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Effect of Acute Exercise on Upper-Limb Volume in Breast Cancer Survivors: A Pilot Study

Identifieur interne : 003758 ( Pmc/Checkpoint ); précédent : 003757; suivant : 003759

Effect of Acute Exercise on Upper-Limb Volume in Breast Cancer Survivors: A Pilot Study

Auteurs : Margaret L. Mcneely ; Kristin L. Campbell ; Kerry S. Courneya ; John R. Mackey

Source :

RBID : PMC:2793699

Abstract

ABSTRACT

Purpose: Strenuous upper-extremity activity and/or exercise have traditionally been prescribed for breast cancer survivors with or at risk of developing lymphedema. The purpose of this study was to assess the effect of an acute bout of exercise on upper-limb volume and symptoms in breast cancer survivors, with the intent to provide pilot data to guide a subsequent larger study.

Methods: Twenty-three women who regularly participated in dragon-boat racing took part in the study. A single exercise bout was performed at a moderate intensity (rating of perceived exertion: 13–14) for 20 continuous minutes on an arm ergometer. The difference between affected and unaffected limb volume was assessed pre- and post-exercise via measurements of limb circumference at five time points.

Results: Although limb volume increased following exercise in both limbs, the difference between the limbs remained stable at each measurement point. Only one participant was found to have an increase in arm-volume difference of >100 ml post intervention, and only four participants reported symptoms of tension and/or heaviness in the affected limb.

Conclusion: The results suggest that limb volume in breast cancer survivors increases after an acute bout of upper-limb exercise but that, for the majority of women, the response is not different between affected and unaffected limbs. Future research using a larger sample and more sensitive measurement methods are recommended.


Url:
DOI: 10.3138/physio.61.4.244
PubMed: 20808486
PubMed Central: 2793699


Affiliations:


