scholarly journals Effects of free range-of-motion upper limb exercise based on mirror therapy on shoulder function in patients after breast cancer surgery: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ru-Zhen Yuan ◽  
Kun-Peng Li ◽  
Xiao-Lin Wei ◽  
Wei Zheng ◽  
Yi Ye ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Upper Limb ◽  
Controlled Trial ◽  
Shoulder Function ◽  
Free Range ◽  
Randomized Controlled ◽  
Shoulder Range Of Motion ◽  
Limb Exercise

Abstract Background Shoulder function complications are common after treatment for breast cancer. Quite a few survivors still report a limited shoulder range of motion, even though the free range-of-motion upper limb exercise is helpful to restore shoulder function. Mirror therapy (MT) is a classical and effective rehabilitation technique to recover motor and sensory function for the limbs; in addition, studies have reported that MT has an influence on patients with shoulder functional dysfunction including increasing shoulder range of motion, improving shoulder function scores, and decreasing pain scores. Here, we describe a protocol of a randomized controlled trial to explore if free range-of-motion upper limb exercise based on MT has efficacy on shoulder function in survivors after surgery of breast cancer. Methods/design This is a prospective, single-blind, two-arm randomized controlled trial. An estimated 70 participants will be randomly allocated to (1) the MT group or (2) the control group. The participants in the control group receive free range-of-motion upper limb exercise, and participants in the MT group will engage in free range-of-motion upper limb exercise based on MT. The intervention will start on the first day after surgery and be completed at 8 weeks after surgery. The primary outcome in this protocol is shoulder range of motion (ROM), while the Constant-Murley Score (CMS); Disability of the Arm, Shoulder, and Hand Questionnaire (DASH); Tampa Scale of Kinesiophobia (13-item TSK); visual analog scale (VAS); grip strength; arm circumference; and lymphedema are the secondary outcomes. Assessment will be conducted before allocation (baseline) and at 2 weeks, 4 weeks, and 8 weeks after surgery. Discussion Based on the results that MT has an influence on shoulder function immediately after intervention in patients without nerve injury, this randomized controlled trial is to observe the efficacy of MT on shoulder function after a long-term intervention in breast cancer survivors. We look forward to the innovation of this study for both breast cancer rehabilitation and MT. Trial registration Chinese Clinical Trial Registry (ChiCTR) ChiCTR2000033080. Registered on 19 May 2020

scholarly journals Effects of Free Range-of-Motion Upper Limb Exercise Based on Mirror Therapy on Shoulder Function in Patients After Breast Cancer Surgery: Study Protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
Ru Zhen Yuan ◽  
Kun Peng Li ◽  
Xiao Lin Wei ◽  
Wei Zheng ◽  
Yi Ye ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Upper Limb ◽  
Controlled Trial ◽  
Shoulder Function ◽  
Mirror Therapy ◽  
Free Range ◽  
Randomized Controlled ◽  
Limb Exercise

Abstract Background Shoulder function complications are common after surgery for breast cancer. Quite a few survivors still reported a limited shoulder range of motion, even though the free range-of-motion upper limb exercise is helpful to restore shoulder function post-operatively. Mirror therapy(MT) is a classical and effective rehabilitation technique to recover motor and sensory function for limbs, in addition, studies have reported that MT has the influence on patients with shoulder functional dysfunction including increasing shoulder range of motion, improving shoulder function scores, and decreasing pain scores. Here we describe a protocol of a randomized controlled trial to explore if the free range-of-motion upper limb exercise based on mirror therapy has efficacy on shoulder function in breast cancer survivors after surgery.Methods/design This is a prospective, single-blind, two-arm randomized controlled trial. An estimated 70 participants will be randomly allocated to 1) MT group or 2) control group. The participants in the control group receive free range-of-motion upper limb exercise, and participants in the MT group will engages in free range-of-motion upper limb exercise based on mirror therapy. The intervention will start from the first day after surgery and will be completde at 8 weeks after surgery. Primary outcomes in this protocol is shoulder range of motion(ROM), while the Constant-Murley Score(CMS), Disability of arm, shoulder, and hand Questionnaire (DASH), Tampa Scale of Kinesiophobia (13-item TSK), Visual Analogue Scale(VAS), grip strength, arm circumference, and lypmphedema are secondary outcomes. Assessment will be conducted before allocation(baseline) and at 2 weeks, 4 weeks, and 8 weeks after surgery.Discussion Based on results that mirror therapy has influence on shoulder function immediately after intervention in patients without nerve injury, this randomized controlled trial is the first study to observe the efficacy of mirror therapy on shoulder function after a long time intervention in breast cancer survivors. We look forward the innovation of this study for both breast cancer rehabilitation and mirror therapy. Trial registration Chinese Clinical Trial Registry (ChiCTR): ChiCTR 2000033080. Registered on 19 May 2020, http://www.chictr.org.cn/searchproj.aspx.

