Physical exercises for breast cancer survivors: effects of 10 weeks of training on upper limb circumferences
31 Mar 2025
The breast cancer survivors were visited by both cardiology and sports medicine specialists to verify their cardiovascular and orthopaedic eligibility for Walking and Nordic Walking practice through medical examination, echocardiography and the maximal stress test. After meeting the medical eligibility criteria, the participants were randomly assigned to one of four different workout groups, which performed Nordic Walking (NWg), Nordic Walking + ISA (Interoperability Standards Advisory) method (NW-ISAg), Walking (Wg) or Walking + ISA method (W-ISAg) workout.
Group 2 shows the homogeneity of the groups, which had the same starting values, except for the relaxed arm circumferences, which were higher in the NWg. As NWg had higher relaxed arm circumference than the other groups, and not only on the side homolateral to the surgical treatment, the observed difference was not due to a different grade of lymphedema but to a difference in the group’s characteristic. Group 3 shows that all the upper limbs homolateral to the surgical intervention for breast cancer had circumferences greater than those of the contralateral upper limb except the wrist circumferences, which showed no significant difference. The Wilcoxon test showed that while Wg showed no significant changes in any of the outcome measures, and increased both total body water and mid-forearm circumference, the other groups exhibited significant reductions (group 4)
Group 2 shows the homogeneity of the groups, which had the same starting values, except for the relaxed arm circumferences, which were higher in the NWg. As NWg had higher relaxed arm circumference than the other groups, and not only on the side homolateral to the surgical treatment, the observed difference was not due to a different grade of lymphedema but to a difference in the group’s characteristic. Group 3 shows that all the upper limbs homolateral to the surgical intervention for breast cancer had circumferences greater than those of the contralateral upper limb except the wrist circumferences, which showed no significant difference. The Wilcoxon test showed that while Wg showed no significant changes in any of the outcome measures, and increased both total body water and mid-forearm circumference, the other groups exhibited significant reductions (group 4)
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