Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial
Identifieur interne : 002303 ( Main/Exploration ); précédent : 002302; suivant : 002304Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial
Auteurs : Annette Loudon [Australie] ; Tony Barnett [Australie] ; Neil Piller [Australie] ; Maarten A. Immink [Australie] ; Andrew D. Williams [Australie]Source :
- BMC Complementary and Alternative Medicine [ 1472-6882 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Autosoins, Femelle, Humains, Lymphoedème, Mesure de la douleur, Projets pilotes, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Yoga.
English descriptors
- KwdEn :
- MESH :
- pathology : Breast Neoplasms, Lymphedema.
- therapy : Breast Neoplasms, Lymphedema.
- Adult, Aged, Aged, 80 and over, Female, Humans, Middle Aged, Pain Measurement, Pilot Projects, Quality of Life, Self Care, Yoga.
Abstract
Secondary arm lymphoedema continues to affect at least 20% of women after treatment for breast cancer requiring lifelong professional treatment and self-management. The holistic practice of yoga may offer benefits as an adjunct self-management option. The aim of this small pilot trial was to gain preliminary data to determine the effect of yoga on women with stage one breast cancer-related lymphoedema (BCRL). This paper reports the results for the primary and secondary outcomes.
Participants were randomised, after baseline testing, to receive either an 8-week yoga intervention (n = 15), consisting of a weekly 90-minute teacher-led class and a 40-minute daily session delivered by DVD, or to a usual care wait-listed control group (n = 13). Primary outcome measures were: arm volume of lymphoedema measured by circumference and extra-cellular fluid measured by bioimpedance spectroscopy. Secondary outcome measures were: tissue induration measured by tonometry; levels of sensations, pain, fatigue, and their limiting effects all measured by a visual analogue scale (VAS) and quality of life based on the Lymphoedema Quality of Life Tool (LYMQOL). Measurements were conducted at baseline, week 8 (post-intervention) and week 12 (four weeks after cessation of the intervention).
At week 8, the intervention group had a greater decrease in tissue induration of the affected upper arm compared to the control group (p = 0.050), as well as a greater reduction in the symptom sub-scale for QOL (p = 0.038). There was no difference in arm volume of lymphoedema or extra-cellular fluid between groups at week 8; however, at week 12, arm volume increased more for the intervention group than the control group (p = 0.032).
An 8-week yoga intervention reduced tissue induration of the affected upper arm and decreased the QOL sub-scale of symptoms. Arm volume of lymphoedema and extra-cellular fluid did not increase. These benefits did not last on cessation of the intervention when arm volume of lymphoedema increased. Further research trials with a longer duration, higher levels of lymphoedema and larger numbers are warranted before definitive conclusions can be made.
Url:
DOI: 10.1186/1472-6882-14-214
PubMed: 24980836
PubMed Central: 4083036
Affiliations:
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Immink</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Health Sciences, University of South Australia, Adelaide, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Health Sciences, University of South Australia, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Williams, Andrew D" sort="Williams, Andrew D" uniqKey="Williams A" first="Andrew D" last="Williams">Andrew D. Williams</name><affiliation wicri:level="1"><nlm:aff id="I4">School of Health Sciences, University of Tasmania, Launceston, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Health Sciences, University of Tasmania, Launceston</wicri:regionArea><wicri:noRegion>Launceston</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Complementary and Alternative Medicine</title><idno type="eISSN">1472-6882</idno><imprint><date when="2014">2014</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>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (therapy)</term><term>Female</term><term>Humans</term><term>Lymphedema (pathology)</term><term>Lymphedema (therapy)</term><term>Middle Aged</term><term>Pain Measurement</term><term>Pilot Projects</term><term>Quality of Life</term><term>Self Care</term><term>Yoga</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Mesure de la douleur</term><term>Projets pilotes</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Yoga</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Pain Measurement</term><term>Pilot Projects</term><term>Quality of Life</term><term>Self Care</term><term>Yoga</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mesure de la douleur</term><term>Projets pilotes</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Yoga</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Secondary arm lymphoedema continues to affect at least 20% of women after treatment for breast cancer requiring lifelong professional treatment and self-management. The holistic practice of yoga may offer benefits as an adjunct self-management option. The aim of this small pilot trial was to gain preliminary data to determine the effect of yoga on women with stage one breast cancer-related lymphoedema (BCRL). This paper reports the results for the primary and secondary outcomes.