scholarly journals Aerobic and Resistance Exercise Improves Shoulder Function in Women Who Are Overweight or Obese and Have Breast Cancer: A Randomized Controlled Trial

2019 ◽  
Vol 99 (10) ◽  
pp. 1334-1345 ◽  
Author(s):  
Frank C Sweeney ◽  
Wendy Demark-Wahnefried ◽  
Kerry S Courneya ◽  
Nathalie Sami ◽  
Kyuwan Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Exercise Intervention ◽  
External Rotation ◽  
Controlled Trial ◽  
Shoulder Function ◽  
Exercise Group ◽  
Randomized Controlled ◽  
Active Range Of Motion ◽  
The Mean

Abtract Background Adverse upper limb musculoskeletal effects occur after surgical procedures and radiotherapy for breast cancer and can interfere with activities of daily living. Objective The objective of this study was to examine the effects of a 16-week exercise intervention on shoulder function in women who are overweight or obese and have breast cancer. Design This study was a randomized controlled trial. Setting The study was performed at the Division of Biokinesiology and Physical Therapy at the University of Southern California. Participants One hundred women with breast cancer were randomly allocated to exercise or usual-care groups. The mean (SD) age of the women was 53.5 (10.4) years, 55% were Hispanic white, and their mean (SD) body mass index was 33.5 (5.5) kg/m2. Intervention The 16-week exercise intervention consisted of supervised, progressive, moderate to vigorous aerobic and resistance exercise 3 times per week. Measurements Shoulder active range of motion, isometric muscular strength, and patient-reported outcome measures (including Disabilities of the Arm, Shoulder, and Hand and the Penn Shoulder Scale) were assessed at baseline, after the intervention, and at the 3-month follow-up (exercise group only). Differences in mean changes for outcomes were evaluated using mixed-model repeated-measures analysis. Results Compared with the usual-care group, the exercise group experienced significant increases in shoulder active range of motion (the mean between-group differences and 95% confidence intervals (CIs) were as follows: shoulder flexion = 36.6° [95% CI = 55.2–20.7°], external rotation at 0° = 23.4° [95% CI = 31.1–12.5°], and external rotation at 90° = 34.3° [95% CI = 45.9–26.2°]), improved upper extremity isometric strength, and improved Disabilities of the Arm, Shoulder, and Hand and Penn Shoulder Scale scores. Limitations Limitations include a lack of masking of assessors after the intervention, an attention control group, and statistical robustness (shoulder function was a secondary end point). Conclusions A 16-week exercise intervention effectively improved shoulder function following breast cancer treatment in women who were overweight or obese, who were ethnically diverse, and who had breast cancer.

scholarly journals Effect of myofascial techniques for treatment of upper limb dysfunctions in breast cancer survivors: randomized controlled trial

2017 ◽  
Vol 25 (7) ◽  
pp. 2119-2127 ◽  
Author(s):  
An De Groef ◽  
Marijke Van Kampen ◽  
Nele Verlvoesem ◽  
Evi Dieltjens ◽  
Lore Vos ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Cancer Survivors ◽  
Upper Limb ◽  
Breast Cancer Survivors ◽  
Controlled Trial ◽  
Randomized Controlled

scholarly journals A Double-blind Randomized Controlled Trial for the Effects of Dry Needling on Upper Limb Dysfunction in Patients with Stroke

2021 ◽  
Vol 45 (2) ◽  
pp. 115-124
Author(s):  
Zahra Tavakol ◽  
Ardalan Shariat ◽  
Noureddin Nakhostin Ansari ◽  
Shima Ghannadi ◽  
Roshanak Honarpishe ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Outcome Measures ◽  
Upper Limb ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Upper Limbs ◽  
Dry Needling ◽  
Double Blind ◽  
Randomized Controlled

Spasticity is one of the main complications of a stroke. This double-blind, randomized controlled trial aimed to compare the result of three sessions of dry needling (DN) versus sham DN on the affected upper limbs in post-stroke survivors. We recruited 24 patients (age 57.0 ± 9.6 years; male 71%). Patients were randomly allocated to two groups: a DN group and a sham DN group. The primary outcome measures were the Modified Modified Ashworth Scale (MMAS) and the Box and Block Test (BBT). Secondary outcome measures included active and passive wrist range of motion (AROM and PROM). All assessments were measured at baseline, immediately after the last session of the intervention, and one month later. Patients in the DN group had improved upper limb spasticity and passive wrist range of motion compared to control group (P < 0.05). There were no between-group differences in other outcome measures (P > 0.05). Dry needling is a useful method for improving muscle spasticity in the upper limbs of patients with stroke.

Sign in / Sign up

Export Citation Format

Share Document