Exploring the potential role of health resort medicine in the management of breast cancer-related lymphedema: a viable alternative for innovative rehabilitation opportunities?

IF 3 3区 地球科学 Q2 BIOPHYSICS
Maria Chiara Maccarone, Erika Venturini, Stefano Masiero
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Abstract

Lymphedema is a chronic and progressive disorder of the lymphatic system that impairs the return of lymphatic fluid. Breast cancer treatment can cause breast cancer-related lymphedema (BCRL), with axillary lymph node dissection and regional lymph node radiation being established risk factors. BCRL can cause severe morbidity, disability, and reduced quality of life. Early detection and treatment are essential to prevent the disease from progressing and causing complications. According to the International Society of Lymphology, complex decongestive therapy (CDT) is the most effective conservative treatment for lymphedema. Aquatic exercise is a safe and effective form of therapeutic CDT exercise that can improve joint range of motion, reduce pain, and positively impact limb volume. Additionally, health resort medicine and thermal mineral-rich waters may provide synergistic benefits for therapeutic exercise programs. Therefore, we believe that consideration should be given to whether the spa setting could represent a viable alternative for the rehabilitation of BCRL patients.

探索疗养医学在乳腺癌相关淋巴水肿管理中的潜在作用:创新康复机会的可行选择?
淋巴水肿是一种慢性进行性淋巴系统疾病,妨碍淋巴液的回流。乳腺癌治疗可引起乳腺癌相关淋巴水肿(BCRL),腋窝淋巴结清扫和局部淋巴结放疗是确定的危险因素。BCRL可导致严重的发病率、残疾和生活质量下降。早期发现和治疗对于防止疾病发展和引起并发症至关重要。根据国际淋巴学会,综合消血疗法(CDT)是治疗淋巴水肿最有效的保守疗法。水上运动是一种安全有效的治疗性CDT运动形式,可以改善关节活动范围,减轻疼痛,并对肢体体积产生积极影响。此外,疗养药物和热矿物质丰富的水可以为治疗性运动项目提供协同效益。因此,我们认为应该考虑水疗设置是否可以作为BCRL患者康复的可行选择。
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来源期刊
CiteScore
6.40
自引率
9.40%
发文量
183
审稿时长
1 months
期刊介绍: The Journal publishes original research papers, review articles and short communications on studies examining the interactions between living organisms and factors of the natural and artificial atmospheric environment. Living organisms extend from single cell organisms, to plants and animals, including humans. The atmospheric environment includes climate and weather, electromagnetic radiation, and chemical and biological pollutants. The journal embraces basic and applied research and practical aspects such as living conditions, agriculture, forestry, and health. The journal is published for the International Society of Biometeorology, and most membership categories include a subscription to the Journal.
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