Article

OBJECTIVES: To evaluate the effects of exercise on cancer-related lymphedema and
related symptoms, and to determine the need for those with lymphedema to wear
compression during exercise. DATA SOURCES: CINAHL, Cochrane, EBSCOhost, MEDLINE,
PubMed, ProQuest Health and Medical Complete, ProQuest Nursing and Allied Health
Source, ScienceDirect, and SPORTDiscus databases were searched for trials
published before January 1, 2015. STUDY SELECTION: Randomized and nonrandomized
controlled trials and single-group pre-post studies published in English were
included. Twenty-one (exercise) and 4 (compression and exercise) studies met
inclusion criteria. DATA EXTRACTION: Data were extracted into tabular format
using predefined data fields by 1 reviewer and assessed for accuracy by a second
reviewer. Study quality was evaluated using the Effective Public Health Practice
Project Quality Assessment Tool. DATA SYNTHESIS: Data were pooled using a
random-effects model to assess the effects of acute and long-term exercise on
lymphedema and lymphedema-associated symptoms, with subgroup analyses for
exercise mode and intervention length. There was no effect of exercise (acute or
intervention) on lymphedema or associated symptoms, with standardized mean
differences from all analyses ranging between -0.2 and 0.1 (P values >/=.22).
Findings from subgroup analyses for exercise mode (aerobic, resistance, mixed,
other) and intervention duration (>12wk or </=12wk) were consistent with these
findings-that is, no effect on lymphedema or associated symptoms. There were too
few studies evaluating the effect of compression during regular exercise to
conduct a meta-analysis. CONCLUSIONS: Individuals with secondary lymphedema can
safely participate in progressive, regular exercise without experiencing a
worsening of lymphedema or related symptoms. However, there is insufficient
evidence to support or refute the current clinical recommendation to wear
compression garments during regular exercise.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS