Document Detail

Effect of active resistive exercise on breast cancer-related lymphedema: a randomized controlled trial.
MedLine Citation:
PMID:  21112424     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To investigate the differences between the effects of complex decongestive physiotherapy with and without active resistive exercise for the treatment of patients with breast cancer-related lymphedema (BCRL).
DESIGN: Randomized control-group study.
SETTING: An outpatient rehabilitation clinic.
PARTICIPANTS: Patients (N=40) with diagnosed BCRL.
INTERVENTIONS: Patients were randomly assigned to either the active resistive exercise group or the nonactive resistive exercise group. In the active resistive exercise group, after complex decongestive physiotherapy, active resistive exercise was performed for 15min/d, 5 days a week for 8 weeks. The nonactive resistive exercise group performed only complex decongestive physiotherapy.
MAIN OUTCOME MEASURES: The circumferences of the upper limbs (proximal, distal, and total) for the volume changes, and the Short Form-36 version 2 questionnaire for the quality of life (QOL) at pretreatment and 8 weeks posttreatment for each patient.
RESULTS: The volume of the proximal part of the arm was significantly more reduced in the active resistive exercise group than that of the nonactive resistive exercise group (P<.05). In the active resistive exercise group, there was significantly more improvement in physical health and general health, as compared with that of the nonactive resistive exercise group (P<.05).
CONCLUSIONS: For the treatment of patients with BCRL, active resistive exercise with complex decongestive physiotherapy did not cause additional swelling, and it significantly reduced proximal arm volume and helped improve QOL.
Do Sung Kim; Young-Joo Sim; Ho Joong Jeong; Ghi Chan Kim
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  91     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-29     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1844-8     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Busan, Republic of Korea.
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MeSH Terms
Analysis of Variance
Breast Neoplasms / complications*,  therapy
Chi-Square Distribution
Exercise Therapy / methods*
Lymphedema / etiology*,  therapy*
Middle Aged
Physical Therapy Modalities*
Quality of Life
Treatment Outcome

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