Effect of progressive resistance training combined with freehand lymphatic drainage on upper limb lymphedema after breast cancer surgery
Objective To investigate the effect of progressive resistance training combined with freehand lymphatic drainage on upper limb lymphedema after breast cancer surgery.Methods Eighty-two patients with breast cancer who received treatment at the Yongkang Women and Children's Health Hospital between January 2020 and May 2022 were included in this study.Based on different treatment methods,they were divided into a control group(n=41)and an observation group(n=41).The control group received progressive resistance training,while the observation group received progressive resistance training combined with freehand lymphatic drainage.At 1 year after surgery,upper limb lymphedema,Disabilities of the Arm,Shoulder and Hand score,clinical treatment effectiveness,Visual Analogue Scale score,upper extremity functional index score,Functional Assessment of Cancer Therapy-Breast scores were compared between the two groups.Results At 1 year after treatment,the incidence of upper limb lymphedema in the observation group was significantly lower than that in the control group[9.76％(4/41)vs.26.83％(11/41),x2=4.00,P＜0.05].At 1 year after treatment,the incidence of pain and swelling in the observation group were 2.44％(1/41)and 2.44％(1/41),respectively,which were significantly lower than those in the control group[14.63％(6/41),14.63％(6/41),x2=3.91,3.91,both P＜0.05].Compared with before treatment,Visual Analogue Scale scores,upper extremity functional index scores,and Functional Assessment of Cancer Therapy-Breast scores increased in each group.After treatment,Visual Analogue Scale scores,upper extremity functional index scores,and Functional Assessment of Cancer Therapy-Breast scores in the observation group were significantly higher than those in the control group(t=-6.90,5.93,7.61,6.20,2.85,8.92,all P＜0.05).The total response rate in the observation group was significantly higher than that in the control group[95.12％(39/41)vs.80.49％(33/41),x2=4.10,P＜0.05].Conclusion Progressive resistance training combined with freehand lymphatic drainage can effectively reduce upper limb lymphedema,alleviate pain and swelling in the upper limb,enhance upper limb function,and improve quality of life and clinical treatment efficacy.
Breast neoplasmsLymphDrainage,posturalUpper extremityVisual analog scaleQuality of life
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