Application analysis of an internet platform tracking management mode combined with progressive resistance training in the rehabilitation of patients with breast cancer-related lymphedema.

Abstract

Objective: To observe the influence of internet platform tracking management mode combined with progressive resistance training (PRT) on the rehabilitation of patients with breast cancer-related lymphedema (BCRL).

Methods: A total of 100 patients with BCRL admitted to Hainan general hospital from January 2023 to March 2024 were selected. After the shedding cases were excluded, they were divided into group A (n=47) where PRT + out-of-hospital follow-up were given, and group B (n=48) where PRT + Internet platform tracking management mode was given. The two groups were compared in peripheral diameter difference, volume difference, lymphatic flow, edema degree, grip strength, shoulder joint activity of the upper limbs, daily living function and quality of life.

Results: The peripheral diameter difference, volume difference, proportion of severe edema and Disabilities of the Arm, Shoulder and Hand (DASH) scores of upper limbs in the two groups were decreased after 4 weeks and 12 weeks of intervention, while those in the group B were even lower (P<0.05). The lymphatic flow, grip strength, abduction, rear extension level and proportion of mild edema in the upper limbs were increased after 4 weeks and 12 weeks of intervention, while those in the group B were even greater (P<0.05). There was no statistically significant difference in anterior flexion level and quality of life score between the two groups before intervention, 4 and 12 weeks after intervention (P>0.05).

Conclusion: The application of the internet platform tracking management mode combined with PRT in patients with BCRL can reduce the degree of edema, improve the grip strength, enhance the shoulder joint activity, and improve the function of daily living.