유방암 수술 후 림프부종 환자에서 저항운동과 복합 림프부종 물리치료가 팔의 기능, 근력에 미치는 영향 : Effects of Resistance Exercises and Complex Decongestive Therapy on Arm Function and Muscular Strength in Breast Cancer Related Lymphedema

다국어 초록 (Multilingual Abstract)

Abstract
Objective
The incorporation of resistance exercises into the lifestyle of patients with lymphedema is understudied and an emerging interest. The purpose of the study was to determine the effectiveness of resistance exercise along with intensive complex decongestive therapy on arm function, muscular strength, quality of life, and arm volume.
Methods
I investigated the effectiveness and results of adding a moderate intensity resistance exercise program for 8 weeks in conjunction with intensive complex decongestive therapy for 1 or 2 weeks (depending on severity) on arm volume, arm function, QOL, and muscular strength in patients with breast cancer-related lymphedema. This prospective, randomized trial included forty-four patients with a history of breast cancer who were beginning complex decongestive therapy for lymphedema. They were assigned to either the intervention (n=22) or control (n=22) groups. The intervention comprised of resistance band exercises 5 times a week for 8 weeks. These were initially supervised during the intensive lymphedema treatment, but performed independently during the study period. Limb volume, muscular strength, and the European Organization for Research and Treatment of Cancer QOL Questionnaire C30 (EORTC QLQ-C30), EORTC-Breast Cancer-Specific QOL Questionnaire (EORTC QLQ-BR23), and Disabilities of Arm, Shoulder, and Hand (DASH) questionnaires were assessed at baseline and at 8 weeks.
Results
After 8 weeks, the intervention group improved in the DASH score and muscular strength compared to the control group. The global health status, fatigue (EORTC QLQ-C30), arm symptoms (EORTC QLQ-BR23) and arm volume showed improvement after treatment in both intervention and control groups (P<0.05).
Conclusion
The results indicate that upper body resistance exercise demonstrates a positive effect on arm function and muscular strength without increasing arm volume in breast cancer related lymphedema during and shortly post intensive complex decongestive treatment for lymphedema.

목차 (Table of Contents)

• Contents
• Abstract i
• Lists of Tables and Figures iii
• Introduction 1
• Methods 3
• Assessments 4
• Intervention 6
• Statistical Analysis 8
• Results 8
• Discussion 15
• Conclusion 17
• References 18
• 국문요약 22