Yoga protocol for treatment of breast cancer-related lymphedema
Identifieur interne : 000760 ( Pmc/Curation ); précédent : 000759; suivant : 000761Yoga protocol for treatment of breast cancer-related lymphedema
Auteurs : Sr Narahari [Inde] ; Madhur Guruprasad Aggithaya [Inde] ; Liselotte Thernoe [Royaume-Uni] ; Kuthaje S. Bose [Inde] ; Terence J. Ryan [Royaume-Uni]Source :
- International Journal of Yoga [ 0973-6131 ] ; 2016.
Abstract
Vaqas and Ryan (2003) advocated yoga and breathing exercises for lymphedema. Narahari
The study outcome was to create a yoga protocol for BCRL. Selection of yoga was based on the actions of muscles on joints, anatomical areas associated with different groups of lymph nodes, stretching of skin, and method of breathing in each yoga. The protocol was piloted in eight BCRL patients, observed its difficulties by interacting with patients. A literature search was conducted in PubMed and Cochrane library to identify the yoga protocols for BCRL.
Twenty yoga and 5 breathing exercises were adopted. They have slow, methodical joint movements which helped patients to tolerate pain. Breathing was long and diaphragmatic. Flexion of joints was coordinated with exhalation and extension with inhalation. Alternate yoga was introduced to facilitate patients to perform complex movements. Yoga's joint movements, initial positions, and mode of breathing were compared to two other protocols. The volume reduced from 2.4 to 1.2 L in eight patients after continuous practice of yoga and compression at home for 3 months. There was improvement in the range of movement and intensity of pain.
Yoga exercises were selected on the basis of their role in chest expansion, maximizing range of movements: flexion of large muscles, maximum stretch of skin, and thus part-by-part lymph drainage from center and periphery. This protocol addressed functional, volume, and movement issues of BCRL and was found to be superior to other BCRL yoga protocols. However, this protocol needs to be tested in centers routinely managing BCRL.
Url:
DOI: 10.4103/0973-6131.183713
PubMed: 27512322
PubMed Central: 4959325
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<author><name sortKey="Narahari, Sr" sort="Narahari, Sr" uniqKey="Narahari S" first="Sr" last="Narahari">Sr Narahari</name>
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<author><name sortKey="Aggithaya, Madhur Guruprasad" sort="Aggithaya, Madhur Guruprasad" uniqKey="Aggithaya M" first="Madhur Guruprasad" last="Aggithaya">Madhur Guruprasad Aggithaya</name>
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<author><name sortKey="Bose, Kuthaje S" sort="Bose, Kuthaje S" uniqKey="Bose K" first="Kuthaje S" last="Bose">Kuthaje S. Bose</name>
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<author><name sortKey="Ryan, Terence J" sort="Ryan, Terence J" uniqKey="Ryan T" first="Terence J" last="Ryan">Terence J. Ryan</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Yoga protocol for treatment of breast cancer-related lymphedema</title>
<author><name sortKey="Narahari, Sr" sort="Narahari, Sr" uniqKey="Narahari S" first="Sr" last="Narahari">Sr Narahari</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Applied Dermatology, Kasaragod, Kerala, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Institute of Applied Dermatology, Kasaragod, Kerala</wicri:regionArea>
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<author><name sortKey="Aggithaya, Madhur Guruprasad" sort="Aggithaya, Madhur Guruprasad" uniqKey="Aggithaya M" first="Madhur Guruprasad" last="Aggithaya">Madhur Guruprasad Aggithaya</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Applied Dermatology, Kasaragod, Kerala, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Institute of Applied Dermatology, Kasaragod, Kerala</wicri:regionArea>
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<author><name sortKey="Thernoe, Liselotte" sort="Thernoe, Liselotte" uniqKey="Thernoe L" first="Liselotte" last="Thernoe">Liselotte Thernoe</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Physiotherapy, Bispebjerg Hospital, 2400 Copenhagen, Denmark, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Physiotherapy, Bispebjerg Hospital, 2400 Copenhagen, Denmark</wicri:regionArea>
