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Water-based exercise for patients with chronic arm lymphedema: a randomized controlled pilot trial.

Identifieur interne : 001D25 ( PubMed/Corpus ); précédent : 001D24; suivant : 001D26

Water-based exercise for patients with chronic arm lymphedema: a randomized controlled pilot trial.

Auteurs : Karin Johansson ; Sandi Hayes ; Rebecca M. Speck ; Kathryn H. Schmitz

Source :

RBID : pubmed:23370582

English descriptors

Abstract

The aim of this study was to evaluate the feasibility and effect of a water-based exercise program on lymphedema status and shoulder range of motion among women with breast cancer-related lymphedema.

DOI: 10.1097/PHM.0b013e318278b0e8
PubMed: 23370582

Links to Exploration step

pubmed:23370582

Le document en format XML

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<title xml:lang="en">Water-based exercise for patients with chronic arm lymphedema: a randomized controlled pilot trial.</title>
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<name sortKey="Johansson, Karin" sort="Johansson, Karin" uniqKey="Johansson K" first="Karin" last="Johansson">Karin Johansson</name>
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<nlm:affiliation>Institution of Health Science, Department of Physiotherapy, Lund University, Lund, Sweden.</nlm:affiliation>
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<name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name>
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<name sortKey="Speck, Rebecca M" sort="Speck, Rebecca M" uniqKey="Speck R" first="Rebecca M" last="Speck">Rebecca M. Speck</name>
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<name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H" last="Schmitz">Kathryn H. Schmitz</name>
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<title xml:lang="en">Water-based exercise for patients with chronic arm lymphedema: a randomized controlled pilot trial.</title>
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<nlm:affiliation>Institution of Health Science, Department of Physiotherapy, Lund University, Lund, Sweden.</nlm:affiliation>
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<name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name>
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<name sortKey="Speck, Rebecca M" sort="Speck, Rebecca M" uniqKey="Speck R" first="Rebecca M" last="Speck">Rebecca M. Speck</name>
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<title level="j">American journal of physical medicine & rehabilitation</title>
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<term>Aged</term>
<term>Breast Neoplasms (complications)</term>
<term>Chronic Disease</term>
<term>Exercise Therapy</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Middle Aged</term>
<term>Range of Motion, Articular</term>
<term>Shoulder Joint (physiopathology)</term>
<term>Single-Blind Method</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Lymphedema</term>
<term>Shoulder Joint</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Chronic Disease</term>
<term>Exercise Therapy</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Range of Motion, Articular</term>
<term>Single-Blind Method</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to evaluate the feasibility and effect of a water-based exercise program on lymphedema status and shoulder range of motion among women with breast cancer-related lymphedema.</div>
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<Month>03</Month>
<Day>19</Day>
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<DateCompleted>
<Year>2013</Year>
<Month>05</Month>
<Day>16</Day>
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<DateRevised>
<Year>2016</Year>
<Month>10</Month>
<Day>18</Day>
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<Journal>
<ISSN IssnType="Electronic">1537-7385</ISSN>
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<Volume>92</Volume>
<Issue>4</Issue>
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<Year>2013</Year>
<Month>Apr</Month>
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<Title>American journal of physical medicine & rehabilitation</Title>
<ISOAbbreviation>Am J Phys Med Rehabil</ISOAbbreviation>
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<ArticleTitle>Water-based exercise for patients with chronic arm lymphedema: a randomized controlled pilot trial.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to evaluate the feasibility and effect of a water-based exercise program on lymphedema status and shoulder range of motion among women with breast cancer-related lymphedema.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">This was a single-blinded, randomized controlled pilot trial. Twenty-nine eligible breast cancer survivors (median, 10 yrs after surgery) with arm lymphedema (median, 21% interlimb difference) were included and randomized into the intervention (n = 15) or control (n = 14) group. Twenty-five participants completed the study. The intervention was at least twice-weekly water-based exercise for 8 wks, initially supervised but performed independently during the study period. Outcomes of interest were feasibility as measured by retention and adherence; lymphedema status as measured by optoelectronic perometry, bioimpedance spectroscopy, and tissue dielectric constant; and shoulder range of motion as measured by goniometer.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Four participants were not measured at postintervention and were not included in the analysis (retention). Four participants in the intervention group did not perform the minimum water-based exercise criteria set (adherence). No effect was found on lymphedema status. Compared with the control group, median range of motion change for flexion was 6 (1-10) degrees (P < 0.001) and 6 (0-15.5) degrees (P = 0.07) for external rotation.A clinically relevant increase in the intervention group was found for 36% in flexion (P ≤ 0.05) and 57% in external rotation (P ≤ 0.05) compared with controls.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study shows that water-based exercise is feasible for breast cancer survivors with arm lymphedema and that shoulder range of motion can be improved years after cancer treatment has been completed.</AbstractText>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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