ORIGINAL PAPER
Effects of acupuncture and Nordic walking practice, and their interaction, on bodily fluids distribution of breast cancer survivors
 
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1
Department of Medicine and Aging Sciences, ‘G. d’Annunzio’ University of Chieti-Pescara, Chieti, Italy
 
2
Breast Unit, ‘G. Bernabeo’ Hospital of Ortona, Ortona, Italy
 
3
IUL Telematic University, Florence, Italy
 
4
Department of Medicine, University of Padua, Padua, Italy
 
5
Department of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain
 
 
Submission date: 2022-04-22
 
 
Acceptance date: 2022-09-08
 
 
Publication date: 2022-10-27
 
 
Hum Mov. 2023;24(1):130-139
 
KEYWORDS
TOPICS
ABSTRACT
Purpose:
Integrative treatments are growing among breast cancer survivors (BCS), and both acupuncture and Nordic walking (NW) are found particularly useful for them. Their positive effect on BCS health is partially due to their impact on bodily fluid balance. The study of bodily resistance and reactance is a practical method to monitor bodily fluid balance. The aims of our study were to investigate (a) the acute effects of acupuncture treatment on resistance and reactance in BCS who never had received acupuncture treatment before; (b) if BCS practising NW had better resistance and reactance than non-exercising BCS; and (c) if BCS practising NW presented a better response after acupuncture treatment than other conditions.

Methods:
A total of 80 BCS (53.24 ± 5.50 years), including 38 women not practising physical exercise and 42 Nordic walkers, were recruited and investigated for bodily resistance and reactance immediately before and after (a) acupuncture treatment; (b) supine rest without acupuncture.

Results:
Acupuncture seems to positively influence bodily resistance and reactance variation compared with supine rest. NW practice seems able to assure the best resistance and reactance basal values, and their best positive variation after supine rest and acupuncture alone. The observed results are amplified when NW and acupuncture are coupled.

Conclusions:
Both acupuncture and NW could be used to positively influence bodily fluids distribution, also considering that, when coupled, their positive effects are amplified. Therefore, NW should be prescribed to maintain the positive effect of acupuncture or to prepare the body for it.

 
REFERENCES (40)
1.
Lyman GH, Greenlee H, Bohlke K, Bao T, DeMichele AM, Deng GE, et al. Integrative therapies during and after breast cancer treatment: ASCO endorsement of the SIO clinical practice guideline. J Clin Oncol. 2018;36(25):2647–2655; doi: 10.1200/JCO.2018.79.2721.
 
2.
Di Blasio A, Morano T, Bucci I, Di Santo S, D’Arielli A, Castro CG, et al. Physical exercises for breast cancer survivors: effects of 10 weeks of training on upper limb circumferences. J Phys Ther Sci. 2016;28(10):2778–2784; doi: 10.1589/jpts.28.2778.
 
3.
Di Blasio A, Morano T, Napolitano G, Bucci I, Di Santo S, Gallina S, et al. Nordic walking and the Isa method for breast cancer survivors: effects on upper limb circumferences and total body extracellular water – a pilot study. Breast Care. 2016;11(6):428–431; doi: 10.1159/000453599.
 
4.
Di Blasio A, Morano T, Cianchetti E, Gallina S, Bucci I, Di Santo S, et al. Psychophysical health status of breast cancer survivors and effects of 12 weeks of aerobic training. Complement Ther Clin Pract. 2017;27:19–26; doi: 10.1016/j.ctcp.2017.01.004.
 
5.
Chien T-J, Liu C-Y, Fang C-J. The effect of acupuncture in breast cancer-related lymphoedema (BCRL): a systematic review and meta-analysis. Integr Cancer Ther. 2019;18:1534735419866910; doi: 10.1177/1534735419866910.
 
6.
Wick F, Wick N, Wick MC. Morphological analysis of human acupuncture points through immunohistochemistry. Am J Phys Med Rehabil. 2007;86(1):7–11; doi: 10.1097/01.phm.0000250564.88013.89.
 