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<author><name sortKey="Bose, Kuthaje S" sort="Bose, Kuthaje S" uniqKey="Bose K" first="Kuthaje S" last="Bose">Kuthaje S. Bose</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Institute of Applied Dermatology, Kasaragod, Kerala, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Institute of Applied Dermatology, Kasaragod, Kerala</wicri:regionArea>
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<author><name sortKey="Ryan, Terence J" sort="Ryan, Terence J" uniqKey="Ryan T" first="Terence J" last="Ryan">Terence J. Ryan</name>
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<series><title level="j">International Journal of Yoga</title>
<idno type="ISSN">0973-6131</idno>
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<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction:</title>
<p>Vaqas and Ryan (2003) advocated yoga and breathing exercises for lymphedema. Narahari <italic>et al</italic>
. (2007) developed an integrative medicine protocol for lower-limb lymphedema using yoga. Studies have hypothesized that yoga plays a similar role as that of central manual lymph drainage of Foldi's technique. This study explains how we have used yoga and breathing as a self-care intervention for breast cancer-related lymphedema (BCRL).</p>
</sec>
<sec id="st2"><title>Methods:</title>
<p>The study outcome was to create a yoga protocol for BCRL. Selection of yoga was based on the actions of muscles on joints, anatomical areas associated with different groups of lymph nodes, stretching of skin, and method of breathing in each yoga. The protocol was piloted in eight BCRL patients, observed its difficulties by interacting with patients. A literature search was conducted in PubMed and Cochrane library to identify the yoga protocols for BCRL.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Twenty yoga and 5 breathing exercises were adopted. They have slow, methodical joint movements which helped patients to tolerate pain. Breathing was long and diaphragmatic. Flexion of joints was coordinated with exhalation and extension with inhalation. Alternate yoga was introduced to facilitate patients to perform complex movements. Yoga's joint movements, initial positions, and mode of breathing were compared to two other protocols. The volume reduced from 2.4 to 1.2 L in eight patients after continuous practice of yoga and compression at home for 3 months. There was improvement in the range of movement and intensity of pain.</p>
</sec>
<sec id="st4"><title>Discussion:</title>
<p>Yoga exercises were selected on the basis of their role in chest expansion, maximizing range of movements: flexion of large muscles, maximum stretch of skin, and thus part-by-part lymph drainage from center and periphery. This protocol addressed functional, volume, and movement issues of BCRL and was found to be superior to other BCRL yoga protocols. However, this protocol needs to be tested in centers routinely managing BCRL.</p>
</sec>
</div>
</front>
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</author>
<author><name sortKey="Jacob, Nk" uniqKey="Jacob N">NK Jacob</name>
</author>
<author><name sortKey="Sushma, Kv" uniqKey="Sushma K">KV Sushma</name>
</author>
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<biblStruct><analytic><author><name sortKey="Curtis, L" uniqKey="Curtis L">L Curtis</name>
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<author><name sortKey="Piller, N" uniqKey="Piller N">N Piller</name>
</author>
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<author><name sortKey="Immink, M" uniqKey="Immink M">M Immink</name>
</author>
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<biblStruct></biblStruct>
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<author><name sortKey="Foldi, E" uniqKey="Foldi E">E Foldi</name>
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<author><name sortKey="Kubic, S" uniqKey="Kubic S">S Kubic</name>
</author>
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</biblStruct>
