LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000241

Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study

Identifieur interne : 000241 ( PascalFrancis/Corpus ); précédent : 000240; suivant : 000242

Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study

Auteurs : Elana Katz ; Nicole L. Dugan ; Joy C. Cohn ; Christina Chu ; Rebecca G. Smith ; Kathryn H. Schmitz

Source :

Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2010.

RBID : Pascal:10-0348834

Descripteurs français

Pascal (Inist)
- Rhytidoplastie, Homme, Extrémité inférieure, Lymphoedème, Second cancer, Faisabilité, Exercice physique, Rééducation, Orthopédie.

English descriptors

KwdEn :
- Feasibility, Human, Lifting, Lower extremity, Lymphedema, Orthopedics, Physical exercise, Reeducation, Second cancer.

Abstract

Objective: To assess the feasibility of recruiting and retaining cancer survivors with lower-limb lymphedema into an exercise intervention study. To develop preliminary estimates regarding the safety and efficacy of this intervention. We hypothesized that progressive weight training would not exacerbate leg swelling and that the intervention would improve functional mobility and quality of life. Design: Before-after pilot study with a duration of 5 months. Setting: University of Pennsylvania. Participants: Cancer survivors with a known diagnosis of lower-limb lymphedema (N=10) were directly referred by University of Pennsylvania clinicians. All 10 participants completed the study. Intervention: Twice weekly slowly progressive weight lifting, supervised for 2 months, unsupervised for 3 months. Main Outcome Measures: The primary outcome was interlimb volume differences as measured by optoelectronic perometry. Additional outcome measures included safety (adverse events), muscle strength, objective physical function, and quality of life. Results: Interlimb volume differences were 44.4% and 45.3% at baseline and 5 months, respectively (pre-post comparison, P=.70). There were 2 unexpected incident cases of cellulitis within the first 2 months. Both resolved with oral antibiotics and complete decongestive therapy by 5 months. Bench and leg press strength increased by 47% and 27% over 5 months (P=.001 and P=.07, respectively). Distance walked in 6 minutes increased by 7% in 5 months (P=.01). No improvement was noted in self-reported quality of life. Conclusions: Recruitment of patients with lower-limb-lymphedema into an exercise program is feasible. Despite some indications that the intervention may be safe (eg, a lack of clinically significant interlimb volume increases over 5mo), the unexpected finding of 2 cellulitic infections among the 10 participants suggests additional study is required before concluding that patients with lower-extremity lymphedema can safely perform weight lifting.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0003-9993`
A02	`01`			`@0 APMHAI`
A03		`1`		`@0 Arch. phys. med. rehabil.`
A05				`@2 91`
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A08	`01`	`1`	`ENG`	`@1 Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study`
A11	`01`	`1`		`@1 KATZ (Elana)`
A11	`02`	`1`		`@1 DUGAN (Nicole L.)`
A11	`03`	`1`		`@1 COHN (Joy C.)`
A11	`04`	`1`		`@1 CHU (Christina)`
A11	`05`	`1`		`@1 SMITH (Rebecca G.)`
A11	`06`	`1`		`@1 SCHMITZ (Kathryn H.)`
A14	`01`			`@1 Department of Rehabilitation Medicine, University of Washington @2 Seattle, WA @3 USA @Z 1 aut.`
A14	`02`			`@1 Good Shephard Penn Partners @2 Philadelphia, PA @3 USA @Z 2 aut. @Z 3 aut.`
A14	`03`			`@1 Divisions of Gynecologic Oncology, University of Pennsylvania School of Medicine @2 Philadelphia, PA @3 USA @Z 4 aut.`
