Effect of resistance exercise in postmastectomy breast cancer survivors: A systematic review

Abhishek Sharma, S. Vats, A. Chahal
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Abstract

Background: Breast cancer (BC) impacts over 1.2 million individuals every year worldwide and is the most frequently diagnosed illness in women. Medical treatment options have increased chances of survival, but these procedures frequently have side effects that can negatively impact health status and quality of life (QoL) over the long term QoL. Given that resistance exercise has a special anabolic effect; it may be useful for addressing the effects of BC and its therapy. Materials and Methods: This is an integrative literature review study that includes data search from PubMed, MEDLINE, Scopus, Google Scholar, and the physiotherapy evidence database databases for articles and also crossing English descriptors indexed in the medical subject headings and health sciences descriptors, respectively. The present review is based on the Whittemore and Knafl methodology. Results: A total of 842 patients from 13 studies were included. There was no aggravation subjectively reported or objectively evaluated lymphedema symptoms. Adverse effects were uncommon, mostly of a musculoskeletal in nature, and were successfully handled using conservative methods. The studies we looked at indicate that women who had BC surgically treated can benefit from resistance exercise in terms of their clinical and health outcomes. Results demonstrate that in cancer survivors, pain, physical and emotional functioning, fatigue, depression, and aerobic capacity have improved. Conclusion: It is necessary to conduct rigorously constructed randomized controlled trials (RCTs) that recommend targeted resistance exercise regimens at various stages of BC treatment. To demonstrate the effectiveness of this intervention for the posttreatment care of BC patients and survivors as a method of enhancing health status and QoL, RCTs with complete, standardized reporting of interventions, and adverse events are necessary.
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抵抗运动对乳房切除术后乳腺癌幸存者的影响:一项系统综述
背景:癌症(BC)每年影响全球120多万人,是女性最常见的疾病。医疗选择增加了生存机会,但这些手术经常会产生副作用,对长期生活质量和健康状况产生负面影响。鉴于阻力运动具有特殊的合成代谢作用;它可能有助于解决BC及其治疗的影响。材料和方法:这是一项综合文献综述研究,包括从PubMed、MEDLINE、Scopus、Google Scholar和理疗证据数据库中搜索文章的数据,以及分别在医学主题标题和健康科学描述符中索引的交叉英语描述符。本综述基于Whittemore和Knafl方法论。结果:共纳入13项研究的842名患者。主观报告或客观评估的淋巴水肿症状均未加重。不良反应并不常见,主要是肌肉骨骼性质的,并且使用保守的方法成功处理。我们观察的研究表明,接受BC手术治疗的女性在临床和健康结果方面可以从阻力运动中受益。结果表明,癌症幸存者的疼痛、身体和情绪功能、疲劳、抑郁和有氧能力都有所改善。结论:有必要进行严格构建的随机对照试验(RCT),在BC治疗的各个阶段推荐有针对性的抵抗运动方案。为了证明这种干预措施对BC患者和幸存者的治疗后护理的有效性,作为一种提高健康状况和生活质量的方法,有必要对干预措施和不良事件进行完整、标准化的随机对照试验。
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