<biblStruct><analytic><author><name sortKey="Loudon, A" uniqKey="Loudon A">A Loudon</name>
</author>
<author><name sortKey="Barnett, T" uniqKey="Barnett T">T Barnett</name>
</author>
<author><name sortKey="Piller, N" uniqKey="Piller N">N Piller</name>
</author>
<author><name sortKey="Immink, Ma" uniqKey="Immink M">MA Immink</name>
</author>
<author><name sortKey="Williams, Ad" uniqKey="Williams A">AD Williams</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Fisher, Mi" uniqKey="Fisher M">MI Fisher</name>
</author>
<author><name sortKey="Donahoe Fillmore, B" uniqKey="Donahoe Fillmore B">B Donahoe-Fillmore</name>
</author>
<author><name sortKey="Leach, L" uniqKey="Leach L">L Leach</name>
</author>
<author><name sortKey="O Alley, C" uniqKey="O Alley C">C O’Malley</name>
</author>
<author><name sortKey="Paeplow, C" uniqKey="Paeplow C">C Paeplow</name>
</author>
<author><name sortKey="Prescott, T" uniqKey="Prescott T">T Prescott</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Saraswati, Ss" uniqKey="Saraswati S">SS Saraswati</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Narahari, Sr" uniqKey="Narahari S">SR Narahari</name>
</author>
<author><name sortKey="Ryan, Tj" uniqKey="Ryan T">TJ Ryan</name>
</author>
<author><name sortKey="Aggithaya, Mg" uniqKey="Aggithaya M">MG Aggithaya</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bussing, A" uniqKey="Bussing A">A Büssing</name>
</author>
<author><name sortKey="Michalsen, A" uniqKey="Michalsen A">A Michalsen</name>
</author>
<author><name sortKey="Khalsa, Sb" uniqKey="Khalsa S">SB Khalsa</name>
</author>
<author><name sortKey="Telles, S" uniqKey="Telles S">S Telles</name>
</author>
<author><name sortKey="Sherman, Kj" uniqKey="Sherman K">KJ Sherman</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Brennan, Mj" uniqKey="Brennan M">MJ Brennan</name>
</author>
<author><name sortKey="Miller, Lt" uniqKey="Miller L">LT Miller</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Vaqas, B" uniqKey="Vaqas B">B Vaqas</name>
</author>
<author><name sortKey="Ryan, Tj" uniqKey="Ryan T">TJ Ryan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Schrale, G" uniqKey="Schrale G">G Schrale</name>
</author>
<author><name sortKey="Ryan, Tj" uniqKey="Ryan T">TJ Ryan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tartaglione, G" uniqKey="Tartaglione G">G Tartaglione</name>
</author>
<author><name sortKey="Pagan, M" uniqKey="Pagan M">M Pagan</name>
</author>
<author><name sortKey="Morese, R" uniqKey="Morese R">R Morese</name>
</author>
<author><name sortKey="Cappellini, Ga" uniqKey="Cappellini G">GA Cappellini</name>
</author>
<author><name sortKey="Zappala, Ar" uniqKey="Zappala A">AR Zappalà</name>
</author>
<author><name sortKey="Sebastiani, C" uniqKey="Sebastiani C">C Sebastiani</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lane, Kn" uniqKey="Lane K">KN Lane</name>
</author>
<author><name sortKey="Dolan, Lb" uniqKey="Dolan L">LB Dolan</name>
</author>
<author><name sortKey="Worsley, D" uniqKey="Worsley D">D Worsley</name>
</author>
<author><name sortKey="Mckenzie, Dc" uniqKey="Mckenzie D">DC McKenzie</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Fan, Wh" uniqKey="Fan W">WH Fan</name>
</author>
<author><name sortKey="Ko, Jh" uniqKey="Ko J">JH Ko</name>
</author>
<author><name sortKey="Lee, Mj" uniqKey="Lee M">MJ Lee</name>
</author>
<author><name sortKey="Xu, G" uniqKey="Xu G">G Xu</name>
</author>
<author><name sortKey="Lee, Gs" uniqKey="Lee G">GS Lee</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Aggithaya, Mg" uniqKey="Aggithaya M">MG Aggithaya</name>
</author>
<author><name sortKey="Narahari, Sr" uniqKey="Narahari S">SR Narahari</name>
</author>
<author><name sortKey="Ryan, Tj" uniqKey="Ryan T">TJ Ryan</name>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Yoga</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Yoga</journal-id>
<journal-id journal-id-type="publisher-id">IJY</journal-id>
<journal-title-group><journal-title>International Journal of Yoga</journal-title>
</journal-title-group>
<issn pub-type="ppub">0973-6131</issn>
<issn pub-type="epub">2231-2714</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27512322</article-id>
