Physical Activity With and Without Arm Sleeves: Compliance and Quality of Life After Breast Cancer Surgery—A Randomized Controlled Trial

Abstract Background: After breast cancer surgery patients are at higher risk of lymphedema development and decreasing physical activity (PA), as well as decreasing health-related quality of life (HRQOL). The aim of the study was to compare the level of PA and HRQOL in women after breast cancer surgery using light arm compression with women not using compression 1 year after oncological treatment. Methods and Results: Forty-five women were preoperatively randomly assigned to a compression group (CG, n = 23) or to no compression group (NCG, n = 22). Arm volumes were measured before surgery and 12 months thereafter. The CG received circular-knit sleeves in compression class 1 for daily wearing in the postoperative period up to 1 year. Both groups underwent a standardized physical exercise program. PA with the short version of International Physical Activity Questionnaire (IPAQ), compliance, and HRQOL by EORTC QLQ-C30 and QLQ-BR23 questionnaires was assessed in both groups 1 year after surgery. After 1 year o...

[1]  Sarah Barrett,et al.  The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: A systematic review and meta-analysis. , 2017, Breast.

[2]  C. Ulrich,et al.  Effects of exercise on sleep problems in breast cancer patients receiving radiotherapy: a randomized clinical trial , 2017, Breast Cancer Research and Treatment.

[3]  Z. Bahar,et al.  Women’s Barriers to Prevention of Lymphedema After Breast Surgery and Home Care Needs: A Qualitative Study , 2016, Cancer nursing.

[4]  L. Zelek,et al.  Variations of physical activity and sedentary behavior between before and after cancer diagnosis , 2016, Medicine.

[5]  L. Cugusi,et al.  Physical exercises for breast cancer survivors: effects of 10 weeks of training on upper limb circumferences , 2016, Journal of physical therapy science.

[6]  J. Taeymans,et al.  Therapy modalities to reduce lymphoedema in female breast cancer patients: a systematic review and meta-analysis , 2016, Breast Cancer Research and Treatment.

[7]  Kyuwan Lee,et al.  Reducing the Risk of Breast Cancer Recurrence: an Evaluation of the Effects and Mechanisms of Diet and Exercise , 2016, Current Breast Cancer Reports.

[8]  Yanjun,et al.  Combining Manual Lymph Drainage with Physical Exercise after Modified Radical Mastectomy Effectively Prevents Upper Limb Lymphedema , 2016 .

[9]  Masaki Sano,et al.  Effects of Compression Stockings on Elevation of Leg Lymph Pumping Pressure and Improvement of Quality of Life in Healthy Female Volunteers: A Randomized Controlled Trial , 2016, Lymphatic research and biology.

[10]  Cynthia L. Miller,et al.  The need for preoperative baseline arm measurement to accurately quantify breast cancer-related lymphedema , 2016, Breast Cancer Research and Treatment.

[11]  Douglas W. Arthur,et al.  The impact of early detection and intervention of breast cancer‐related lymphedema: a systematic review , 2016, Cancer medicine.

[12]  J. Peake,et al.  Systematic Review and Meta-Analysis of the Effects of Exercise for Those With Cancer-Related Lymphedema. , 2016, Archives of physical medicine and rehabilitation.

[13]  T. Gradalski,et al.  Complex Decongestive Lymphatic Therapy With or Without Vodder II Manual Lymph Drainage in More Severe Chronic Postmastectomy Upper Limb Lymphedema: A Randomized Noninferiority Prospective Study. , 2015, Journal of pain and symptom management.

[14]  R. Newton,et al.  Supervised physical exercise improves VO2max, quality of life, and health in early stage breast cancer patients: a randomized controlled trial , 2015, Breast Cancer Research and Treatment.

[15]  R. Newton,et al.  EFFECTS OF COMPRESSION ON LYMPHEDEMA DURING RESISTANCE EXERCISE IN WOMEN WITH BREAST CANCER-RELATED LYMPHEDEMA: A RANDOMIZED, CROSS-OVER TRIAL. , 2015, Lymphology.

[16]  A. Soran,et al.  The importance of detection of subclinical lymphedema for the prevention of breast cancer-related clinical lymphedema after axillary lymph node dissection; a prospective observational study. , 2014, Lymphatic research and biology.

[17]  Ananda Sen,et al.  Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer. , 2014, Journal of the National Cancer Institute. Monographs.

[18]  BakerAmy,et al.  Lymphatic function is impaired following irradiation of a single lymph node. , 2014 .

[19]  C. Murta-Nascimento,et al.  Lymphedema Predictor Factors after Breast Cancer Surgery: A Survival Analysis. , 2014, Lymphatic research and biology.

[20]  T. Whelan,et al.  Randomized trial of decongestive lymphatic therapy for the treatment of lymphedema in women with breast cancer. , 2013, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[21]  P. Cordeiro,et al.  Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes , 2013, Journal of Cancer Survivorship.

[22]  N. Aaronson,et al.  No evidence of benefit from class-II compression stockings in the prevention of lower-limb lymphedema after inguinal lymph node dissection: results of a randomized controlled trial. , 2013, Lymphology.

[23]  J. Cormier,et al.  Exercise in patients with lymphedema: a systematic review of the contemporary literature , 2011, Journal of cancer survivorship : research and practice.

[24]  Do Sung Kim,et al.  Effect of active resistive exercise on breast cancer-related lymphedema: a randomized controlled trial. , 2010, Archives of physical medicine and rehabilitation.

[25]  C. Johansen,et al.  Psychological consequences of lymphoedema associated with breast cancer: a prospective cohort study. , 2010, European journal of cancer.

[26]  A. Szuba,et al.  Clinical trials needed to evaluate compression therapy in breast cancer related lymphedema (BCRL). Proposals from an expert group. , 2010, International angiology : a journal of the International Union of Angiology.

[27]  J. Hormes,et al.  Impact of lymphedema and arm symptoms on quality of life in breast cancer survivors. , 2010, Lymphology.

[28]  K. Courneya,et al.  American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. , 2010, Medicine and science in sports and exercise.

[29]  R. Edmondson,et al.  Lower-Limb Lymphedema and Vulval Cancer: Feasibility of Prophylactic Compression Garments and Validation of Leg Volume Measurement , 2009, International Journal of Gynecologic Cancer.

[30]  L. Gerber,et al.  Preoperative assessment enables the early diagnosis and successful treatment of lymphedema , 2008, Cancer.

[31]  J. Cunningham,et al.  Quality of life and lymphedema following breast cancer. , 2007, Lymphology.

[32]  H. Partsch,et al.  Compression Stockings Reduce Occupational Leg Swelling , 2004, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[33]  P. Goodwin,et al.  Validation of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30) as a measure of psychosocial function in breast cancer patients. , 1998, European journal of cancer.

[34]  J. Sitzia.  Volume measurement in lymphoedema treatment: examination of formulae. , 1995, European journal of cancer care.