7.
Hwang YC. Anatomy and classification of acupoints. Probl Vet Med. 1992;4(1):12–15.
 
8.
Li F, He T, Xu Q, Lin L-T, Li H, Liu Y, et al. What is the acupoint? A preliminary review of acupoints. Pain Med. 2015;16(10):1905–1915; doi: 10.1111/pme.12761.
 
9.
Van Hal M, Dydyk AM, Green MS. Acupuncture. StatPearls. Available from: https://www.statpearls.com/Art....
 
10.
Gao J-L, Chen G, He Q-Y, Li J, Wang J. Analysis of Chinese patent medicine prescriptions for qi stagnation and blood stasis syndrome [in Chinese]. Zhongguo Zhong Yao Za Zhi. 2017;42(1):187–191; doi: 10.19540/j.cnki.cjcmm.20161222.005.
 
11.
Heymsfield SB, Ebbeling CB, Zheng J, Pietrobelli A, Strauss BJ, Silva AM, et al. Multi-component molecularlevel body composition reference methods: evolving concepts and future directions. Obes Rev. 2015;16(4):282–294; doi: 10.1111/obr.12261.
 
12.
Pollack GH. Cells, gels and the engines of life. Seattle: Ebner & Sons; 2001.
 
13.
Roumelioti M-E, Glew RH, Khitan ZJ, Rondon-Berrios H, Argyropoulos CP, Malhotra D, et al. Fluid balance concepts in medicine: principles and practice. World J Nephrol. 2018;7(1):1–28; doi: 10.5527/wjn.v7.i1.1.
 
14.
Fung PCW. Probing the mystery of Chinese medicine meridian channels with special emphasis on the connective tissue interstitial fluid system, mechanotransduction, cells durotaxis and mast cell degranulation. Chin Med. 2009;4:10; doi: 10.1186/1749-8546-4-10.
 
15.
Yang C, Du Y-K, Wu J-B, Wang J, Luan P, Yang Q-L, et al. Fascia and primo vascular system. Evid Based Complement Alternat Med. 2015;2015:303769; doi: 10.1155/2015/303769.
 
16.
Zhang W-B, Jia D-X, Li H-Y, Wei Y-L, Yan H, Zhao P-N, et al. Understanding qi running in the meridians as interstitial fluid flowing via interstitial space of low hydraulic resistance. Chin J Integr Med. 2018;24(4):304–307; doi: 10.1007/s11655-017-2791-3.
 
17.
Xu H, Zhang Y, Sun H, Chen S, Wang F. Effects of acupuncture at GV20 and ST36 on the expression of matrix metalloproteinase 2, aquaporin 4, and aquaporin 9 in rats subjected to cerebral ischemia/reperfusion injury. PLoS One. 2014;9(5):e97488; doi: 10.1371/journal.pone.0097488.
 
18.
Liu H-H, Liu X-D, Wang Y-J, Guan H-Q, Chai J-Y, Zhao J-R, et al. Effects of acupoint area and non-acupoint area of eye-acupuncture on expressions of VIP and AQP 8 in colonic tissues in rats with D-IBS [in Chinese]. Zhongguo Zhen Jiu. 2012;32(10):919–924.
 
19.
Day RE, Kitchen P, Owen DS, Bland C, Marshall L, Conner AC, et al. Human aquaporins: regulators of transcellular water f low. Biochim Biophys Acta. 2014;1840(5):1492–1506; doi: 10.1016/j.bbagen.2013.09.033.
 
20.
Ala M, Jafari RM, Hajiabbasi A, Dehpour AR. Aquaporins and diseases pathogenesis: from trivial to undeniable involvements, a disease-based point of view. J Cell Physiol. 2021;236(9):6115–6135; doi: 10.1002/jcp.30318.
 
21.
Schleip R, Duerselen L, Vleeming A, Naylor IL, Lehmann-Horn F, Zorn A, et al. Strain hardening of fascia: static stretching of dense fibrous connective tissues can induce a temporary stiffness increase accompanied by enhanced matrix hydration. J Bodyw Mov Ther. 2012;16(1):94–100; doi: 10.1016/j.jbmt.2011.09.003.
 
