Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study
Identifieur interne : 000717 ( PascalFrancis/Curation ); précédent : 000716; suivant : 000718Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study
Auteurs : Elana Katz [États-Unis] ; Nicole L. Dugan [États-Unis] ; Joy C. Cohn [États-Unis] ; Christina Chu [États-Unis] ; Rebecca G. Smith [États-Unis] ; Kathryn H. Schmitz [États-Unis]Source :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2010.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
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.
pA |
|
---|
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000241
Links to Exploration step
Pascal:10-0348834Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study</title>
<author><name sortKey="Katz, Elana" sort="Katz, Elana" uniqKey="Katz E" first="Elana" last="Katz">Elana Katz</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Rehabilitation Medicine, University of Washington</s1>
<s2>Seattle, WA</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Dugan, Nicole L" sort="Dugan, Nicole L" uniqKey="Dugan N" first="Nicole L." last="Dugan">Nicole L. Dugan</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Good Shephard Penn Partners</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Cohn, Joy C" sort="Cohn, Joy C" uniqKey="Cohn J" first="Joy C." last="Cohn">Joy C. Cohn</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Good Shephard Penn Partners</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Chu, Christina" sort="Chu, Christina" uniqKey="Chu C" first="Christina" last="Chu">Christina Chu</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Divisions of Gynecologic Oncology, University of Pennsylvania School of Medicine</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Smith, Rebecca G" sort="Smith, Rebecca G" uniqKey="Smith R" first="Rebecca G." last="Smith">Rebecca G. Smith</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Moss Rehabilitation at Elkins Park, Albert Einstein Medical Center</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Clinical Epidemiology, University of Pennsylvania School of Medicine</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">10-0348834</idno>
<date when="2010">2010</date>
<idno type="stanalyst">PASCAL 10-0348834 INIST</idno>
<idno type="RBID">Pascal:10-0348834</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000241</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000717</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study</title>
<author><name sortKey="Katz, Elana" sort="Katz, Elana" uniqKey="Katz E" first="Elana" last="Katz">Elana Katz</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Rehabilitation Medicine, University of Washington</s1>
<s2>Seattle, WA</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Dugan, Nicole L" sort="Dugan, Nicole L" uniqKey="Dugan N" first="Nicole L." last="Dugan">Nicole L. Dugan</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Good Shephard Penn Partners</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Cohn, Joy C" sort="Cohn, Joy C" uniqKey="Cohn J" first="Joy C." last="Cohn">Joy C. Cohn</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Good Shephard Penn Partners</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Chu, Christina" sort="Chu, Christina" uniqKey="Chu C" first="Christina" last="Chu">Christina Chu</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Divisions of Gynecologic Oncology, University of Pennsylvania School of Medicine</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Smith, Rebecca G" sort="Smith, Rebecca G" uniqKey="Smith R" first="Rebecca G." last="Smith">Rebecca G. Smith</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Moss Rehabilitation at Elkins Park, Albert Einstein Medical Center</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Clinical Epidemiology, University of Pennsylvania School of Medicine</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Archives of physical medicine and rehabilitation</title>
<title level="j" type="abbreviated">Arch. phys. med. rehabil.</title>
<idno type="ISSN">0003-9993</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Archives of physical medicine and rehabilitation</title>
<title level="j" type="abbreviated">Arch. phys. med. rehabil.</title>
<idno type="ISSN">0003-9993</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Feasibility</term>
<term>Human</term>
<term>Lifting</term>
<term>Lower extremity</term>
<term>Lymphedema</term>
<term>Orthopedics</term>
<term>Physical exercise</term>
<term>Reeducation</term>
<term>Second cancer</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Rhytidoplastie</term>
<term>Homme</term>
<term>Extrémité inférieure</term>
<term>Lymphoedème</term>
<term>Second cancer</term>
<term>Faisabilité</term>
<term>Exercice physique</term>
<term>Rééducation</term>
<term>Orthopédie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<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>
</front>
</TEI>
<inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0003-9993</s0>
</fA01>
<fA02 i1="01"><s0>APMHAI</s0>
</fA02>
<fA03 i2="1"><s0>Arch. phys. med. rehabil.</s0>
</fA03>
<fA05><s2>91</s2>
</fA05>
<fA06><s2>7</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>KATZ (Elana)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>DUGAN (Nicole L.)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>COHN (Joy C.)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>CHU (Christina)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>SMITH (Rebecca G.)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>SCHMITZ (Kathryn H.)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Rehabilitation Medicine, University of Washington</s1>
<s2>Seattle, WA</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Good Shephard Penn Partners</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Divisions of Gynecologic Oncology, University of Pennsylvania School of Medicine</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Clinical Epidemiology, University of Pennsylvania School of Medicine</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Moss Rehabilitation at Elkins Park, Albert Einstein Medical Center</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA20><s1>1070-1076</s1>
</fA20>
<fA21><s1>2010</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>8199</s2>
<s5>354000193791720100</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2010 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>58 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>10-0348834</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Archives of physical medicine and rehabilitation</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B15</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B12B04</s0>
</fC02>
<fC02 i1="03" i2="X"><s0>002B26O</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Rhytidoplastie</s0>
<s5>07</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Lifting</s0>
<s5>07</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Ritidoplastia</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Homme</s0>
<s5>08</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Human</s0>
<s5>08</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Hombre</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Extrémité inférieure</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Lower extremity</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Extremidad inferior</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Lymphoedème</s0>
<s5>13</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Lymphedema</s0>
<s5>13</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Linfedema</s0>
<s5>13</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Second cancer</s0>
<s5>14</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Second cancer</s0>
<s5>14</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Segundo cáncer</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Faisabilité</s0>
<s5>15</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Feasibility</s0>
<s5>15</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Practicabilidad</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Exercice physique</s0>
<s5>16</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Physical exercise</s0>
<s5>16</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Ejercicio físico</s0>
<s5>16</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Rééducation</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Reeducation</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Reeducación</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Orthopédie</s0>
<s5>18</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Orthopedics</s0>
<s5>18</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Ortopedia</s0>
<s5>18</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>39</s5>
</fC07>
<fN21><s1>221</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/PascalFrancis/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000717 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PascalFrancis/Curation/biblio.hfd -nk 000717 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= PascalFrancis |étape= Curation |type= RBID |clé= Pascal:10-0348834 |texte= Weight Lifting in Patients With Lower-Extremity Lymphedema Secondary to Cancer: A Pilot and Feasibility Study }}
This area was generated with Dilib version V0.6.31. |