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PMC:2793699

Le document en format XML

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<title xml:lang="en">Effect of Acute Exercise on Upper-Limb Volume in Breast Cancer Survivors: A Pilot Study</title>
<author>
<name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name>
</author>
<author>
<name sortKey="Campbell, Kristin L" sort="Campbell, Kristin L" uniqKey="Campbell K" first="Kristin L." last="Campbell">Kristin L. Campbell</name>
</author>
<author>
<name sortKey="Courneya, Kerry S" sort="Courneya, Kerry S" uniqKey="Courneya K" first="Kerry S." last="Courneya">Kerry S. Courneya</name>
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<name sortKey="Mackey, John R" sort="Mackey, John R" uniqKey="Mackey J" first="John R." last="Mackey">John R. Mackey</name>
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<idno type="pmid">20808486</idno>
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<title xml:lang="en" level="a" type="main">Effect of Acute Exercise on Upper-Limb Volume in Breast Cancer Survivors: A Pilot Study</title>
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<name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name>
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<name sortKey="Campbell, Kristin L" sort="Campbell, Kristin L" uniqKey="Campbell K" first="Kristin L." last="Campbell">Kristin L. Campbell</name>
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<name sortKey="Courneya, Kerry S" sort="Courneya, Kerry S" uniqKey="Courneya K" first="Kerry S." last="Courneya">Kerry S. Courneya</name>
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<name sortKey="Mackey, John R" sort="Mackey, John R" uniqKey="Mackey J" first="John R." last="Mackey">John R. Mackey</name>
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<series>
<title level="j">Physiotherapy Canada</title>
<idno type="ISSN">0300-0508</idno>
<idno type="eISSN">1708-8313</idno>
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<date when="2009">2009</date>
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<div type="abstract" xml:lang="en">
<title>ABSTRACT</title>
<p>
<italic>Purpose:</italic>
Strenuous upper-extremity activity and/or exercise have traditionally been prescribed for breast cancer survivors with or at risk of developing lymphedema. The purpose of this study was to assess the effect of an acute bout of exercise on upper-limb volume and symptoms in breast cancer survivors, with the intent to provide pilot data to guide a subsequent larger study.</p>
<p>
<italic>Methods:</italic>
Twenty-three women who regularly participated in dragon-boat racing took part in the study. A single exercise bout was performed at a moderate intensity (rating of perceived exertion: 13–14) for 20 continuous minutes on an arm ergometer. The difference between affected and unaffected limb volume was assessed pre- and post-exercise via measurements of limb circumference at five time points.</p>
<p>
<italic>Results:</italic>
Although limb volume increased following exercise in both limbs, the difference between the limbs remained stable at each measurement point. Only one participant was found to have an increase in arm-volume difference of >100 ml post intervention, and only four participants reported symptoms of tension and/or heaviness in the affected limb.</p>
<p>
<italic>Conclusion:</italic>
The results suggest that limb volume in breast cancer survivors increases after an acute bout of upper-limb exercise but that, for the majority of women, the response is not different between affected and unaffected limbs. Future research using a larger sample and more sensitive measurement methods are recommended.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Physiother Can</journal-id>
<journal-id journal-id-type="publisher-id">PTC</journal-id>
<journal-title-group>
<journal-title>Physiotherapy Canada</journal-title>
</journal-title-group>
<issn pub-type="ppub">0300-0508</issn>
<issn pub-type="epub">1708-8313</issn>
<publisher>
<publisher-name>University of Toronto Press Incorporated</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">20808486</article-id>
<article-id pub-id-type="pmc">2793699</article-id>
<article-id pub-id-type="doi">10.3138/physio.61.4.244</article-id>
<article-id pub-id-type="publisher-id">physio.61.4.244</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
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</article-categories>
<title-group>
<article-title>Effect of Acute Exercise on Upper-Limb Volume in Breast Cancer Survivors: A Pilot Study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>McNeely</surname>
<given-names>Margaret L.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Campbell</surname>
<given-names>Kristin L.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Courneya</surname>
<given-names>Kerry S.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mackey</surname>
<given-names>John R.</given-names>
</name>
</contrib>
<aff>
<italic>Margaret L. McNeely, PhD:</italic>
Physical Therapy Department, University of Alberta, and Cross Cancer Institute, Edmonton, Alberta.</aff>
<aff>
<italic>Kristin L. Campbell, PhD:</italic>
Physical Therapy Department, University of British Columbia, Vancouver, British Columbia.</aff>
<aff>
<italic>Kerry S. Courneya, PhD:</italic>
Faculty of Physical Education, University of Alberta, Edmonton, Alberta.</aff>
<aff>
<italic>John R. Mackey, MD:</italic>
Medical Oncology, University of Alberta, and Cross Cancer Institute, Edmonton, Alberta.</aff>
</contrib-group>
<author-notes>
<fn>
