Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial.
Identifieur interne : 001461 ( PubMed/Corpus ); précédent : 001460; suivant : 001462Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial.
Auteurs : Annette Loudon ; Tony Barnett ; Neil Piller ; Maarten A. Immink ; Andrew D. WilliamsSource :
- BMC complementary and alternative medicine [ 1472-6882 ] ; 2014.
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.
DOI: 10.1186/1472-6882-14-214
PubMed: 24980836
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial.</title><author><name sortKey="Loudon, Annette" sort="Loudon, Annette" uniqKey="Loudon A" first="Annette" last="Loudon">Annette Loudon</name></author><author><name sortKey="Barnett, Tony" sort="Barnett, Tony" uniqKey="Barnett T" first="Tony" last="Barnett">Tony Barnett</name></author><author><name sortKey="Piller, Neil" sort="Piller, Neil" uniqKey="Piller N" first="Neil" last="Piller">Neil Piller</name></author><author><name sortKey="Immink, Maarten A" sort="Immink, Maarten A" uniqKey="Immink M" first="Maarten A" last="Immink">Maarten A. Immink</name></author><author><name sortKey="Williams, Andrew D" sort="Williams, Andrew D" uniqKey="Williams A" first="Andrew D" last="Williams">Andrew D. Williams</name><affiliation><nlm:affiliation>School of Health Sciences, University of Tasmania, Launceston, Australia. Andrew.Williams@utas.edu.au.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24980836</idno><idno type="pmid">24980836</idno><idno type="doi">10.1186/1472-6882-14-214</idno><idno type="wicri:Area/PubMed/Corpus">001461</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001461</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial.</title><author><name sortKey="Loudon, Annette" sort="Loudon, Annette" uniqKey="Loudon A" first="Annette" last="Loudon">Annette Loudon</name></author><author><name sortKey="Barnett, Tony" sort="Barnett, Tony" uniqKey="Barnett T" first="Tony" last="Barnett">Tony Barnett</name></author><author><name sortKey="Piller, Neil" sort="Piller, Neil" uniqKey="Piller N" first="Neil" last="Piller">Neil Piller</name></author><author><name sortKey="Immink, Maarten A" sort="Immink, Maarten A" uniqKey="Immink M" first="Maarten A" last="Immink">Maarten A. Immink</name></author><author><name sortKey="Williams, Andrew D" sort="Williams, Andrew D" uniqKey="Williams A" first="Andrew D" last="Williams">Andrew D. Williams</name><affiliation><nlm:affiliation>School of Health Sciences, University of Tasmania, Launceston, Australia. Andrew.Williams@utas.edu.au.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC complementary and alternative medicine</title><idno type="eISSN">1472-6882</idno><imprint><date when="2014" type="published">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="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></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24980836</PMID><DateCreated><Year>2014</Year><Month>07</Month><Day>07</Day></DateCreated><DateCompleted><Year>2014</Year><Month>10</Month><Day>20</Day></DateCompleted><DateRevised><Year>2015</Year><Month>08</Month><Day>05</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6882</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><PubDate><Year>2014</Year><Month>Jul</Month><Day>01</Day></PubDate></JournalIssue><Title>BMC complementary and alternative medicine</Title><ISOAbbreviation>BMC Complement Altern Med</ISOAbbreviation></Journal><ArticleTitle>Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial.</ArticleTitle><Pagination><MedlinePgn>214</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1472-6882-14-214</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">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).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">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).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Loudon</LastName><ForeName>Annette</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Barnett</LastName><ForeName>Tony</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Piller</LastName><ForeName>Neil</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Immink</LastName><ForeName>Maarten A</ForeName><Initials>MA</Initials></Author><Author ValidYN="Y"><LastName>Williams</LastName><ForeName>Andrew D</ForeName><Initials>AD</Initials><AffiliationInfo><Affiliation>School of Health Sciences, University of Tasmania, Launceston, Australia. Andrew.Williams@utas.edu.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ANZCTR</DataBankName><AccessionNumberList><AccessionNumber>ACTRN12611000202965</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>07</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Complement Altern Med</MedlineTA><NlmUniqueID>101088661</NlmUniqueID><ISSNLinking>1472-6882</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2000 Sep;33(3):122-35</RefSource><PMID Version="1">11019400</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Support Care Cancer. 2013 Aug;21(8):2207-15</RefSource><PMID Version="1">23494582</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 1976 Mar;9(1):1-5</RefSource><PMID Version="1">1263567</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Pain. 1986 Dec;27(3):401-11</RefSource><PMID Version="1">3808744</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pain Symptom Manage. 1992 Feb;7(2):110-6</RefSource><PMID Version="1">1573284</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Support Care Cancer. 2005 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