Salim, Nor Sahira Mohd
(2018)
Aerobic and resistance exercises in post-operative breast cancer participants at risk of lymphedema : an exploratory study.
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction: Breast cancer is the most common cancers affecting women and the second leading cause of death among women. Breast cancer survivor have high percentage to get arm lymphedema. Lymphedema is one of the most troubling complications to in breast cancer survivors, because it can worsen the physical and emotional strain in breast cancer survivors. Exercises help to decrease side effects after surgery and help participants get back to their daily activities. Objective: The purpose of this study is to determine the applicability of prescribed aerobic and resistance exercises to control the development of lymphedema in post-operative breast cancer participants. Method: Three patients with two weeks of post left axillary clearance surgery were recruited. Treatment group (n=2) was provided with combine aerobic training (Walking, 40%-60% HRreserve) and five type of resistance exercise (8-15 reps, 2-3 sets) include warm-ups and cool down for six weeks. While control group (n=1) only continue with passive strength exercise that provided by physiotherapy of Hospital University Sains Malaysia (HUSM). Arm circumference, arm fluid volume, skin and tissue thickness, arm strength test, and pain score was tested before and after six weeks of exercise intervention for both group. For treatment group to access the exercise intensity Borg-rating scale and pain scale were used. Results: Result showed no significant differences in each of the measurement. However, each of the measurement showed good trend. Discussion: Pain level on post-operative breast cancer survivor can be reduces by physical activity. Intensity of the physical activity influences the timing of the pain to reduce.
Combine aerobic and resistance training do help in slow down or managing the arm lymphedema compare to passive strength exercise only. Conclusion: Current study provides valuable information regarding the prescribed aerobic and resistance exercises to control the development of lymphedema in post-operative breast cancer participants. In this current exploratory study, we found that combine aerobic and resistance training do help in delay arm lymphedema, improve arm strength and reduce pain after post-operative unilateral axillary clearance surgery.
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