Balancing lymphedema risk: Exercise versus deconditioning for breast cancer survivors
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TLDR
Risk averse clinical recommendations guided survivors to avoid the use of the affected arm, which may lead to deconditioning and, ironically, the very outcome women seek to avoid.Abstract:
Lymphedema, a common and feared negative effect of breast cancer treatment, is generally described by arm swelling and dysfunction. Risk averse clinical recommendations guided survivors to avoid the use of the affected arm. This may lead to deconditioning and, ironically, the very outcome women seek to avoid. Recently published studies run counter to these guidelines.read more
Citations
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Journal ArticleDOI
Weight lifting for women at risk for breast cancer-related lymphedema: a randomized trial.
Kathryn H. Schmitz,Rehana L. Ahmed,Andrea B. Troxel,Andrea L. Cheville,Andrea L. Cheville,Lorita Lewis-Grant,Rebecca R. Smith,Cathy J. Bryan,Catherine T. Williams-Smith,Jesse Chittams +9 more
TL;DR: In breast cancer survivors at risk for lymphedema, a program of slowly progressive weight lifting compared with no exercise did not result in increased incidence of lympherema.
Journal ArticleDOI
Upper-body morbidity after breast cancer: incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care.
Sandra C. Hayes,Karin Johansson,Nicole L. Stout,Robert G. Prosnitz,Jane M. Armer,Sheryl G. A. Gabram,Kathryn H. Schmitz +6 more
TL;DR: There is evidence in support of integrating regular surveillance for upper‐body morbidity into the routine care provided to women with breast cancer, with early diagnosis potentially contributing to more effective management and prevention of progression of these conditions.
OtherDOI
Cancer, Physical Activity, and Exercise
TL;DR: There is little evidence on the safety of physical activity among all cancer survivors, as most trials have selectively recruited participants and the specific dose of exercise needed to optimize primary cancer prevention or symptom control during and after cancer treatment remains to be elucidated.
Journal ArticleDOI
Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled trial.
Martina E. Schmidt,Joachim Wiskemann,Petra Armbrust,Andreas Schneeweiss,Cornelia M. Ulrich,Karen Steindorf +5 more
TL;DR: In this article, the authors investigated whether resistance exercise during chemotherapy provides benefits on fatigue and quality of life (QoL) beyond potential psychosocial effects of group-based interventions, and they found that resistance exercise appeared to mitigate physical fatigue and maintain QoL during chemotherapy beyond psychossocial effects inherent to supervised, groupbased settings.
References
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From Cancer Patient to Cancer Survivor: Lost in Translation
TL;DR: This volume reports the work of an Institute of Medicine (IOM) and National Research Council (NRC) of the National Academies "Committee on Cancer Survivorship: Improving Care and Quality of Life."
Journal ArticleDOI
Effects of Aerobic and Resistance Exercise in Breast Cancer Patients Receiving Adjuvant Chemotherapy: A Multicenter Randomized Controlled Trial
Kerry S. Courneya,Roanne J. Segal,John R. Mackey,Karen A. Gelmon,Robert D. Reid,Christine M. Friedenreich,Aliya B. Ladha,Caroline Proulx,Jeff K. Vallance,Kirstin Lane,Yutaka Yasui,Donald C. McKenzie +11 more
TL;DR: Neither aerobic nor resistance exercise significantly improved cancer-specific QOL in breast cancer patients receiving chemotherapy, but they did improve self-esteem, physical fitness, body composition, and chemotherapy completion rate without causing lymphedema or significant adverse events.
Journal ArticleDOI
Weight Lifting in Women with Breast-Cancer–Related Lymphedema
Kathryn H. Schmitz,Rehana L. Ahmed,Andrea B. Troxel,Andrea L. Cheville,Rebecca R. Smith,Lorita Lewis-Grant,Cathy J. Bryan,Catherine T. Williams-Smith,Quincy P. Greene +8 more
TL;DR: Slow progressive weight lifting had no significant effect on limb swelling and resulted in a decreased incidence of exacerbations of lymphedema, reduced symptoms, and increased strength in breast-cancer survivors with stable lyMPhedema.
Journal ArticleDOI
Preoperative assessment enables the early diagnosis and successful treatment of lymphedema
Nicole L. Stout Gergich,Lucinda Pfalzer,Charles L. McGarvey,Barbara A. Springer,Lynn H. Gerber,Peter W. Soballe +5 more
TL;DR: The authors demonstrated the effectiveness of a surveillance program that included preoperative limb volume measurement and interval postoperative follow-up to detect and treat subclinical LE.
Journal ArticleDOI
Chronic Arm Morbidity After Curative Breast Cancer Treatment: Prevalence and Impact on Quality of Life
TL;DR: Treatment for breast cancer is associated with considerable arm morbidity, which has a negative impact on QOL, andArm morbidity should be carefully monitored in future studies involving local treatment modalities for Breast cancer.