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首页> 外文期刊>The journal of alternative and complementary medicine: research on paradigm, practice, and policy >The Effect of Yoga on Arm Volume, Strength, and Range of Motion in Women at Risk for Breast Cancer-Related Lymphedema
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The Effect of Yoga on Arm Volume, Strength, and Range of Motion in Women at Risk for Breast Cancer-Related Lymphedema

机译：瑜伽对乳腺癌相关淋巴米患者的武器体积，强度和运动的臂体积，强度和运动范围的影响

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Objectives: To assess the feasibility, safety, and initial estimates of efficacy of a yoga program in postoperative care for women at high risk for breast cancer-related lymphedema (BCRL). Design: Single-group pretest–post-test design. Settings/Location: Patients were recruited from the University of California, San Francisco Carol Franc Buck Breast Care Center. Subjects: Twenty-one women were enrolled in the study. Women were >18 years of age, had undergone surgical treatment for breast cancer, and were at high risk for BCRL. Intervention: The women participated in an Ashtanga yoga intervention for 8 weeks. Sessions consisted of once/week instructor-led practice and once/week home practice. Particular attention was given to poses that emphasized upper body strength and flexibility, while avoiding significant time with the upper extremity (UE) in a dependent position. Outcome measures: UE volume was assessed through circumferential forearm measurement, which was converted to volume using the formula for a truncated cone. Range of motion (ROM) was assessed for the shoulders, elbows, and wrists, using a standard goniometer. UE strength was assessed for shoulder abduction, elbow flexion, wrist flexion, and grip using a dynamometer. Results: Twenty women completed the yoga intervention, with 17 returning for final assessment. Mean age was 52 (±9.1) years and body mass index was 24.8 (±5.1) kg/m~(2). Postintervention, mean volume in the at-risk UE was slightly reduced ( p ?=?0.397). ROM for shoulder flexion ( p ? p ? p ?=?0.001). Following intervention, strength improved on the affected side for shoulder abduction and grip strength, and bilaterally for elbow flexion ( p ? Conclusions: These preliminary findings suggest that yoga is feasible and safe for women who are at risk for BCRL and may result in small improvements in shoulder ROM and UE strength.
机译：目标：评估乳腺癌相关淋巴米症（BCRL）高风险术后瑜伽计划的可行性，安全性和初步估计术后妇女的疗效。设计：单组预测试后设计。设置/位置：患者从加利福尼亚州旧金山墨西哥州Carr Franc Carm Meast Care中心招募患者。主题：二十一名妇女在研究中注册。女性> 18岁，经历了乳腺癌的手术治疗，并且对BCRL的风险很高。干预：妇女参加了Ashtanga瑜伽干预8周。会议由一次/周教练导向的练习和一次/周的家庭练习组成。特别注意，给出了强调上体强度和柔韧性的姿势，同时在依赖位置避免上肢（UE）的重要时间。结果措施：通过圆周前臂测量评估UE体积，其使用截短锥形的公式转换为体积。使用标准焦仪评估肩部，肘部和手腕的运动范围（ROM）。使用测功机来评估肩部绑架，肘部屈曲，腕部屈曲和握把的UE强度。结果：二十名女性完成了瑜伽干预，17次返回最终评估。平均年龄为52（±9.1）岁，体重指数为24.8（±5.1）kg / m〜（2）。突出型UE中的平均体积略微减少（P？= 0.397）。肩部屈曲的rom（p？p？p？= 0.001）。干预后，强度改善了肩部绑架和握力的受影响方面，以及双方用于肘部屈曲（P？结论：这些初步调查结果表明，瑜伽对BCRL风险的女性是可行的，并且可能导致较小的改进在肩部ROM和UE强度。

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