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Does exercise have a preventive effect on secondary lymphedema in breast cancer patients following local treatment: a systematic review

Background: Secondary lymphedema (SL) is a possible side effect of breast cancer treatment. Current data describe a positive influence of exercise on upper lymphedema. This systematic review evaluates studies examining a potential preventive effect of exercise on SL incidence. Methods: A systematic...

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Hauptverfasser: Baumann, Freerk T. (VerfasserIn) , Wiskemann, Joachim (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: May 3, 2018
In: Breast care
Year: 2018, Jahrgang: 13, Heft: 5, Pages: 380-385
ISSN:1661-3805
DOI:10.1159/000487428
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1159/000487428
Verlag, lizenzpflichtig, Volltext: https://www.karger.com/Article/FullText/487428
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Verfasserangaben:Freerk T. Baumann, Alexandra Reike, Michael Hallek, Joachim Wiskemann, Vanessa Reimer

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520 |a Background: Secondary lymphedema (SL) is a possible side effect of breast cancer treatment. Current data describe a positive influence of exercise on upper lymphedema. This systematic review evaluates studies examining a potential preventive effect of exercise on SL incidence. Methods: A systematic literature search of PubMed, LIVIVO, and the Cochrane Library was performed. Results: 8 randomized controlled trials were included in the review. 3 studies investigated the effect of strength training, and 5 the effect of combined exercise therapy. 5 studies included participants without lymphedema at study entry, and 3 studies included both patients with and without lymphedema. The partly significant results showed that progressive strength training as well as combined dynamic exercise therapies consisting of physiotherapy, physical therapy, and/or kinesiotherapy are safe and can prevent SL. Onset as well as diagnosis of lymphedema were significantly decreased in 5 studies in the exercise group. Conclusion: All 8 studies included indicate a potential preventive effect of exercise on SL; however, further research is needed. 
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