• The Journal of Internal Korean Medicine
• /
• v.45 no.1
• /
• pp.31-54
• /
• 2024

Objectives: This study assessed the effectiveness of Hwanggigyejiomul-tang for postoperative breast cancer-related lymphedema (BCRL) by a systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: A search was conducted using keywords such as "breast cancer", "lymphedema", "edema", "Huangqi Guizhi Wuwu decoction", "Huangqi Guizhi Wuwu tang", and "Hwanggigyejiomul tang" in 10 databases (PubMed, Cochrane, ScienceDirect, CNKI, CiNii, RISS, KISS, ScienceON, OASIS, DBpia) on February 11, 2024. There were no limits on the publication period and language, and the quality of the studies was evaluated using Cochrane's risk of bias tool. A meta-analysis was performed based on the outcome measurements, such as total effective rate (TER), increase in shoulder joint mobility (flexion, extension, abduction, adduction), Fugl-Meyer assessment (FMA), and visual analog scale (VAS) using Review Manager Web. Results: Eleven RCTs were selected. The treatment group (Hwanggigyejiomul-tang-gagambang or hapbang with control group intervention) showed a more statistically significant effect compared with the control group (physical therapy or western medicine) in TER (upper limb circumference change), TER (upper limb edema grade change), increase in flexion angle, increase in extension angle, increase in adduction angle, FMA, and VAS. Conclusions: Hwanggigyejiomul-tang is effective in treating postoperative BCRL. However, because of the low quality of the included studies, more clinical studies are required to increase the possibility of clinical use.

• Journal of the Korean Society of Clothing and Textiles
• /
• v.14 no.2
• /
• pp.117-128
• /
• 1990

The purpose of this study is to find fitness of brassiere by means of body measuring value, its variation volume, the evaluation of perceptive image, and the evaluation of the sense of wearing. The results were as follows; 1) According to comparison for body measuring value before and after wearing brassiere, bust point (B.P.) height, lower bust height, upper chest circumference, chest circumference, and bust depth are increased, and lower chest circumference, bust point breadth, shoulder middle point - B.P., B.P. -under bust, and cup horizontal girth are decreased. 2) The difference of variation volume by material is not accepted. The part above $20\%$ at variation rate is under the region of the armpit, that is, the region connected arm from the back. 3) The subjects replied that they wore the brassiere in order to compensate the breast and needed to wear it regardless of thiness and obesity. They wore the brassiere in order to dress themselves in good shape, and felt that it put pressure upon the body, while it had nothing to do with adjusting bodily temperature and gave the sense of security. 4) The estimate of the sense of wearing by material is recognized as the difference of the attention at attentive level $1\%$. The multiple factor analysis of each item in the sense of wearing showed that the items which are explained over $90\%$ by common factors are '1. Unpreasant in touch', '2. The part of edge is haggard', '15. Not to be fit'.

• Human Ecology Research
• /
• v.54 no.4
• /
• pp.427-440
• /
• 2016

This study uses comparison tests of bodice basic patterns to research improvements in wearing evaluation methods based on differences in bodice basic patterns and body size. As study methods, we calculated body sizes for six types by selecting four types of bodice basic pattern and utilized bodice basic pattern size measurement tools. The study result are as follows. First, as the result of analyzing bodice basic patterns per each part and body size difference by bodice basic pattern size measurement tool, shoulder angle cover rate was J&K type 57.57%~68.41%, N type 53.13%~65.57%, L type 51.87%~63.73%, and H type 59.03%~68.20%. In the item of neck base circumference, it was J&K type 6.4~-16 mm, N type 10.7~-31.9 mm, L type -5.2~-13.4 mm, and H type -6.2~-15.4 mm. In the item of armscye circumference, it was J&K type -18.9~-59.4 mm, N type -15.2~-51.3 mm, L type -38.9~-52.7 mm, and H type -17~-42.2 mm. In the item of biacromion length, it was J&K type 23.2~-4.7 mm, N type 18.4~-10.4 mm, and H type 3.5~-5.7 mm. In the item of interscye back, it was J&K type and N type 17.6~-13.6 mm, L type 11.9~-13.6 mm, and H type 3.2~-11.8 mm. The item of interscye front was found in the sequences of study type and L type. Second, the Kruskal-Wallis test result (according to bodice basic pattern) indicated meaningful differences in items of shoulder angle cover rate, neck point to breast point, bust point-bust point, biacromion length and armscye circumference and H type had an overall higher rank.