A14	`04`			`@1 Clinical Epidemiology, University of Pennsylvania School of Medicine @2 Philadelphia, PA @3 USA @Z 6 aut.`
A14	`05`			`@1 Moss Rehabilitation at Elkins Park, Albert Einstein Medical Center @2 Philadelphia, PA @3 USA @Z 5 aut.`
A20				`@1 1070-1076`
A21				`@1 2010`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 8199 @5 354000193791720100`
A44				`@0 0000 @1 © 2010 INIST-CNRS. All rights reserved.`
A45				`@0 58 ref.`
A47	`01`	`1`		`@0 10-0348834`
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C01	`01`		`ENG`	@0 Objective: To assess the feasibility of recruiting and retaining cancer survivors with lower-limb lymphedema into an exercise intervention study. To develop preliminary estimates regarding the safety and efficacy of this intervention. We hypothesized that progressive weight training would not exacerbate leg swelling and that the intervention would improve functional mobility and quality of life. Design: Before-after pilot study with a duration of 5 months. Setting: University of Pennsylvania. Participants: Cancer survivors with a known diagnosis of lower-limb lymphedema (N=10) were directly referred by University of Pennsylvania clinicians. All 10 participants completed the study. Intervention: Twice weekly slowly progressive weight lifting, supervised for 2 months, unsupervised for 3 months. Main Outcome Measures: The primary outcome was interlimb volume differences as measured by optoelectronic perometry. Additional outcome measures included safety (adverse events), muscle strength, objective physical function, and quality of life. Results: Interlimb volume differences were 44.4% and 45.3% at baseline and 5 months, respectively (pre-post comparison, P=.70). There were 2 unexpected incident cases of cellulitis within the first 2 months. Both resolved with oral antibiotics and complete decongestive therapy by 5 months. Bench and leg press strength increased by 47% and 27% over 5 months (P=.001 and P=.07, respectively). Distance walked in 6 minutes increased by 7% in 5 months (P=.01). No improvement was noted in self-reported quality of life. Conclusions: Recruitment of patients with lower-limb-lymphedema into an exercise program is feasible. Despite some indications that the intervention may be safe (eg, a lack of clinically significant interlimb volume increases over 5mo), the unexpected finding of 2 cellulitic infections among the 10 participants suggests additional study is required before concluding that patients with lower-extremity lymphedema can safely perform weight lifting.
C02	`01`	`X`		`@0 002B15`
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C03	`03`	`X`	`SPA`	`@0 Extremidad inferior @5 09`
C03	`04`	`X`	`FRE`	`@0 Lymphoedème @5 13`
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C03	`04`	`X`	`SPA`	`@0 Linfedema @5 13`
C03	`05`	`X`	`FRE`	`@0 Second cancer @5 14`
C03	`05`	`X`	`ENG`	`@0 Second cancer @5 14`
C03	`05`	`X`	`SPA`	`@0 Segundo cáncer @5 14`
C03	`06`	`X`	`FRE`	`@0 Faisabilité @5 15`
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C03	`06`	`X`	`SPA`	`@0 Practicabilidad @5 15`
C03	`07`	`X`	`FRE`	`@0 Exercice physique @5 16`
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C07	`03`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 38`
C07	`04`	`X`	`FRE`	`@0 Pathologie des vaisseaux lymphatiques @5 39`
C07	`04`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 39`
C07	`04`	`X`	`SPA`	`@0 Linfático patología @5 39`
N21				`@1 221`
N44	`01`			`@1 OTO`
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Format Inist (serveur)

