Does the speed of aquatic therapy exercise alter arm volume in women with breast cancer related lymphoedema? A cross-over randomized controlled trial

Deacon, Rosalind; Noronha, Marcos de; Shanley, Leah; Young, Kaye

doi:10.1016/j.bjpt.2018.11.004

Cited by 10 publications

(5 citation statements)

References 19 publications

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“…In Cai ( 2018 ), the patients received a mixture of different herbs along with aquatic therapy. In Deacon ( 2019 ), the primary outcome was not the effectiveness of aquatic therapy in cancer patients, but the comparison of two different therapy concepts.…”

Section: Resultsmentioning

confidence: 99%

Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

Reger

Kutschan

Freuding

et al. 2022

J Cancer Res Clin Oncol

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Background Water therapies as hydrotherapy, balneotherapy or aqua therapy are often used in the relief of disease- and treatment-associated symptoms of cancer patients. Yet, a systematic review for the evidence of water therapy including all cancer entities has not been conducted to date. Purpose Oncological patients often suffer from symptoms which in patients with other diseases are successfully treated with water therapy. We want to gather more information about the benefits and risks of water therapy for cancer patients. Method In May 2020, a systematic search was conducted searching five electronic databases (Embase, Cochrane, PsychInfo, CINAHL and PubMed) to find studies concerning the use, effectiveness and potential harm of water therapy on cancer patients. Results Of 3165 search results, 10 publications concerning 12 studies with 430 patients were included in this systematic review. The patients treated with water therapy were mainly diagnosed with breast cancer. The therapy concepts included aqua lymphatic therapy, aquatic exercises, foot bathes and whole-body bathes. Outcomes were state of lymphedema, quality of life, fatigue, BMI, vital parameters, anxiety and pain. The quality of the studies was assessed with the AMSTAR2-instrument, the SIGN-checklist and the IHE-Instruments. The studies had moderate quality and reported heterogeneous results. Some studies reported significantly improved quality of life, extent of lymphedema, neck and shoulder pain, fatigue and BMI while other studies did not find any changes concerning these endpoints. Conclusion Due to the very heterogeneous results and methodical limitations of the included studies, a clear statement regarding the effectiveness of water therapy on cancer patients is not possible.

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Section: Resultsmentioning

confidence: 99%

Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

Reger

Kutschan

Freuding

et al. 2022

J Cancer Res Clin Oncol

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“…Diaphragmatic breathing during aquatic exercise has been shown to be effective in accelerating lymphatic drainage through the thoracic duct combined with slow water motion [39].…”

Section: Discussionmentioning

confidence: 99%

Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial

2021

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Objective To investigate the effect of aqua therapy resistance exercise on arm volume, pain, and shoulder range of movements in post-mastectomy lymphedema.Methods This was a single-blind randomized controlled trial. Fifty eligible breast cancer survivors (median, 10 years after surgery) with lymphedema (median, 21% inter-limb difference) were assigned randomly to group A (n=25) or control group B (n=25). The study group underwent 60 minutes of aqua therapy exercise comprising of warm-up for 10 minutes, 40 minutes of strengthening exercises, and 10 minutes of cooling down, three times a week for 8 weeks. The control group underwent 60 minutes of land-based exercise three times a week for 8 weeks. Arm volume calculated by measuring the arm circumference, shoulder flexion, and abduction range of motion (ROM), and pain using a visual analog scale (VAS) were assessed at baseline and after 8 weeks of treatment.Results There was a statistically significant difference in limb volume, shoulder flexion and abduction ROM, and VAS scores in favor of the study group (p<0.001) after 8 weeks of intervention. The mean±standard deviation for limb volume, shoulder flexion, abduction, and pain score were 2,108.71±200.97 mL, 169.68°±4.54°, 150.44°±3.92°, and 3.16±1.1 in the study group and 2,256.41±186.94 mL, 147.36°±5.32°, 131.32°±4.38°, and 5.68±0.94 in the control group, respectively.Conclusion Adding aqua therapy resistance exercise to routine physical therapy might be more effective in decreasing the limb volume and pain intensity and improving ROM of the shoulder in postmastectomy lymphedema.

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“…Participant and intervention characteristics. Mean age of participants across all treatment trials was 55 yr, with sample sizes ranging between 6 (50) and 351 (51), and mean time since cancer and lymphedema diagnosis was 6 yr (SD, 3; reported in 8 studies (31,38,(51)(52)(53)(54)(55)(56)) and 3.5 yr (SD = 1; reported in 10 studies (30,31,(52)(53)(54)(57)(58)(59)(60)(61)), respectively (Supplemental Digital Content 2, Appendix, http://links.lww.com/MSS/C555) (66)(67)(68)(69)(70)(71)(72)(73)(74)(75)(76)(77)(78)(79)(80)(81)(82). Most studies (n = 32 (89%), 10/10 acute and 22/26 intervention studies) involved participants with breast cancer-related upperlimb lymphedema and evaluated the effect of resistance exercise alone or in combination with aerobic exercise (e.g., mixedmethod).…”

Section: Aim 2 Treatment Of Lymphedemamentioning

confidence: 99%

The Effect of Exercise for the Prevention and Treatment of Cancer-Related Lymphedema: A Systematic Review with Meta-analysis

Hayes

Singh

Reul-Hirche

et al. 2022

Medicine &Amp; Science in Sports &Amp; Exercise

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Introduction:The purpose of this systematic review and meta-analysis was to evaluate the effects of exercise on (i) the prevention of cancer-related lymphedema (CRL) and (ii) the treatment of CRL, lymphedema-associated symptoms, and other health outcomes among individuals with CRL. Methods: An electronic search was undertaken for exercise studies measuring lymphedema and involving individuals at risk of developing or with CRL. The Effective Public Health Practice Project Quality scale was used to assess study quality, and overall quality of evidence was assessed using the Grading of Recommendation, Assessment, Development and Evaluation approach. Meta-analyses were performed to evaluate effects of exercise on CRL incidence, existing CRL status, lymphedema-associated symptoms, and health outcomes. Results: Twelve studies (n = 1955; 75% moderate-high quality) and 36 studies (n = 1741; 58% moderate-high quality) were included in the prevention and treatment aim, respectively. Relative risk of developing CRL for those in the exercise group compared with the nonexercise group was 0.90 (95% confidence interval (CI), 0.72 to 1.13) overall and 0.49 (95% CI, 0.28 to 0.85) for those with five or more lymph nodes removed. For those with CRL in the exercise group, the standardized mean difference (SMD) before to after exercise of CRL was −0.11 (95% CI, −0.22 to 0.01), and compared with usual care postintervention, the SMD was −0.10 (95% CI, −0.24 to 0.04). Improvements after intervention were observed for pain, upper-body function and strength, lower-body strength, fatigue, and quality of life for those in the exercise group (SMD, 0.3-0.8; P < 0.05). Conclusions: Findings support the application of exercise guidelines for the wider cancer population to those with or at risk of CRL. This includes promotion of aerobic and resistance exercise, and not just resistance exercise alone, as well as unsupervised exercise guided by symptom response.

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Does the speed of aquatic therapy exercise alter arm volume in women with breast cancer related lymphoedema? A cross-over randomized controlled trial

Cited by 10 publications

References 19 publications

Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial

The Effect of Exercise for the Prevention and Treatment of Cancer-Related Lymphedema: A Systematic Review with Meta-analysis

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