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Physical exercises for breast cancer survivors: effects of 10 weeks of training on upper limb circumferences
di Blasio A, Morano T, Bucci I, di Santo S, d'Arielli A, Castro CG, Cugusi L, Cianchetti E, Napolitano G
Journal of Physical Therapy Science 2016 Oct;28(10):2778-2784
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: The aims of this study were to verify the effects on upper limb circumferences and total body extracellular water of 10 weeks of Nordic walking (NW) and walking (W), both alone and combined with a series of exercises created for breast cancer survivors, the ISA method. SUBJECTS AND METHODS: Twenty breast cancer survivors were randomly assigned to 4 different training groups and evaluated for upper limb circumferences, total body and extracellular water. RESULTS: The breast cancer survivors who performed NW, alone and combined with the ISA method, and walking combined with the ISA method (but not alone) showed significantly reduced arm and forearm circumferences homolateral to the surgical intervention. CONCLUSION: For breast cancer survivors, NW, alone and combined with the ISA method, and Walking combined with the ISA method should be prescribed to prevent the onset and to treat light forms of upper limb lymphedema because Walking training practiced alone had no significant effect on upper limb circumference reduction.

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