• Journal of The Korean Society of Integrative Medicine
• /
• v.8 no.1
• /
• pp.47-56
• /
• 2020

Purpose : The purpose of this study was to determine the effects of upper extremity volume, pain, and range of motion after participation in thera-band exercises according to the hand grip type in patients with breast cancer with upper extremity edema. We also aimed to determine the most efficient type of grip. Methods : The subjects were 10 female patients diagnosed with stage 2 breast cancer who had stage 2 lymphedema. Randomly, 5 patients each were allocated to the experimental and control groups. For six weeks, the patients in both the experimental and control groups exercised daily. In both groups, manual lymph drainage was applied for 1 hour. Afterward, patients in the experimental group placed their hands in the thera-band ring and exercised with their fingers outstretched. Patients in the control group exercised while holding the thera-band ring with a finger. Both the experimental group and the control group underwent measurements of the circumference of the upper extremity, pain, and range of motion of the shoulder joint at weeks 1, 2, 4, and 6 before and after exercise. Results : The upper arm circumference decreased by more in the experimental group in all weeks than before than that in the control group, and there was a statistically significant difference at 6 weeks. Compared with the difference between pre-exercise and 6 weeks post-exercise, the change in pain significantly decreased in the experimental group and showed a statistically significant difference. The shoulder range of motion increased in extension, external rotation, and internal rotation compared with that in the control group, and there was a statistically significant difference. Although the operating range increased in flexion and abduction, there were no statistically significant differences. Conclusion : In this study, we found that thera-band exercises with an open-hand grip are more efficient than thera-band exercises with a closed-hand grip in edema reduction, pain, and range of motion. In addition, it was found that it was more effective to continue the thera-band exercises with open-hand grip extended for at least 6 weeks rather than for a short time.

• Archives of Plastic Surgery
• /
• v.41 no.6
• /
• pp.748-752
• /
• 2014

Background Gynecomastia is benign enlargement of breast tissue in males and is fairly common. Mastectomy not only helps in improving the shape of anterior chest, but can also improve the location of nipple. Therefore, a principle element of mastectomy design is defining the normal location of nipple based on major anatomical reference points. Here, the nipple location was compared for before and after gynecomastia surgery. In addition, the same was also compared between male patients undergoing gynecomastia surgery and control group of subjects without gynecomastia. Methods We retrospectively analyzed gynecomastia patients who underwent conventional subcutaneous mastectomy. Preoperative and postoperative anatomical landmark distances and chest circumferences were measured and compared to the same anthropometric data from 20 healthy adult male controls. Results Nipple locations were compared among 13 patients and 20 controls. The mean weight of resected breast tissue was 246 g, and overall patient satisfaction grade was 4.3 out of 5. In the patient group, the slopes for the height-distance from the sternal notch to the nipple and chest circumference-distance between the mid-line of the sternum and the nipple were 0.175 and 0.125 postoperatively, respectively. The slopes of the control group were 0.122 and 0.177, respectively; these differences were statistically significant (P<0.05). Conclusions Nipple positions were considerably lower in patients with gynecomastia than in control subjects. Subcutaneous mastectomy was associated with mild elevations, but postoperative locations were still lower compared to controls. Further efforts are needed to improve the location of postoperative nipple-areola complex in patients with gynecomastia.

• Journal of Fashion Business
• /
• v.16 no.1
• /
• pp.150-159
• /
• 2012

This study intend to analyze differences between 3D body scanning sizes and direct measurement sizes of same subjects. The subjects of study are female students of university in China. 3D data analyze as a 3D Body Measurement Soft System. The conclusion found is as below: In case of circumferences, error between direct-measurement size and 3D body scanning size is from 4.9mm to 62.2mm. The neck circumference size of directmeasurement is bigger than 3D body scanning size. The height error range is from 0.6mm to 51mm. Height of underbust, waist and hip are that direct-measurement sizes are higher than 3D body scanning sizes. Gap of width is from 3.8mm to 21.9mm. The gap range is too narrow relatively to others. Only direct-measurement size of neck width is wider than 3D body scanning size. Error range of length is from 0.3mm to 41.8mm. 3D body scanning sizes of lateral neck to waistline, upperarm length, arm length, neck shoulder point to breast point, shoulder center point to breast point, lateral shoulder to breast point are longer than direct-measurement sizes. They have a negative margin of error. I intend to set up same measurement point between direct-measurement and 3D body scanning but they have some errors because direct-measurement point is applied by a person. 3D body scanning measurement point is settled by automatic system. A measurement point of direct-measurement and 3D body scanning isn't unite. So we need to make a standard of setting up measurement points.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.sup3
• /
• pp.81-85
• /
• 2016

