Effects of Qigong exercise on upper limb lymphedema and blood flow in survivors of breast cancer: A pilot study

Shirley Siu Ming FONG, Sheung Mei Shamay NG, W. S. LUK, Wai Yee Joanne CHUNG, Jacqueline S. C. HO, Michael YING, Wai Wing Ada MA

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30 Citations (Scopus)

Abstract

Hypothesis. Qigong exercise is a popular method for relieving the side effects of conventional cancer treatments in survivors of breast cancer, yet its effects are not empirically assessed. This study aimed to investigate the effects of qigong exercise on upper limb lymphedema, arterial resistance, and blood flow velocity in survivors with breast cancer and mastectomy. Study Design. This study was conducted as a prospective clinical trial. Methods. Eleven survivors of breast cancer with qigong experience (mean age = 58.3 ± 10.1 years) were assigned to the experimental group and 12 survivors of breast cancer without qigong experience (mean age = 53.8 ± 4.2 years) were assigned to the control group. They all had breast cancer–related lymphedema. All procedures were completed within one session. After baseline measurements were taken, the experimental group performed 18 Forms Tai Chi Internal Qigong for approximately 6 minutes while the control group rested for similar duration in a sitting position. Both groups were then reassessed. All participants were measured on their affected upper limb circumference (by using tape measures), peripheral arterial resistance, and blood flow velocities (using a Doppler ultrasound machine). Results. The between-group differences were not significant for all outcome measures at baseline (P > .05). The circumferences of the affected upper arm, elbow, forearm and wrist decreased after qigong exercise (P < .05). However, no significant difference was found in the circumference measures between the 2 groups posttest (P > .0125). In terms of vascular outcomes, the resistance index decreased and the maximum systolic arterial blood flow velocity (SV) and minimum diastolic arterial blood flow velocity (DV) increased significantly after qigong exercise (P < .05). The between-group difference was close to significant for SV (P = .018) and was significant for DV (P < .001) posttest. Conclusion. Qigong exercise could reduce conventional cancer therapy side effects such as upper limb lymphedema and poor circulatory status in survivors of breast cancer. However, such effects may be temporary, and further studies must be conducted to explore longer term effects. Copyright © 2014 by SAGE Publications.
Original languageEnglish
Pages (from-to)54-61
JournalIntegrative Cancer Therapies
Volume13
Issue number1
Early online dateJun 2013
DOIs
Publication statusPublished - 2014

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Qigong
Lymphedema
Upper Extremity
Breast Neoplasms
Blood Flow Velocity
Vascular Resistance
Tai Ji
Doppler Ultrasonography
Control Groups
Mastectomy
Elbow
Wrist
Posture
Forearm
Neoplasms
Breast
Arm
Outcome Assessment (Health Care)
Clinical Trials

Citation

Fong, S. S. M., Ng, S. S. M., Luk, W. S., Chung, J. W. Y., Ho, J. S. C., Ying, M., & Ma, A. W. W. (2014). Effects of Qigong exercise on upper limb lymphedema and blood flow in survivors of breast cancer: A pilot study. Integrative Cancer Therapies, 13(1), 54-61.

Keywords

  • Complementary therapy
  • Tai chi qigong
  • Breast carcinoma
  • Postmastectomy
  • Arm swelling
  • Peripheral circulation
  • Side effects