Exercise for Women With or at Risk for Breast Cancer–Related Lymphedema

Bicego, Deanna; Brown, Kathy; Ruddick, Moraine; Storey, Dara; Wong, Corrine; Harris, Susanna

doi:10.2522/ptj.20050328

Cited by 71 publications

(50 citation statements)

References 26 publications

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“…Hayes et al (2008) point out that a sedentary lifestyle (OR, 1.9, 95% CI, 0.6-5.5) is associated with higher risk of lymphedema 20 , on the other hand several studies point out that signs and symptoms did not increase with exercise 21 . Therefore, it is safe for women treated for breast cancer to engage in physical activity 22 . A review on clinical trials concluded that carefully controlled physical activity does not alter the risk for occurrence or worsen the symptoms of lymphedema and may be a strategy to reduce obesity and improve women's overall health and quality of life when treated for breast cancer 23 .…”

Section: Discussionmentioning

confidence: 99%

Influence of body mass index on the frequency of lymphedema and other complications after surgery for breast cancer

et al. 2016

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Objective: this study assessed the influence of pre-operative body mass index (BMI) has upon lymphedema, scar tissue adhesion, pain, and heaviness in the upper limb at two years after surgery for breast cancer. Methods: retrospective analysis of 631 medical records of women who underwent surgery for breast cancer and were referred to the Physiotherapy Program at Prof. Dr. José Aristodemo Pinotti Women's Hospital of the Center for Integral Women's Health Care, CAISM/UNICAMP between January 2006 and December 2007. Results: mean age of women was 56.5 years (±13.7 years) and the most part (55%) were overweight or obese, surgical stages II and III were present in 63% of women studied. Radical mastectomy was the most frequent surgery (54.4%), followed by quadrantectomy (32.1%). In the first year after surgery, there was no significant association between BMI categories and incidence of scar tissue adhesion, pain, heaviness and lymphedema. In the second year, overweight and obese women had higher rates of heaviness in the upper limb and lymphedema. For lymphedema, there was a significant difference among BMI categories (p=0.0268). Obese women are 3.6 times more likely to develop lymphedema in the second year after surgery (odds ratio 3.61 95% CI 1.36 to 9.41). Conclusion: BMI ≥25kg/m2 prior to treatment for breast cancer can be considered a risk factor for developing lymphedema in the two years after surgery. There was no association between BMI and the development of other complications.

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Section: Discussionmentioning

confidence: 99%

Influence of body mass index on the frequency of lymphedema and other complications after surgery for breast cancer

et al. 2016

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“…The perception that blood draws and blood pressure measurements using the surgical arm increase the risk for lymphedema continue to be reported by patients, despite published data that suggest otherwise [9][10][11][12][13][14] . Other historical risk factors are also frequently reported by patients 15 . Recognized risk factors such as radiation to the axilla were less often reported by patients 16 .…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Vascular Access for Intravenous Systemic Therapy and Risk Factors for Lymphedema in Early-Stage Breast Cancer—A Patient Survey

et al. 2018

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“…NRS has good validity and high reliability (0.989-0.992). [21] McNeely et al studies on "exercise intervention for upper limb dysfunction due to breast cancer treatment" concluded that early rehabilitation improves shoulder mobility and reduces chest pain. [22] Brennan studied the effect of early versus delayed implementation of post-operative exercise.…”

Section: Extent Of Dissectionmentioning

confidence: 99%

“…[3] It can be a life-threatening disease for women worldwide. [4] Global breast cancer incidence increased from 6,41,000 cases in 1980 to 16,43,000 (14,21,000-17,82,000) cases in 2010, an annual rate of increase of 31%. It is the second most common cancer in women after cervical cancer.…”

Section: Introductionmentioning

confidence: 99%

The effect of physiotherapy in patients with modified radical mastectomy

Mehta¹,

Vaghela²,

Patel³

2017

Natl J Physiol Pharm Pharmacol

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Background: Through the years, breast cancer management evolved toward conservation surgery. It is obvious that the clinical management requires a multidisciplinary approach to restoration of activity if daily living and quality of life after modified radical mastectomy. Aims and Objectives: The objectives of the study were to measure pain after physiotherapy intervention, to measure chest expansion after physiotherapy intervention, and to measure and improve shoulder range of motion (ROM) after physiotherapy intervention. Materials and Methods: This was a cross-experimental study in which initial data were recorded from the medical records, and then, after assuming proper resting status of the patient, the patients were assessed first numeric pain rating scale (NRS) for pain, ROM of shoulder joint, and chest expansion before and after the physiotherapy treatment given till patient get discharged. Results: In the present study, a total of 7 participants were included who fulfilled inclusion criteria. All the participants underwent routine physiotherapy treatment started from the day 1 till discharged, and NRS for pain, ROM of shoulder joint, and chest expansion all parameters were statistically significant (P < 0.005). Conclusion: The present study concluded that physiotherapy is more effective in modified radical mastectomy.

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Exercise for Women With or at Risk for Breast Cancer–Related Lymphedema

Cited by 71 publications

References 26 publications

Influence of body mass index on the frequency of lymphedema and other complications after surgery for breast cancer

Influence of body mass index on the frequency of lymphedema and other complications after surgery for breast cancer

Perceptions of Vascular Access for Intravenous Systemic Therapy and Risk Factors for Lymphedema in Early-Stage Breast Cancer—A Patient Survey

The effect of physiotherapy in patients with modified radical mastectomy

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