Globally, the burden of breast cancer (BC) continues to increase. BC related lymphedema (BCRL) is currently non curable and as a life time risk it affects at least 25% of BC patients. Knowing more about BCRL and appropriate control of its modifiable risk factors can improve quality of life (QOL) of the affected patients. In this case control study to detect factors, 400 women with BCRL (as the case group) and 283 patients with BC without lymphedema (as the control group) that were referred to Shiraz University of Medical Sciences affiliated BC clinic center were assessed. The data were analyzed in SPSS. The mean age of the case group was $52.3{\pm}11.0years$ and of the control group was $50.1{\pm}10.9years$. In patients with BCRL, 203(50.7%) had left (Lt) side BC and in non- lymphedema group 151 (53.3%) had Lt side BC. Out of all BCRL patients, 204 (51%) had lymphedema in all parts of their affected upper extremities, 100 (25%) had swelling in the arm and forearm and 23 (5.7%) had edema in both the upper extremity and trunk. Edema, heaviness, concern about changing body image, pain and paresthesia were the most common signs/symptoms among patients with BCRL. In BCRL patients, the difference of circumference between the affected upper limb and non-affected limb was $4.4{\pm}2.5cm$ and the difference in volume displacement was $528.7{\pm}374.4milliliters$. Multiple variable analysis showed that moderate to severe activity (OR; odds ratio =14, 95% CI :2.6-73.3), invasiveness of BC (OR =13.7, 95% CI :7.3-25.6), modified radical mastectomy (OR=4.3, 95% CI :2.3-7.9), BMI =>25 (OR=4.2, 95% CI :2-8.7), radiotherapy (OR=3.9, 95% CI :1.8-8.2), past history of limb damage (OR=1.7, 95% CI :0.9-3.1) and the number of excised lymph nodes (OR=1.06, 95% CI :1.02-1.09) were the significant predictors of lymphedema in women with BC. Modifiable risk factors of BCRL such as non-guided moderate to severe physical activity, high BMI and trauma to the limb should be controlled as early as possible in BC patients to prevent development of BCRL and improve QOL of these patients.

• The Research Journal of the Costume Culture
• /
• v.16 no.3
• /
• pp.502-517
• /
• 2008

The purpose of the study lies in the measurements of breast shapes and upper body types for the women in their 40's, with the use of 3D measurement system, and in the presentation of brassiere patterns fit for their body types. As for the study method, 3D human body types were analyzed with RapidForm 2006, and the upper-body types and breast shapes were statistically classified through technical statistics analysis, cluster analysis, t-test, variance analysis, and cross analysis. The wearing tests went through the comparison of the brassieres of three makers in the market and the experiment brassieres(first and second) and then the evaluations were made by the subjects, the outer appearance assessment by experts, and 3D measurements. The findings of the study indicated that the evaluation of experiment brassieres was excellent in every item, and he significant difference was found out particularly in the items of pressure, rear center, front center, breast underneath, adequate level by wing, and adequate level by armhole. According to the results of 3D evaluation, experiment brassieres had a highest point in fitness with no physical pressure at the wing part and no overall deviation at the cup art. The pattern comparison showed the differences in the parts of total cup angle, cup circumference length, lower cup height, wing length, and wing angle.

• Journal of Nutrition and Health
• /
• v.40 no.1
• /
• pp.49-57
• /
• 2007

To estimate whether serum leptin has any effects on body composition during the lactational and postnatal periods, we investigated the relationship of serum leptin levels and anthropometric parameters at right after delivery and 16 weeks after delivery in mothers and their infants. Subjects who signed the concent form, participated in this study were recruited from K university hospital. Characteristics of the subjects (age; $31.0{\pm}4.2$ yr, gestation period; $39.5{\pm}1.0$ wk) were investigated and anthropometric parameters (weight, height, body mass index and percent body fat for mothers, and weight, height, head circumference, chest circumference, and Kaup index for infants) were measured. Serum leptin levels of mothers and their infants also measured. Mean maternal serum leptin levels were $9.9{\pm}8.2ng/ml$ and $9.1{\pm}7.2ng/ml$ at right after delivery and 16 weeks after delivery, respectively showing no significant differences. Mean infant's serum leptin levels at birth $(1.8{\pm}0.4ng/ml)$ were significantly lower than that of at 16 weeks after birth $(4.2{\pm}0.8ng/ml)$ (p < 0.001). Leptin levels of male infants were not different from those of female infants. There were no correlations between the maternal serum leptin levels with their body weight, percent body fat after delivery. However, significant correlations were found between maternal serum leptin levels with their body weight, BMI, percent body fat at 16 weeks after delivery (r = 0.80, p < 0.01, r = 0.90, p < 0.001; r = 0.83, p < 0.01, respectively). There were no correlations between the infant's serum leptin levels and their weight, height, head circumference, and chest circumference. No significant relations were also found between maternal serum leptin levels with those of their infants. As a conclusion, maternal serum levels of leptin should be used with a caution to estimate their infant's leptin levels as well as their anthropometric parameters. Further researches are needed to examine the relationship among the leptin levels of mother's serum, breast milk, placenta, and infant's serum.

• Journal of Fashion Business
• /
• v.12 no.1
• /
• pp.109-119
• /
• 2008

The purpose of this study is to dvelop the basic pattern of wome which are fitting for 75A. The collected data were statistcally processed usig the SPSS 10.0 for Mans Standard Deiation, Cronbach's $\alpha$, etc. This study suggested a size chart for body measurement for constructing basic brssiere patterns with size of 75A. The construction of this experimental brassiere were lower cup, upper cup, front panel and wing and characterized by a round cup wired as well as a full cup embrcing the entire breasts. The drafting method for constructing basic brassiere patterns for 75A was completed by selecting a total of 11subjects, and two wearing tests were carried out with the subjects. the dimensions and shapes of the basic brassiere pattern suggested in this research proved to be fitting and to have a wearing effect that brings together and supports the breasts.