运动在芳酶抑制剂诱导的关节痛中的作用
Kerstin Yu1, Pauline Portes1, G Stephen Morris2
1University of Miami Miller School of Medicine, Miami, Florida, USA.
概括
芳酶抑制剂诱导的关节痛 (AIIA) 显著影响乳腺癌患者. 运动干预措施,特别是有氧和阻力训练的联合训练,对管理AIIA症状和改善生活质量充满希望.
科学领域:
- 在瘤学瘤学.
- 类风湿病学 类风湿病学
- 运动科学 运动科学
背景情况:
- 芳酶抑制剂 (AIs) 减少乳腺癌复发,但导致芳酶抑制剂诱导的关节痛 (AIIA).
- AIIA是治疗不坚持的主要原因,增加了复发风险.
- 目前的AIIA管理层缺乏除了改变生活方式和止痛药之外的有效,成熟的治疗方法.
研究的目的:
- 调查AIIA的呈现和机制.
- 评估AIIA各种演习干预措施的可行性和有效性.
- 为AIIA患者制定运动处方指南提供信息.
主要方法:
- 审查关于AIIA和炼干预的现有文献.
- 探索有氧,阻力,有氧和阻力联合,以及心身 (,太极拳) 练习.
- 对症状改善,功能和生活质量指标的分析.
主要成果:
- 综合有氧和阻力运动方案是可行的,安全的,有利于减少关节疼痛,改善功能和生活质量.
- 推方案:每周进行150分钟的有氧运动,再加上两次阻力练习 (6+练习,8-12次,3组).
- 改善了身体功能;太极拳改善了心理健康. 组合协议需要进一步研究.
结论:
- 混合模式的运动,特别是有氧和抵抗训练,为管理AIIA提供了一个有希望的策略.
- 量身定制的运动处方,可能包括或太极拳,可能会改善患者的结果.
- 需要大规模的随机对照试验来证实这些发现并指导最终的指导方针.
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