</p></sec><sec><title>Methods</title><p>Participants were randomised, after baseline testing, to receive either an 8-week yoga intervention (n = 15), consisting of a weekly 90-minute teacher-led class and a 40-minute daily session delivered by DVD, or to a usual care wait-listed control group (n = 13). Primary outcome measures were: arm volume of lymphoedema measured by circumference and extra-cellular fluid measured by bioimpedance spectroscopy. Secondary outcome measures were: tissue induration measured by tonometry; levels of sensations, pain, fatigue, and their limiting effects all measured by a visual analogue scale (VAS) and quality of life based on the Lymphoedema Quality of Life Tool (LYMQOL). Measurements were conducted at baseline, week 8 (post-intervention) and week 12 (four weeks after cessation of the intervention).</p></sec><sec><title>Results</title><p>At week 8, the intervention group had a greater decrease in tissue induration of the affected upper arm compared to the control group (p = 0.050), as well as a greater reduction in the symptom sub-scale for QOL (p = 0.038). There was no difference in arm volume of lymphoedema or extra-cellular fluid between groups at week 8; however, at week 12, arm volume increased more for the intervention group than the control group (p = 0.032).</p></sec><sec><title>Conclusions</title><p>An 8-week yoga intervention reduced tissue induration of the affected upper arm and decreased the QOL sub-scale of symptoms. Arm volume of lymphoedema and extra-cellular fluid did not increase. These benefits did not last on cessation of the intervention when arm volume of lymphoedema increased. Further research trials with a longer duration, higher levels of lymphoedema and larger numbers are warranted before definitive conclusions can be made.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Framework, L" uniqKey="Framework L">L Framework</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brennan, Mj" uniqKey="Brennan M">MJ Brennan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fu, Mr" uniqKey="Fu M">MR Fu</name></author><author><name sortKey="Rosedale, M" uniqKey="Rosedale M">M Rosedale</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ridner, Sh" uniqKey="Ridner S">SH Ridner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hayes, Sc" uniqKey="Hayes S">SC Hayes</name></author><author><name sortKey="Janda, M" uniqKey="Janda M">M 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Hr" uniqKey="Nagendra H">HR Nagendra</name></author><author><name sortKey="Wei, Q" uniqKey="Wei Q">Q Wei</name></author><author><name sortKey="Cohen, L" uniqKey="Cohen L">L Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dawes, Dj" uniqKey="Dawes D">DJ Dawes</name></author><author><name sortKey="Meterissian, S" uniqKey="Meterissian S">S Meterissian</name></author><author><name sortKey="Goldberg, M" uniqKey="Goldberg M">M Goldberg</name></author><author><name sortKey="Mayo, Ne" uniqKey="Mayo N">NE Mayo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moadel, Ab" uniqKey="Moadel A">AB Moadel</name></author><author><name sortKey="Shah, C" uniqKey="Shah C">C Shah</name></author><author><name sortKey="Wylie Rosett, J" uniqKey="Wylie Rosett J">J Wylie-Rosett</name></author><author><name sortKey="Harris, Ms" uniqKey="Harris M">MS Harris</name></author><author><name sortKey="Patel, Sr" uniqKey="Patel S">SR Patel</name></author><author><name sortKey="Hall, Cb" uniqKey="Hall C">CB Hall</name></author><author><name sortKey="Sparano, Ja" uniqKey="Sparano J">JA Sparano</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><author><name sortKey="Harris, Lm" uniqKey="Harris L">LM Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hayes, Sc" uniqKey="Hayes S">SC Hayes</name></author><author><name sortKey="Johansson, K" uniqKey="Johansson K">K Johansson</name></author><author><name sortKey="Stout, Nl" uniqKey="Stout N">NL Stout</name></author><author><name sortKey="Prosnitz, R" uniqKey="Prosnitz R">R Prosnitz</name></author><author><name sortKey="Armer, Jm" uniqKey="Armer J">JM Armer</name></author><author><name sortKey="Gabram, S" uniqKey="Gabram S">S Gabram</name></author><author><name sortKey="Schmitz, Kh" uniqKey="Schmitz K">KH Schmitz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kilbreath, Sl" uniqKey="Kilbreath S">SL Kilbreath</name></author><author><name sortKey="Lee, Mj" uniqKey="Lee M">MJ Lee</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><author><name sortKey="Ward, Lc" uniqKey="Ward L">LC Ward</name></author><author><name sortKey="Simpson, Jm" uniqKey="Simpson J">JM Simpson</name></author><author><name sortKey="Black, D" uniqKey="Black D">D Black</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Loudon, Annette" sort="Loudon, Annette" uniqKey="Loudon A" first="Annette" last="Loudon">Annette Loudon</name></noRegion><name sortKey="Barnett, Tony" sort="Barnett, Tony" uniqKey="Barnett T" first="Tony" last="Barnett">Tony Barnett</name><name sortKey="Immink, Maarten A" sort="Immink, Maarten A" uniqKey="Immink M" first="Maarten A" last="Immink">Maarten A. Immink</name><name sortKey="Piller, Neil" sort="Piller, Neil" uniqKey="Piller N" first="Neil" last="Piller">Neil Piller</name><name sortKey="Williams, Andrew D" sort="Williams, Andrew D" uniqKey="Williams A" first="Andrew D" last="Williams">Andrew D. Williams</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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