<article-id pub-id-type="pmc">4959325</article-id>
<article-id pub-id-type="publisher-id">IJY-9-145</article-id>
<article-id pub-id-type="doi">10.4103/0973-6131.183713</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Yoga protocol for treatment of breast cancer-related lymphedema</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Narahari</surname>
<given-names>SR</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aggithaya</surname>
<given-names>Madhur Guruprasad</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Thernoe</surname>
<given-names>Liselotte</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bose</surname>
<given-names>Kuthaje S</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ryan</surname>
<given-names>Terence J</given-names>
</name>
<xref ref-type="aff" rid="aff3">2</xref>
</contrib>
</contrib-group>
<aff id="aff1">Institute of Applied Dermatology, Kasaragod, Kerala, India</aff>
<aff id="aff2"><label>1</label>
Department of Physiotherapy, Bispebjerg Hospital, 2400 Copenhagen, Denmark, UK</aff>
<aff id="aff3"><label>2</label>
Department of Dermatology, Churchill Hospital, Oxford, UK</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Madhur Guruprasad Aggithaya, Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod - 671 124, Kerala, India. E-mail: <email xlink:href="drgurumadhur@yahoo.co.in">drgurumadhur@yahoo.co.in</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jul-Dec</season>
<year>2016</year>
</pub-date>
<volume>9</volume>
<issue>2</issue>
<fpage>145</fpage>
<lpage>155</lpage>
<permissions><copyright-statement>Copyright: © International Journal of Yoga</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p>
</license>
</permissions>
<abstract><sec id="st1"><title>Introduction:</title>
<p>Vaqas and Ryan (2003) advocated yoga and breathing exercises for lymphedema. Narahari <italic>et al</italic>
. (2007) developed an integrative medicine protocol for lower-limb lymphedema using yoga. Studies have hypothesized that yoga plays a similar role as that of central manual lymph drainage of Foldi's technique. This study explains how we have used yoga and breathing as a self-care intervention for breast cancer-related lymphedema (BCRL).</p>
</sec>
<sec id="st2"><title>Methods:</title>
<p>The study outcome was to create a yoga protocol for BCRL. Selection of yoga was based on the actions of muscles on joints, anatomical areas associated with different groups of lymph nodes, stretching of skin, and method of breathing in each yoga. The protocol was piloted in eight BCRL patients, observed its difficulties by interacting with patients. A literature search was conducted in PubMed and Cochrane library to identify the yoga protocols for BCRL.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Twenty yoga and 5 breathing exercises were adopted. They have slow, methodical joint movements which helped patients to tolerate pain. Breathing was long and diaphragmatic. Flexion of joints was coordinated with exhalation and extension with inhalation. Alternate yoga was introduced to facilitate patients to perform complex movements. Yoga's joint movements, initial positions, and mode of breathing were compared to two other protocols. The volume reduced from 2.4 to 1.2 L in eight patients after continuous practice of yoga and compression at home for 3 months. There was improvement in the range of movement and intensity of pain.</p>
</sec>
<sec id="st4"><title>Discussion:</title>
<p>Yoga exercises were selected on the basis of their role in chest expansion, maximizing range of movements: flexion of large muscles, maximum stretch of skin, and thus part-by-part lymph drainage from center and periphery. This protocol addressed functional, volume, and movement issues of BCRL and was found to be superior to other BCRL yoga protocols. However, this protocol needs to be tested in centers routinely managing BCRL.</p>
</sec>
</abstract>
<kwd-group><kwd>Breast cancer-related lymphedema</kwd>
<kwd>breathing</kwd>
<kwd>integrative medicine</kwd>
<kwd>range of movement</kwd>
<kwd>yoga</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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