• The effectiveness of two individualized physical interventions on the upper limb condition after radical mastectomy

  • Back

Метадані

Опис

Introduction. The aim of the study was to compare the effectiveness of two individualized physical interventions on the upper
limb condition after radical mastectomy.
Methods. overall, 68 patients after breast cancer surgery participated in 12-week outpatient rehabilitation. They were ran-
domly enrolled for water individualized physical intervention (water exercise group, n = 34) and Pilates physical intervention
(Pilates group, n = 34). Upper limb force (dynamometry), size of upper limb lymphedema (circumference), and active range of
motion (goniometry) on the affected side were determined before and after 36 individualized physical rehabilitation sessions.
Results. After 12-week physical rehabilitation, the average values of active range of flexion and abduction were statistically
significantly higher in the water exercise group compared with the Pilates group by 8.73 degrees (p < 0.01) and 6.87 degrees
(p < 0.01), respectively. The size of lymphedema in the area of forearm and hand was significantly lower in the water exercise
group compared with the Pilates group by 0.46 cm (p < 0.05) and 0.44 cm (p < 0.05), respectively. There were no statistically
significant differences in upper limb force between the studied groups at the end of the 12-week intervention.
Conclusions. The results have confirmed that elaborated individualized physical interventions might be considered as effec-
tive methods for range of motion improvement and decrease in breast cancer-related lymphedema in patients with post-ma-
stectomy syndrome. The 3-month water exercises were more effective in improving mobility and muscle force of the upper
limb and decreasing lymphedema than Pilates exercises.

Назва

The effectiveness of two individualized physical interventions on the upper limb condition after radical mastectomy

Ресурси за видами документів

Стаття

Ресурси за розділами

Матеріали партнерів

Дата публікації:

2019

Бібліографічний опис:

deSantis CE, Ma J, Goding Sauer A, Newman LA, Je-
mal A. Breast cancer statistics, 2017, racial disparity in
mortality by state. CA Cancer J Clin. 2017;67(6):439–448;
doi: 10.3322/caac.21412.
2. deSantis CE, Fedewa SA, Goding Sauer A, Kramer JL,
Smith RA, Jemal A. Breast cancer statistics, 2015: con-
vergence of incidence rates between black and white
women. CA Cancer J Clin. 2016;66(1):31–42; doi: 10.3322/
caac.21320.
3. Gallagher K, Marulanda K, Gray S. Surgical intervention
for lymphedema. Surg oncol Clin N Am. 2018;27(1):
195–215; doi: 10.1016/j.soc.2017.08.001.
4. Kayıran o, de La Cruz C, Tane K, Soran A. Lymphedema:
from diagnosis to treatment. Turk J Surg. 2017;33(2):51–
57; doi: 10.5152/turkjsurg.2017.3870.
5. Ribeiro Pereira A, Koifman R, Bergmann A. incidence
and risk factors of lymphedema after breast cancer treat-
ment: 10 years of follow-up. Breast. 2017;36:67–73;
doi: 10.1016/j.breast.2017.09.006.
6. Sayegh HE, Asdourian MS, Swaroop MN, Brunelle CL,
Skolny MN, Salama L, et al. diagnostic methods, risk fac-
tors, prevention, and management of breast cancer-re-
lated lymphedema: past, present, and future directions.
Curr Breast Cancer Rep. 2017;9(2):111–121; doi: 10.1007/
s12609-017-0237-8.
7. ochalek K, Gradalski T, Partsch H. Preventing early post-
operative arm swelling and lymphedema manifestation
by compression sleeves after axillary lymph node inter-
ventions in breast cancer patients: a randomized con-
trolled trial. J Pain Symptom Manage. 2017;54(3):346–
354; doi: 10.1016/j.jpainsymman.2017.04.014

Видавець:

Physiotherapy Quarterly (ISSN 2544-4395) 2019, 27(1), 12–17 Correspondence address: Tetiana odynets, department of Theory of Sport and Physical Culture, Lviv State University of Physical Culture, 79000, 11, Kostiushko Str., Lviv, Ukraine, e-mail: tatyana01121985@gmail.com Received: 16.09.2018 Accepted: 27.11.2018 Citation: odynets T, Briskin Y, Yefremova A, Goncharenko i. The effectiveness of two individualized physical interventions on the upper limb condition after radical mastectomy. Physiother Quart. 2019;27(1):12–17; doi: https://doi.org/10.5114/pq.2019.83056. original paper © University School of Physical Education in Wrocław

Ключові слова:

lymphedema, physical exercises, range of motion, breast cancer

Продовжити перегляд