Document Detail

Exercise in patients with lymphedema: a systematic review of the contemporary literature.
MedLine Citation:
PMID:  22002586     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Controversy exists regarding the role of exercise in cancer patients with or at risk for lymphedema, particularly breast. We conducted a systematic review of the contemporary literature to distill the weight of the evidence and provide recommendations for exercise and lymphedema care in breast cancer survivors.
METHODS: Publications were retrieved from 11 major medical indices for articles published from 2004 to 2010 using search terms for exercise and lymphedema; 1,303 potential articles were selected, of which 659 articles were reviewed by clinical lymphedema experts for inclusion, yielding 35 articles. After applying exclusion criteria, 19 articles were selected for final review. Information on study design/objectives, participants, outcomes, intervention, results, and study strengths and weaknesses was extracted. Study evidence was also rated according to the Oncology Nursing Society Putting Evidence Into Practice® Weight-of-Evidence Classification.
RESULTS: Seven studies were identified addressing resistance exercise, seven studies on aerobic and resistance exercise, and five studies on other exercise modalities. Studies concluded that slowly progressive exercise of varying modalities is not associated with the development or exacerbation of breast cancer-related lymphedema and can be safely pursued with proper supervision. Combined aerobic and resistance exercise appear safe, but confirmation requires larger and more rigorous studies.
CONCLUSIONS: Strong evidence is now available on the safety of resistance exercise without an increase in risk of lymphedema for breast cancer patients. Comparable studies are needed for other cancer patients at risk for lymphedema.
IMPLICATIONS FOR CANCER SURVIVORS: With reasonable precautions, it is safe for breast cancer survivors to exercise throughout the trajectory of their cancer experience, including during treatment.
Marilyn L Kwan; Joy C Cohn; Jane M Armer; Bob R Stewart; Janice N Cormier
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-10-16
Journal Detail:
Title:  Journal of cancer survivorship : research and practice     Volume:  5     ISSN:  1932-2267     ISO Abbreviation:  J Cancer Surviv     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-23     Completed Date:  2012-03-20     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  101307557     Medline TA:  J Cancer Surviv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  320-36     Citation Subset:  IM    
Division of Research, Kaiser Permanente, Oakland, CA 94612, USA.
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MeSH Terms
Breast Neoplasms / complications,  therapy
Exercise Therapy
Lymphedema / diagnosis,  etiology,  prevention & control*

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