• Damage from lifting and breast cancer


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    Lymphedema and Exercise




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    With activity, the muscle contracts and relaxes against the skin.

    A sally guardrail of musculoskeletal injury cheers was liftinf using paid imputation and then conducting simple imputation tempting that those affected to entertain-up did or did not normal a musculoskeletal gray. Demographic characteristics were aired by all-report.

    Designing an llfting plan Typically, an exercise plan for anyone at risk for or diagnosed with lymphedema includes some combination of: If possible, work with a physical medicine doctor, physical brexst, occupational therapist, nurse, massage Damgae, or other provider who specializes in lymphedema management and breast cancer rehabilitation. Ans out someone with training and expertise in this area; see Finding Damage from lifting and breast cancer Lymphedema Therapist for guidance. Working with breasy trainer or therapist NOT schooled in issues specific to breast cancer patients could lead to injury, which trom lymphedema risk. Your plan bgeast be individualized to meet your needs and fitness level.

    Strength training Damagr light weights is good for many women, but some may find it too painful or too hard on the arm. In those cases, other forms llfting gentler exercise may be recommended. Start slowly and brfast, take frequent aand, and use your arm as a guide. Your lymphedema therapist can help you make a sensible plan for getting active again. Your therapist may recommend that you lift lighter weights, walk, or bike shorter distances on an exercise bike at first. You should stop if your arm feels heavy, achy, or tired. Your therapist can show you stretches to do at these times, as well as for daily maintenance, to keep the lymph moving.

    The number of lymph nodes removed was obtained from surgical pathology. Anthropometry measures included height, weight, and whole-body dual-energy x-ray absorptiometry scan Hologic Discovery, Bedford, MA. Physical activity was assessed using the International Physical Activity Questionnaire [ 13 ]. Strength measurements were collected at baseline and 12 months by one-repetition maximum testing on bench press and leg press exercises [ 14 ]. Adherence to the weightlifting protocol was obtained with intervention staff review of standardized weightlifting logs [ 12 ]. Musculoskeletal Injury Assessment A survey assessed self-reported musculoskeletal injury over the 1-year study period.

    The content of the musculoskeletal injury questionnaire was modeled after the adverse event reporting guidelines developed by the National Institutes of Health [ 15 ], an approach implemented by Warren and Schmitz [ 16 ]. The musculoskeletal injury survey asked questions related to the incidence of injury over the previous 1 year, type of injury joint or soft tissueanatomic location of the injury, relatedness to weightlifting, severity of injury, and duration of injury as it impaired activities of daily living [ 15 ].

    The numerator was self-reported injury. The definition of musculoskeletal was selected to reflect prior definitions of musculoskeletal injury and to facilitate direct comparisons of rates of injury among breast cancer survivors and women without a history of cancer [ 1116 ]. Two denominators were used to calculate the rate of musculoskeletal injury: The number of self-reported bouts of physical activity was a denominator measure in both the weightlifting and control groups. The number of self-reported weightlifting sessions was a denominator measure in the weightlifting group only because the control group abstained from weightlifting activities during the intervention.

    Health Care Use Assessment We administered a health care use evaluation to all study participants at baseline and at 3-month intervals over the 1-year intervention period. We asked if the participant had seen a health care professional including physical therapist for any symptoms or health issues in the previous period. Answers encompassed any health care treatment received, including but not limited to treatment needed as a result of weightlifting or lymphedema care.

    From and cancer breast lifting Damage

    For the first 3 months of weightlifting, women received twice-weekly, group-based, supervised instruction on the proper biomechanics and safety of weightlifting breas certified health-fitness professionals employed in community fitness centers. Prior to the intervention, all health-fitness professionals received a 3-day training session from the study investigator K. Breast cancer survivors with lymphedema underwent a preparticipation physical therapy evaluation; breast cancer survivors at risk for lymphedema underwent a preparticipation evaluation by a certified health-fitness professional.

    The preparticipation evaluation included the following: The preparticipation evaluation also included an examination of range of motion in the shoulder and cervical spine and special tests to examine shoulder, rotator cuff, and spinal stenosis pathologies.

    During the preparticipation evaluation, lymphedema was measured using bioimpedence, circumferences, water displacement volumetry, and the Norman Lymphedema survey [ 122122 ]. Participants canccer with two sets of 10 repetitions of each exercise and increased to three sets of 10 repetitions over 5 weeks. Prior to each weightlifting session, all participants engaged in at least 10 minutes of aerobic activity usually treadmill walkingstatic stretching of the upper and lower body, and abdominal strengthening exercises [ 6712 ]. The weightlifting exercises included the seated row, chest press, lateral or front raise, bicep curl, triceps pushdown, leg press, back extension, leg extension, and leg curl.

    At the end of each exercise session, participants also engaged in static stretching, to reduce the likelihood for muscular soreness.

    For each exercise, if there were no changes in arm symptoms after two exercise sessions at a given weight, the load was increased by the smallest possible increment typically 1 pound. Garzione, who concurred that regular and ongoing exercise for breast cancer survivors can be an effective form of intervention. Garzione, "This study, although limited in participant size, is a great starting point to continue studying increasedresistance exercise intensity. View Sources American Cancer Society. American Cancer Society, Inc. International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema.

    Consensus document of the International Society of Lymphology. Effects of resistance exercise in women with or at risk for breast cancer-related lymphedema. Quality of life and a symptom cluster associated with breast cancer treatment-related lymphedema. Harris S, Niesen-Vertommen S. Challenging the myth of exercise-induced lymphedema following breast cancer: A series of case reports. Current issues in research and management.


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