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dc.contributor.authorSingh, Ben
dc.contributor.authorDisipio, Tracey
dc.contributor.authorPeake, Jonathan
dc.contributor.authorHayes, Sandra C
dc.date.accessioned2019-10-04T04:09:01Z
dc.date.available2019-10-04T04:09:01Z
dc.date.issued2016
dc.identifier.issn0003-9993
dc.identifier.doi10.1016/j.apmr.2015.09.012
dc.identifier.urihttp://hdl.handle.net/10072/388085
dc.description.abstractObjectives To evaluate the effects of exercise on cancer-related lymphedema and related symptoms, and to determine the need for those with lymphedema to wear compression during exercise. Data Sources CINAHL, Cochrane, EBSCOhost, MEDLINE, PubMed, ProQuest Health and Medical Complete, ProQuest Nursing and Allied Health Source, ScienceDirect, and SPORTDiscus databases were searched for trials published before January 1, 2015. Study Selection Randomized and nonrandomized controlled trials and single-group pre-post studies published in English were included. Twenty-one (exercise) and 4 (compression and exercise) studies met inclusion criteria. Data Extraction Data were extracted into tabular format using predefined data fields by 1 reviewer and assessed for accuracy by a second reviewer. Study quality was evaluated using the Effective Public Health Practice Project Quality Assessment Tool. Data Synthesis Data were pooled using a random-effects model to assess the effects of acute and long-term exercise on lymphedema and lymphedema-associated symptoms, with subgroup analyses for exercise mode and intervention length. There was no effect of exercise (acute or intervention) on lymphedema or associated symptoms, with standardized mean differences from all analyses ranging between -0.2 and 0.1 (P values ≥.22). Findings from subgroup analyses for exercise mode (aerobic, resistance, mixed, other) and intervention duration (>12wk or ≤12wk) were consistent with these findings - that is, no effect on lymphedema or associated symptoms. There were too few studies evaluating the effect of compression during regular exercise to conduct a meta-analysis. Conclusions Individuals with secondary lymphedema can safely participate in progressive, regular exercise without experiencing a worsening of lymphedema or related symptoms. However, there is insufficient evidence to support or refute the current clinical recommendation to wear compression garments during regular exercise.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom302
dc.relation.ispartofpageto315
dc.relation.ispartofissue2
dc.relation.ispartofjournalArchives of Physical Medicine and Rehabilitation
dc.relation.ispartofvolume97
dc.subject.fieldofresearchOncology and Carcinogenesis
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchHuman Movement and Sports Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1112
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1106
dc.subject.fieldofresearchcode1117
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsRehabilitation
dc.subject.keywordsSport Sciences
dc.subject.keywordsExercise
dc.titleSystematic Review and Meta-Analysis of the Effects of Exercise for Those With Cancer-Related Lymphedema
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSingh, B; Disipio, T; Peake, J; Hayes, SC, Systematic Review and Meta-Analysis of the Effects of Exercise for Those With Cancer-Related Lymphedema, Archives of Physical Medicine and Rehabilitation, 2016, 97 (2), pp. 302-315
dcterms.dateAccepted2015-09-11
dc.date.updated2019-10-04T04:08:05Z
gro.hasfulltextNo Full Text
gro.griffith.authorHayes, Sandi C.


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