<p>Dr. McNeely and Dr. Campbell were supported by Full-Time Health Research Studentships from the Alberta Heritage Foundation for Medical Research. Dr. Courneya is supported by the Canada Research Chairs Program.</p>
</fn>
<fn>
<p>The authors would like to thank Ms. Laura Sandmeyer, BPE, for her assistance with data collection.</p>
</fn>
<corresp>Address correspondence to
<italic>Margaret L. McNeely</italic>
, Department of Physical Therapy, University of Alberta, 2–50 Corbett Hall, Edmonton, AB T6G 2G4 Canada. Tel.: 780-248-1531. Fax: 780-492-4429. E-mail:
<email>mmcneely@ualberta.ca</email>
.</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Fall</season>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>11</month>
<year>2009</year>
</pub-date>
<volume>61</volume>
<issue>4</issue>
<fpage>244</fpage>
<lpage>251</lpage>
<permissions>
<copyright-statement>© Canadian Physiotherapy Association, 2009. All rights reserved.</copyright-statement>
<copyright-year>2009</copyright-year>
</permissions>
<abstract>
<title>ABSTRACT</title>
<p>
<italic>Purpose:</italic>
Strenuous upper-extremity activity and/or exercise have traditionally been prescribed for breast cancer survivors with or at risk of developing lymphedema. The purpose of this study was to assess the effect of an acute bout of exercise on upper-limb volume and symptoms in breast cancer survivors, with the intent to provide pilot data to guide a subsequent larger study.</p>
<p>
<italic>Methods:</italic>
Twenty-three women who regularly participated in dragon-boat racing took part in the study. A single exercise bout was performed at a moderate intensity (rating of perceived exertion: 13–14) for 20 continuous minutes on an arm ergometer. The difference between affected and unaffected limb volume was assessed pre- and post-exercise via measurements of limb circumference at five time points.</p>
<p>
<italic>Results:</italic>
Although limb volume increased following exercise in both limbs, the difference between the limbs remained stable at each measurement point. Only one participant was found to have an increase in arm-volume difference of >100 ml post intervention, and only four participants reported symptoms of tension and/or heaviness in the affected limb.</p>
<p>
<italic>Conclusion:</italic>
The results suggest that limb volume in breast cancer survivors increases after an acute bout of upper-limb exercise but that, for the majority of women, the response is not different between affected and unaffected limbs. Future research using a larger sample and more sensitive measurement methods are recommended.</p>
</abstract>
<trans-abstract xml:lang="fr">
<title>RÉSUMÉ</title>
<p>
<italic>Objectif :</italic>
De l'exercice ou une activité intenses des membres supérieurs ont toujours été déconseillés pour les femmes ayant survécu à un cancer du sein ou risquant de développer un lymphœdème. L'objectif de cette étude était d'évaluer les effet d'un épisode d'exercices intenses sur le volume du membre supérieur ou sur les symptômes chez les survivantes à un cancer du sein, le tout dans le but de fournir des données pilotes pouvant servir de base à une étude ultérieure à plus grande échelle.</p>
<p>
<italic>Méthodes :</italic>
En tout, 23 femmes participant régulièrement à la course des bateaux-dragons ont participé à l'étude. Un seul exercice a été effectué, à intensité modérée, durant 20 minutes d'affilée, à l'aide d'un ergomètre pour les bras.</p>
<p>
<italic>Résultats :</italic>
Même si après les exercices, les deux membres supérieurs avaient plus de volume, la différence entre les membres supérieurs est demeurée stable à chaque prise de mesure. On a constaté une différence post-intervention dans le volume des bras de l'ordre de >100 ml chez une seule participante et quatre participantes seulement ont signalé des symptômes de tension/une sensation de lourdeur aux membres supérieurs affectés.</p>
<p>
<italic>Conclusions :</italic>
Ces résultats suggèrent que le volume des membres supérieurs chez les femmes ayant survécu à un cancer du sein augmente à la suite d'un épisode d'exercices soutenus sollicitant les membres supérieurs, mais également que, pour une majorité de femmes, la réaction des membres touchés n'est pas différente de celle des membres non touchés. Des recherches ultérieures à l'aide d'un échantillon plus important et de méthodes de mesure plus nuancées ou plus sensibles sont recommandées.</p>
</trans-abstract>
<kwd-group>
<title>Key Words:</title>
<kwd>arm</kwd>
<kwd>breast neoplasms</kwd>
<kwd>exercise</kwd>
<kwd>lymphedema</kwd>
<kwd>upper extremity</kwd>
</kwd-group>
<kwd-group xml:lang="fr">
<title>Mots clés:</title>
<kwd>bras</kwd>
<kwd>exercise</kwd>
<kwd>lymphœdème</kwd>
<kwd>membres supérieurs</kwd>
<kwd>néoplasme</kwd>
<kwd>sein</kwd>
<kwd>tumeur</kwd>
</kwd-group>
</article-meta>
<notes>
<p>McNeely ML, Campbell KL, Courneya KS, Mackey JR. Effect of acute exercise on upper limb volume in breast cancer survivors: a pilot study. Physiother Can. 2009;61:244–251.</p>
</notes>
</front>
</pmc>
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<list></list>
<tree>
<noCountry>
<name sortKey="Campbell, Kristin L" sort="Campbell, Kristin L" uniqKey="Campbell K" first="Kristin L." last="Campbell">Kristin L. Campbell</name>
<name sortKey="Courneya, Kerry S" sort="Courneya, Kerry S" uniqKey="Courneya K" first="Kerry S." last="Courneya">Kerry S. Courneya</name>
<name sortKey="Mackey, John R" sort="Mackey, John R" uniqKey="Mackey J" first="John R." last="Mackey">John R. Mackey</name>
<name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name>
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