THE EFFECT OF A 10-WEEK YOGA BASED INTERVENTION ON IMPROVING HAND GRIP STRENGTH OF AFFECTED ARM IN WOMEN AT RISK FOR BREAST CANCER RELATED LYMPHEDEMA: A RANDOMIZED CONTROL TRIAL
DOI:
https://doi.org/10.69919/9qdf9638Keywords:
Breast cancer, Breast cancer related Lymphoedema, Yoga based intervention, Hand Grip strengthAbstract
Background: Decrease strength, swelling, pain, and stiffness in the arm caused by breast cancer related lymphedema can make everyday activities challenging and hinder both fine and gross motor skills. This study aims to investigate whether a yoga-based intervention is practical, safe, and potentially beneficial for women who have had surgery and are at high risk of developing lymphedema after breast cancer treatment. Method: A pre – post control experimental random group research design was used. 40 samples (≥ 40 to ≤ 50) years were taken from HCG cancer hospital of Ahmedabad and randomly assigned to control (n=20) and experimental (n=20) group. The experimental group participated in a 10-week yoga-based intervention, with sessions held 5 days a week. Both groups had their hand grip strength of affected arm measured using a GBEX Hand Dynamometer. Results: Collected data were analysed through dependent sample (paired) 't'-test. Result of hand grip strength of affected arm of experimental group was very statistically significant (at p=0.0034) but in control group there was not statically significant (at p =0.5906) among women at risk for breast cancer related lymphedema. Conclusion: Experimental group has shown statistically significant improvement in hand grip strength of affected arm in women at risk for breast cancer related lymphedema.
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Mazor, M., Lee, J. Q., Peled, A., Zerzan, S., Irwin, C., Chesney, M. A., Serrurier, K., Sbitany, H., Dhruva, A., Sacks, D., & Smoot, B. (2018b). The effect of yoga on arm volume, strength, and range of motion in women at risk for breast cancer-related lymphedema. Journal of Alternative and Complementary Medicine, 24(2), 154–160. https://doi.org/10.1089/ACM.2017.0145
Mistry, S., Ali, T., Qasheesh, M., Beg, R. A., Shaphe, M. A., Ahmad, F., Kashoo, F. Z., & Shalaby, A. S. (2021). Assessment of hand function in women with lymphadenopathy after radical mastectomy. PeerJ, 9. https://doi.org/10.7717/peerj.11252
Sagen, A., Kaaresen, R., Sandvik, L., Thune, I., & Risberg, M. A. (2014). Upper Limb Physical Function and Adverse Effects After Breast Cancer Surgery: A Prospective 2.5-Year Follow-Up Study and Preoperative Measures. Archives of Physical Medicine and Rehabilitation, 95(5), 875–881. https://doi.org/10.1016/J.APMR.2013.12.015
Sayegh, H. E., Asdourian, M. S., Swaroop, M. N., Brunelle, C. L., Skolny, M. N., Salama, L., & Taghian, A. G. (2017). Diagnostic Methods, Risk Factors, Prevention, and Management of Breast Cancer-Related Lymphedema: Past, Present, and Future Directions. Current Breast Cancer Reports, 9(2), 111–121. https://doi.org/10.1007/S12609-017-0237-8
Smoot, B., Wong, J., Cooper, B., Wanek, L., Topp, K., Byl, N., & Dodd, M. (n.d.). Upper extremity impairments in women with or without lymphedema following breast cancer treatment. https://doi.org/10.1007/s11764-010-0118-x
Vries, de, Rietman, J., Geertzen, J., Hoekstra, H., Baas, P., Dolsma, W., de Vries, J., Groothoff, J., Eisma, W., & Dijkstra, P. (2018). Long term treatment related upper limb morbidity and quality of life after sentinel lymph node biopsy for stage I or II breast cancer. https://doi.org/10.1016/j.ejso.2005.11.008
A to Z List of Cancer Types - NCI. (n.d.). Retrieved September 13, 2022, from https://www.cancer.gov/types
Eyigor, S., Uslu, R., Apaydın, S., Caramat, I., & Yesil, H. (2018). Can yoga have any effect on shoulder and arm pain and quality of life in patients with breast cancer? A randomized, controlled, single-blind trial. Complementary Therapies in Clinical Practice, 32, 40–45. https://doi.org/10.1016/J.CTCP.2018.04.010
Fu, M. R. (2014). Breast cancer-related lymphedema: Symptoms, diagnosis, risk reduction, and management. World Journal of Clinical Oncology, 5(3), 241–247. https://doi.org/10.5306/wjco.v5.i3.241
Mazor, M., Lee, J. Q., Peled, A., Zerzan, S., Irwin, C., Chesney, M. A., Serrurier, K., Sbitany, H., Dhruva, A., Sacks, D., & Smoot, B. (2018a). The effect of yoga on arm volume, strength, and range of motion in women at risk for breast cancer-related lymphedema. Journal of Alternative and Complementary Medicine, 24(2), 154–160. https://doi.org/10.1089/acm.2017.0145
Mazor, M., Lee, J. Q., Peled, A., Zerzan, S., Irwin, C., Chesney, M. A., Serrurier, K., Sbitany, H., Dhruva, A., Sacks, D., & Smoot, B. (2018b). The effect of yoga on arm volume, strength, and range of motion in women at risk for breast cancer-related lymphedema. Journal of Alternative and Complementary Medicine, 24(2), 154–160. https://doi.org/10.1089/ACM.2017.0145
Mistry, S., Ali, T., Qasheesh, M., Beg, R. A., Shaphe, M. A., Ahmad, F., Kashoo, F. Z., & Shalaby, A. S. (2021). Assessment of hand function in women with lymphadenopathy after radical mastectomy. PeerJ, 9. https://doi.org/10.7717/peerj.11252
Sagen, A., Kaaresen, R., Sandvik, L., Thune, I., & Risberg, M. A. (2014). Upper Limb Physical Function and Adverse Effects After Breast Cancer Surgery: A Prospective 2.5-Year Follow-Up Study and Preoperative Measures. Archives of Physical Medicine and Rehabilitation, 95(5), 875–881. https://doi.org/10.1016/J.APMR.2013.12.015
Sayegh, H. E., Asdourian, M. S., Swaroop, M. N., Brunelle, C. L., Skolny, M. N., Salama, L., & Taghian, A. G. (2017). Diagnostic Methods, Risk Factors, Prevention, and Management of Breast Cancer-Related Lymphedema: Past, Present, and Future Directions. Current Breast Cancer Reports, 9(2), 111–121. https://doi.org/10.1007/S12609-017-0237-8
Smoot, B., Wong, J., Cooper, B., Wanek, L., Topp, K., Byl, N., & Dodd, M. (n.d.). Upper extremity impairments in women with or without lymphedema following breast cancer treatment. https://doi.org/10.1007/s11764-010-0118-x
Vries, de, Rietman, J., Geertzen, J., Hoekstra, H., Baas, P., Dolsma, W., de Vries, J., Groothoff, J., Eisma, W., & Dijkstra, P. (2018). Long term treatment related upper limb morbidity and quality of life after sentinel lymph node biopsy for stage I or II breast cancer. https://doi.org/10.1016/j.ejso.2005.11.008
Wanchai, A., & Armer, J. M. (2018). Effects of weight-lifting or resistance exercise on breast cancer-related lymphedema: A systematic review. https://doi.org/10.1016/j.ijnss.2018.12.006
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