Weight lifting in patients with lower-extremity lymphedema secondary to cancer: a pilot and feasibility study.
Identifieur interne : 002A06 ( PubMed/Curation ); précédent : 002A05; suivant : 002A07Weight lifting in patients with lower-extremity lymphedema secondary to cancer: a pilot and feasibility study.
Auteurs : Elana Katz [États-Unis] ; Nicole L. Dugan ; Joy C. Cohn ; Christina Chu ; Rebecca G. Smith ; Kathryn H. SchmitzSource :
- Archives of physical medicine and rehabilitation [ 1532-821X ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Entraînement en résistance, Femelle, Humains, Membre inférieur, Mâle, Projets pilotes, Qualité de vie, Sujet âgé, Tumeurs, Études de faisabilité.
English descriptors
- KwdEn :
- MESH :
- complications : Neoplasms.
- etiology : Lymphedema.
- methods : Resistance Training.
- rehabilitation : Lymphedema.
- Aged, Feasibility Studies, Female, Humans, Lower Extremity, Male, Middle Aged, Pilot Projects, Quality of Life.
Abstract
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.
DOI: 10.1016/j.apmr.2010.03.021
PubMed: 20599045
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pubmed:20599045Le document en format XML
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<term>Female</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasms (complications)</term>
<term>Pilot Projects</term>
<term>Quality of Life</term>
<term>Resistance Training (methods)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Entraînement en résistance ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (rééducation et réadaptation)</term>
<term>Lymphoedème (étiologie)</term>
<term>Membre inférieur</term>
<term>Mâle</term>
<term>Projets pilotes</term>
<term>Qualité de vie</term>
<term>Sujet âgé</term>
<term>Tumeurs ()</term>
<term>Études de faisabilité</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Neoplasms</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Resistance Training</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Lymphoedème</term>
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<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pilot Projects</term>
<term>Quality of Life</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Entraînement en résistance</term>
<term>Femelle</term>
<term>Humains</term>
<term>Membre inférieur</term>
<term>Mâle</term>
<term>Projets pilotes</term>
<term>Qualité de vie</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<DateCreated><Year>2010</Year>
<Month>07</Month>
<Day>05</Day>
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<Month>07</Month>
<Day>23</Day>
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<Month>10</Month>
<Day>19</Day>
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<JournalIssue CitedMedium="Internet"><Volume>91</Volume>
<Issue>7</Issue>
<PubDate><Year>2010</Year>
<Month>Jul</Month>
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<Title>Archives of physical medicine and rehabilitation</Title>
<ISOAbbreviation>Arch Phys Med Rehabil</ISOAbbreviation>
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<ArticleTitle>Weight lifting in patients with lower-extremity lymphedema secondary to cancer: a pilot and feasibility study.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Before-after pilot study with a duration of 5 months.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">University of Pennsylvania.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Twice weekly slowly progressive weight lifting, supervised for 2 months, unsupervised for 3 months.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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 5 mo), 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.</AbstractText>
<CopyrightInformation>Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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