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A Home-Based Weight Lifting Program for Patients with Arm Lymphedema Following Breast Cancer Treatment: A Pilot and Feasibility Study

Johansson, Karin LU ; HYLLANDER KLERNÄS, PIA LU ; Weibull, Andreas LU and Mattsson, Sören LU (2014) In Lymphology 47(2). p.51-64
Abstract
It is well documented that resistance exercise can be performed by patients with breast cancer-related arm lymphedema. The aim of this pilot study was to evaluate the feasibility and safety of a 12-week self-administered weight lifting program for arm and shoulder, and its influence on arm lymphedema status, upper extremity muscle strength, and disability. Twenty-three patients with breast cancer-related arm lymphedema performed the program 3 times/week. The weight resistance levels were individually adjusted for shoulder flexion and adduction, and elbow extension and flexion corresponding to a repetition range of 8-12 repetition maximum. A log book was used to evaluate adherence to the program, wearing of compression sleeve and perceived... (More)
It is well documented that resistance exercise can be performed by patients with breast cancer-related arm lymphedema. The aim of this pilot study was to evaluate the feasibility and safety of a 12-week self-administered weight lifting program for arm and shoulder, and its influence on arm lymphedema status, upper extremity muscle strength, and disability. Twenty-three patients with breast cancer-related arm lymphedema performed the program 3 times/week. The weight resistance levels were individually adjusted for shoulder flexion and adduction, and elbow extension and flexion corresponding to a repetition range of 8-12 repetition maximum. A log book was used to evaluate adherence to the program, wearing of compression sleeve and perceived exertion. Measurements were performed before a 2-week control period without intervention, and before and after intervention, and with arm volume measurements every fortnight to check for adverse events. Results revealed no significant changes during the control period. Adherence to the intervention program was excellent, and two adverse events were registered during the first weeks. After intervention, an increase of shoulder and arm strength (measured by an isometric muscle strength device) was found in all exercises (p=0.001-0.003). A reduction of excess volume was shown, in ml (p=0.03) and percentage (p=0.005), measured by water displacement method. A tendency towards reduction (p=0.07) of fat tissue in the upper arm (n=10) in both arms was found measured by MRI. In this pilot study, we concluded that a home-based weight-lifting program performed by patients with breast cancer-related arm lymphedema is feasible and safe providing that the program includes regular follow-up for safety. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arm lymphedema, breast cancer, exercise, weight lifting, MRI
in
Lymphology
volume
47
issue
2
pages
51 - 64
publisher
International Society of Lymphology
external identifiers
  • wos:000341620400001
  • pmid:25282871
  • scopus:84908249518
ISSN
0024-7766
language
English
LU publication?
yes
id
afa75728-9ebe-472d-a0cf-3ba519c57452 (old id 4713001)
date added to LUP
2014-11-03 07:15:35
date last changed
2017-10-08 04:04:48
@article{afa75728-9ebe-472d-a0cf-3ba519c57452,
  abstract     = {It is well documented that resistance exercise can be performed by patients with breast cancer-related arm lymphedema. The aim of this pilot study was to evaluate the feasibility and safety of a 12-week self-administered weight lifting program for arm and shoulder, and its influence on arm lymphedema status, upper extremity muscle strength, and disability. Twenty-three patients with breast cancer-related arm lymphedema performed the program 3 times/week. The weight resistance levels were individually adjusted for shoulder flexion and adduction, and elbow extension and flexion corresponding to a repetition range of 8-12 repetition maximum. A log book was used to evaluate adherence to the program, wearing of compression sleeve and perceived exertion. Measurements were performed before a 2-week control period without intervention, and before and after intervention, and with arm volume measurements every fortnight to check for adverse events. Results revealed no significant changes during the control period. Adherence to the intervention program was excellent, and two adverse events were registered during the first weeks. After intervention, an increase of shoulder and arm strength (measured by an isometric muscle strength device) was found in all exercises (p=0.001-0.003). A reduction of excess volume was shown, in ml (p=0.03) and percentage (p=0.005), measured by water displacement method. A tendency towards reduction (p=0.07) of fat tissue in the upper arm (n=10) in both arms was found measured by MRI. In this pilot study, we concluded that a home-based weight-lifting program performed by patients with breast cancer-related arm lymphedema is feasible and safe providing that the program includes regular follow-up for safety.},
  author       = {Johansson, Karin and HYLLANDER KLERNÄS, PIA and Weibull, Andreas and Mattsson, Sören},
  issn         = {0024-7766},
  keyword      = {Arm lymphedema,breast cancer,exercise,weight lifting,MRI},
  language     = {eng},
  number       = {2},
  pages        = {51--64},
  publisher    = {International Society of Lymphology},
  series       = {Lymphology},
  title        = {A Home-Based Weight Lifting Program for Patients with Arm Lymphedema Following Breast Cancer Treatment: A Pilot and Feasibility Study},
  volume       = {47},
  year         = {2014},
}