NO :	PASCAL 10-0348834 INIST
ET :	Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study
AU :	KATZ (Elana); DUGAN (Nicole L.); COHN (Joy C.); CHU (Christina); SMITH (Rebecca G.); SCHMITZ (Kathryn H.)
AF :	Department of Rehabilitation Medicine, University of Washington/Seattle, WA/Etats-Unis (1 aut.); Good Shephard Penn Partners/Philadelphia, PA/Etats-Unis (2 aut., 3 aut.); Divisions of Gynecologic Oncology, University of Pennsylvania School of Medicine/Philadelphia, PA/Etats-Unis (4 aut.); Clinical Epidemiology, University of Pennsylvania School of Medicine/Philadelphia, PA/Etats-Unis (6 aut.); Moss Rehabilitation at Elkins Park, Albert Einstein Medical Center/Philadelphia, PA/Etats-Unis (5 aut.)
DT :	Publication en série; Niveau analytique
SO :	Archives of physical medicine and rehabilitation; ISSN 0003-9993; Coden APMHAI; Etats-Unis; Da. 2010; Vol. 91; No. 7; Pp. 1070-1076; Bibl. 58 ref.
LA :	Anglais
EA :	Objective: To assess the feasibility of recruiting and retaining cancer survivors with lower-limb lymphedema into an exercise intervention study. To develop preliminary estimates regarding the safety and efficacy of this intervention. We hypothesized that progressive weight training would not exacerbate leg swelling and that the intervention would improve functional mobility and quality of life. Design: Before-after pilot study with a duration of 5 months. Setting: University of Pennsylvania. Participants: Cancer survivors with a known diagnosis of lower-limb lymphedema (N=10) were directly referred by University of Pennsylvania clinicians. All 10 participants completed the study. Intervention: Twice weekly slowly progressive weight lifting, supervised for 2 months, unsupervised for 3 months. Main Outcome Measures: The primary outcome was interlimb volume differences as measured by optoelectronic perometry. Additional outcome measures included safety (adverse events), muscle strength, objective physical function, and quality of life. Results: Interlimb volume differences were 44.4% and 45.3% at baseline and 5 months, respectively (pre-post comparison, P=.70). There were 2 unexpected incident cases of cellulitis within the first 2 months. Both resolved with oral antibiotics and complete decongestive therapy by 5 months. Bench and leg press strength increased by 47% and 27% over 5 months (P=.001 and P=.07, respectively). Distance walked in 6 minutes increased by 7% in 5 months (P=.01). No improvement was noted in self-reported quality of life. Conclusions: Recruitment of patients with lower-limb-lymphedema into an exercise program is feasible. Despite some indications that the intervention may be safe (eg, a lack of clinically significant interlimb volume increases over 5mo), the unexpected finding of 2 cellulitic infections among the 10 participants suggests additional study is required before concluding that patients with lower-extremity lymphedema can safely perform weight lifting.
CC :	002B15; 002B12B04; 002B26O
FD :	Rhytidoplastie; Homme; Extrémité inférieure; Lymphoedème; Second cancer; Faisabilité; Exercice physique; Rééducation; Orthopédie
FG :	Tumeur maligne; Cancer; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Lifting; Human; Lower extremity; Lymphedema; Second cancer; Feasibility; Physical exercise; Reeducation; Orthopedics
EG :	Malignant tumor; Cancer; Cardiovascular disease; Lymphatic vessel disease
SD :	Ritidoplastia; Hombre; Extremidad inferior; Linfedema; Segundo cáncer; Practicabilidad; Ejercicio físico; Reeducación; Ortopedia
LO :	INIST-8199.354000193791720100
ID :	10-0348834

