathologie), Membre supérieur (physiopathologie), Phénomènes biomécaniques, Récupération fonctionnelle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Suède, Traitement par les exercices physiques (), Tumeurs de l'appareil génital féminin (), Tumeurs du sein (), État de santé.
- MESH :
- anatomopathologie : Membre supérieur.
- diagnostic : Lymphoedème.
- physiopathologie : Lymphoedème, Membre supérieur.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Eau, Enquêtes et questionnaires, Facteurs temps, Femelle, Humains, Image du corps, Immersion, Lymphoedème, Phénomènes biomécaniques, Récupération fonctionnelle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Suède, Traitement par les exercices physiques, Tumeurs de l'appareil génital féminin, Tumeurs du sein, État de santé.
- Wicri :
- geographic : Suède.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Biomechanical Phenomena, Body Image, Breast Neoplasms (therapy), Exercise Therapy (methods), Female, Genital Neoplasms, Female (therapy), Health Status, Humans, Immersion, Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (physiopathology), Lymphedema (therapy), Middle Aged, Recovery of Function, Surveys and Questionnaires, Sweden, Time Factors, Treatment Outcome, Upper Extremity (pathology), Upper Extremity (physiopathology), Water.
- MESH :
- chemical : Water.
- geographic : Sweden.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- methods : Exercise Therapy.
- pathology : Upper Extremity.
- physiopathology : Lymphedema, Upper Extremity.
- therapy : Breast Neoplasms, Genital Neoplasms, Female, Lymphedema.
- Adult, Aged, Aged, 80 and over, Biomechanical Phenomena, Body Image, Female, Health Status, Humans, Immersion, Middle Aged, Recovery of Function, Surveys and Questionnaires, Time Factors, Treatment Outcome.
Abstract
There are few studies showing that physical exercise can improve secondary lymphedema. We hypothesized that water exercise would be more effective than land exercise in reducing limb volume. Secondary objectives were joint movement, BMI, daily function, well-being, and body image. Limb volume was measured with circumference or was volumetric. Well-being and body image were measured with a study-specific questionnaire and daily function with DASH and HOOS questionnaires. Eighty-eight eligible patients with secondary lymphedema after breast or gynecological cancer participated in this controlled clinical intervention study. There was a higher proportion of women who participated in water exercises who reduced their secondary arm limb volume (p = 0.029), and there were also significant differences for BMI (p = 0.047) and self-reported frequency of swelling (p = 0.031) in the water exercise group after intervention. Women with arm lymphedema in the land exercise group improved DASH scores (p = 0.047) and outer rotation in the shoulder (p = 0.001). Our results suggest that to reduce objective and self-reported swelling, lymphedema patients may be offered water exercise training while to improve daily shoulder function, land exercises are preferred. To guide female cancer survivors with lymphedema to effective exercise resulting in reduced limb volume and improved function, adequate evidenced-based programs are needed.
PubMed: 26714371
Affiliations:
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Lindquist</name></author><author><name sortKey="Enblom, A" sort="Enblom, A" uniqKey="Enblom A" first="A" last="Enblom">A. Enblom</name></author><author><name sortKey="Dunberger, G" sort="Dunberger, G" uniqKey="Dunberger G" first="G" last="Dunberger">G. Dunberger</name></author><author><name sortKey="Nyberg, T" sort="Nyberg, T" uniqKey="Nyberg T" first="T" last="Nyberg">T. Nyberg</name></author><author><name sortKey="Bergmark, K" sort="Bergmark, K" uniqKey="Bergmark K" first="K" last="Bergmark">K. Bergmark</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Biomechanical Phenomena</term><term>Body Image</term><term>Breast Neoplasms (therapy)</term><term>Exercise Therapy (methods)</term><term>Female</term><term>Genital Neoplasms, Female (therapy)</term><term>Health Status</term><term>Humans</term><term>Immersion</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (therapy)</term><term>Middle Aged</term><term>Recovery of Function</term><term>Surveys and Questionnaires</term><term>Sweden</term><term>Time Factors</term><term>Treatment Outcome</term><term>Upper Extremity (pathology)</term><term>Upper Extremity (physiopathology)</term><term>Water</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Eau</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Image du corps</term><term>Immersion</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (étiologie)</term><term>Membre supérieur (anatomopathologie)</term><term>Membre supérieur (physiopathologie)</term><term>Phénomènes biomécaniques</term><term>Récupération fonctionnelle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Suède</term><term>Traitement par les exercices physiques ()</term><term>Tumeurs de l'appareil génital féminin ()</term><term>Tumeurs du sein ()</term><term>État de santé</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Water</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Sweden</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre supérieur</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Membre supérieur</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Genital Neoplasms, Female</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Biomechanical Phenomena</term><term>Body Image</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Immersion</term><term>Middle Aged</term><term>Recovery of Function</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Eau</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Image du corps</term><term>Immersion</term><term>Lymphoedème</term><term>Phénomènes biomécaniques</term><term>Récupération fonctionnelle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Suède</term><term>Traitement par les exercices physiques</term><term>Tumeurs de l'appareil génital féminin</term><term>Tumeurs du sein</term><term>État de santé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Suède</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There are few studies showing that physical exercise can improve secondary lymphedema. We hypothesized that water exercise would be more effective than land exercise in reducing limb volume. Secondary objectives were joint movement, BMI, daily function, well-being, and body image. Limb volume was measured with circumference or was volumetric. Well-being and body image were measured with a study-specific questionnaire and daily function with DASH and HOOS questionnaires. Eighty-eight eligible patients with secondary lymphedema after breast or gynecological cancer participated in this controlled clinical intervention study. There was a higher proportion of women who participated in water exercises who reduced their secondary arm limb volume (p = 0.029), and there were also significant differences for BMI (p = 0.047) and self-reported frequency of swelling (p = 0.031) in the water exercise group after intervention. Women with arm lymphedema in the land exercise group improved DASH scores (p = 0.047) and outer rotation in the shoulder (p = 0.001). Our results suggest that to reduce objective and self-reported swelling, lymphedema patients may be offered water exercise training while to improve daily shoulder function, land exercises are preferred. To guide female cancer survivors with lymphedema to effective exercise resulting in reduced limb volume and improved function, adequate evidenced-based programs are needed.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Bergmark, K" sort="Bergmark, K" uniqKey="Bergmark K" first="K" last="Bergmark">K. Bergmark</name><name sortKey="Dunberger, G" sort="Dunberger, G" uniqKey="Dunberger G" first="G" last="Dunberger">G. Dunberger</name><name sortKey="Enblom, A" sort="Enblom, A" uniqKey="Enblom A" first="A" last="Enblom">A. Enblom</name><name sortKey="Lindquist, H" sort="Lindquist, H" uniqKey="Lindquist H" first="H" last="Lindquist">H. Lindquist</name><name sortKey="Nyberg, T" sort="Nyberg, T" uniqKey="Nyberg T" first="T" last="Nyberg">T. 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