22.
Wakayama Y. Aquaporin expression in normal and pathological skeletal muscles: a brief review with focus on AQP4. J Biomed Biotechnol. 2010;2010:731569; doi: 10.1155/2010/731569.
 
23.
Lutosławska G. Aquaporins in physiology and pathology. Trends Sport Sci. 2014;4(21):185–194.
 
24.
Lorenzo I, Serra-Pat M, Yébenes JC. The role of water homeostasis in muscle function and frailty: a review. Nutrients. 2019;11(8):1857; doi: 10.3390/nu11081857.
 
25.
Peyré-Tartaruga LA, Boccia G, Martins VF, Zoppirolli C, Bortolan L, Pellegrini B. Margins of stability and trunk coordination during Nordic walking. J Biomech. 2022;134:111001; doi: 10.1016/j.jbiomech.2022.111001.
 
26.
Pellegrini B, Peyré-Tartaruga LA, Zoppirolli C, Bortolan L, Savoldelli A, Minetti AE, et al. Mechanical Energy patterns in Nordic walking: comparisons with conventional walking. Gait Posture. 2017;51:234–238; doi: 10.1016/j.gaitpost.2016.10.010.
 
27.
Boccia G, Zoppirolli C, Bortolan L, Schena F, Pellegrini B. Shared and task-specific muscle synergies of Nordic walking and conventional walking. Scand J Med Sci Sports. 2018;28(3):905–918; doi: 10.1111/sms.12992.
 
28.
Padulo J, Iuliano E, Dello Iacono A, Milić M, Rizzi M, Ardigò LP. Nordic walking versus natural walking: an easy approach to comparing metabolic demands. Int J Perform Anal Sport. 2018;18(5):686–692; doi: 10.1080/24748668.2018.1514565.
 
29.
Sánchez-Lastra MA, Torres J, Martínez-Lemos I, Ayán C. Nordic walking for women with breast cancer: a systematic review. Eur J Cancer Care. 2019;28(6):e13130; doi: 10.1111/ecc.13130.
 
30.
Piccoli A. Bioelectric impedance measurement for fluid status assessment. Contrib Nephrol. 2010;164:143–152; doi: 10.1159/000313727.
 
31.
Unschuld PU. Nan Jing. The classic of difficult issues. Oakland: University of California Press; 2016.
 
32.
Phillips KD, Skelton WD, Hand GA. Effect of acupuncture administered in a group setting on pain and subjective peripheral neuropathy in persons with human immunodeficiency virus disease. J Altern Complement Med. 2004;10(3):449–455; doi: 10.1089/1075553041323678.
 
33.
Selin H (ed.). Encyclopaedia of the history of science, technology, and medicine in non-western cultures. Berlin, Heidelberg, New York: Springer; 2008.
 
34.
Leung AY, Park J, Schulteis G, Duann J-R, Yaksh T. The electrophysiology of de qi sensations. J Altern Complement Med. 2006;12(8):743–750; doi: 10.1089/acm.2006.12.743.
 
35.
Mayers A. Multivariate analyses. In: Mayers A, Introduction to statistics and SPSS in psychology, 1st ed. Harlow: Pearson; 2013; 317–361.
 
36.
Field A. Discovering statistics using IBM SPSS Statistics, 4th ed. London: Sage; 2013.
 
37.
Yao W, Yang H, Yin N, Ding G. Mast cell-nerve cel interaction at acupoint: modeling mechanotransduction pathway induced by acupuncture. Int J Biol Sci. 2014;10(5):511–519; doi: 10.7150/ijbs.8631.
 
38.
Langevin HM, Keely P, Mao J, Hodge LM, Schleip R, Deng G, et al. Connecting (t)issues: how research in fascia biology can impact integrative oncology. Cancer Res. 2016;76(21):6159–6162; doi: 10.1158/0008-5472.CAN-16-0753.
 
39.
Gracovetsky S. Yoga, fascia and the second law of thermodynamics. J Bodyw Mov Ther. 2018;22(2):346–347; doi: 10.1016/j.jbmt.2018.02.002.
 
40.
Bordoni B, Simonelli M. The awareness of the fascial system. Cureus. 2018;10(10):e3397; doi: 10.7759/cureus.3397.
 
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