Links to Exploration step

Pascal:10-0348834

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Feasibility</term>
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<front><div type="abstract" xml:lang="en">Objective: To assess the feasibility of recruiting and retaining cancer survivors with lower-limb lymphedema into an exercise intervention study. To develop preliminary estimates regarding the safety and efficacy of this intervention. We hypothesized that progressive weight training would not exacerbate leg swelling and that the intervention would improve functional mobility and quality of life. Design: Before-after pilot study with a duration of 5 months. Setting: University of Pennsylvania. Participants: Cancer survivors with a known diagnosis of lower-limb lymphedema (N=10) were directly referred by University of Pennsylvania clinicians. All 10 participants completed the study. Intervention: Twice weekly slowly progressive weight lifting, supervised for 2 months, unsupervised for 3 months. Main Outcome Measures: The primary outcome was interlimb volume differences as measured by optoelectronic perometry. Additional outcome measures included safety (adverse events), muscle strength, objective physical function, and quality of life. Results: Interlimb volume differences were 44.4% and 45.3% at baseline and 5 months, respectively (pre-post comparison, P=.70). There were 2 unexpected incident cases of cellulitis within the first 2 months. Both resolved with oral antibiotics and complete decongestive therapy by 5 months. Bench and leg press strength increased by 47% and 27% over 5 months (P=.001 and P=.07, respectively). Distance walked in 6 minutes increased by 7% in 5 months (P=.01). No improvement was noted in self-reported quality of life. Conclusions: Recruitment of patients with lower-limb-lymphedema into an exercise program is feasible. Despite some indications that the intervention may be safe (eg, a lack of clinically significant interlimb volume increases over 5mo), the unexpected finding of 2 cellulitic infections among the 10 participants suggests additional study is required before concluding that patients with lower-extremity lymphedema can safely perform weight lifting.</div>
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<s5>08</s5>
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<s5>14</s5>
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<s5>15</s5>
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<s5>15</s5>
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<s5>16</s5>
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<s5>16</s5>
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<s5>16</s5>
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<s2>NM</s2>
<s5>37</s5>
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<s2>NM</s2>
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<s2>NM</s2>
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<s2>NM</s2>
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<s2>NM</s2>
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<s5>38</s5>
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<s5>38</s5>
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<s5>39</s5>
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<s5>39</s5>
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<server><NO>PASCAL 10-0348834 INIST</NO>
<ET>Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study</ET>
<AU>KATZ (Elana); DUGAN (Nicole L.); COHN (Joy C.); CHU (Christina); SMITH (Rebecca G.); SCHMITZ (Kathryn H.)</AU>
<AF>Department of Rehabilitation Medicine, University of Washington/Seattle, WA/Etats-Unis (1 aut.); Good Shephard Penn Partners/Philadelphia, PA/Etats-Unis (2 aut., 3 aut.); Divisions of Gynecologic Oncology, University of Pennsylvania School of Medicine/Philadelphia, PA/Etats-Unis (4 aut.); Clinical Epidemiology, University of Pennsylvania School of Medicine/Philadelphia, PA/Etats-Unis (6 aut.); Moss Rehabilitation at Elkins Park, Albert Einstein Medical Center/Philadelphia, PA/Etats-Unis (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Archives of physical medicine and rehabilitation; ISSN 0003-9993; Coden APMHAI; Etats-Unis; Da. 2010; Vol. 91; No. 7; Pp. 1070-1076; Bibl. 58 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To assess the feasibility of recruiting and retaining cancer survivors with lower-limb lymphedema into an exercise intervention study. To develop preliminary estimates regarding the safety and efficacy of this intervention. We hypothesized that progressive weight training would not exacerbate leg swelling and that the intervention would improve functional mobility and quality of life. Design: Before-after pilot study with a duration of 5 months. Setting: University of Pennsylvania. Participants: Cancer survivors with a known diagnosis of lower-limb lymphedema (N=10) were directly referred by University of Pennsylvania clinicians. All 10 participants completed the study. Intervention: Twice weekly slowly progressive weight lifting, supervised for 2 months, unsupervised for 3 months. Main Outcome Measures: The primary outcome was interlimb volume differences as measured by optoelectronic perometry. Additional outcome measures included safety (adverse events), muscle strength, objective physical function, and quality of life. Results: Interlimb volume differences were 44.4% and 45.3% at baseline and 5 months, respectively (pre-post comparison, P=.70). There were 2 unexpected incident cases of cellulitis within the first 2 months. Both resolved with oral antibiotics and complete decongestive therapy by 5 months. Bench and leg press strength increased by 47% and 27% over 5 months (P=.001 and P=.07, respectively). Distance walked in 6 minutes increased by 7% in 5 months (P=.01). No improvement was noted in self-reported quality of life. Conclusions: Recruitment of patients with lower-limb-lymphedema into an exercise program is feasible. Despite some indications that the intervention may be safe (eg, a lack of clinically significant interlimb volume increases over 5mo), the unexpected finding of 2 cellulitic infections among the 10 participants suggests additional study is required before concluding that patients with lower-extremity lymphedema can safely perform weight lifting.</EA>
<CC>002B15; 002B12B04; 002B26O</CC>
<FD>Rhytidoplastie; Homme; Extrémité inférieure; Lymphoedème; Second cancer; Faisabilité; Exercice physique; Rééducation; Orthopédie</FD>
<FG>Tumeur maligne; Cancer; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lifting; Human; Lower extremity; Lymphedema; Second cancer; Feasibility; Physical exercise; Reeducation; Orthopedics</ED>
<EG>Malignant tumor; Cancer; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Ritidoplastia; Hombre; Extremidad inferior; Linfedema; Segundo cáncer; Practicabilidad; Ejercicio físico; Reeducación; Ortopedia</SD>
<LO>INIST-8199.354000193791720100</LO>
<ID>10-0348834</ID>
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Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study

Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study

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