Comparison of Shoulder Range of Motion, Pain, Function, Scapular Position Between Breast Cancer Surgery and Shoulder Surgery Female Patients

2015 ◽  
Vol 22 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Min-ji Lee ◽  
◽  
Suhn-yeop Kim ◽  
Jae-kwang Shim
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Shoulder Surgery ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Female Patients ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

scholarly journals Impact of Physiotherapy on Quality of Life and Arm Function after Breast Cancer Surgery in Women of Different Age

2020 ◽  
Vol 2 (9) ◽  
Author(s):  
Aušra Tvarijonavičienė
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Range Of Motion ◽  
General Health ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Range Of Motion ◽  
Arm Function ◽  
Shoulder Range

Breast cancer is the most common oncological disease among women. After breast cancer surgery women face various physical and psychosocial problems. They often suffer from arm lymphedema, poor posture, and pain. Side effects of breast cancer surgery can greatly affect general physical health and quality of life. To manage the problems it is necessary to apply rehabilitation. The most important part of rehabilitation is physiotherapy with the main aim of helping patients to recover and to achieve their maximum functional level (Hsieh et al., 2008). The aim of this study was to determine the impact of physiotherapy on differently aged women’s arm function after breast cancer surgery. The sample size of the survey was 40 women who were referred for post operative outpatient rehabilitation. The participants were divided into two age groups: I group – women aged 35–49 years (n = 20, average age 42 ± 4.30 yrs.); II group – women aged 50–64 years (n = 20, average age 56 ± 5.39 yrs.). Shoulder range of motion, arm circumference and pain were measured before and after 14 physiotherapy procedures, their general health state and quality of life were assessed as well. Shoulder range of motion increased, arm swelling and pain on the operated side decreased significantly in women of different age. General health status and quality of life after physiotherapy improved significantly both in younger and older women, but there were no significant differences between groups. After breast cancer surgery more than half of the women had psychological problems and were worried about their health in future, and less than half experienced body image problems and faced various social problems. Physical therapy was equally effective for both younger and older women.Keywords: physiotherapy, breast cancer, lymphedema, quality of life.

scholarly journals Accessory Joint and Neural Mobilizations for Shoulder Range of Motion Restriction After Breast Cancer Surgery: A Pilot Randomized Clinical Trial

2017 ◽  
Vol 16 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Irene de la Rosa Díaz ◽  
María Torres Lacomba ◽  
Ester Cerezo Téllez ◽  
Cristina Díaz del Campo Gómez-Rico ◽  
Carlos Gutiérrez Ortega
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Range Of Motion ◽  
Randomized Clinical Trial ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

scholarly journals Function, Shoulder Motion, Pain, and Lymphedema in Breast Cancer With and Without Axillary Web Syndrome: An 18-Month Follow-Up

2018 ◽  
Vol 98 (6) ◽  
pp. 518-527 ◽  
Author(s):  
Linda A Koehler ◽  
David W Hunter ◽  
Anne H Blaes ◽  
Tufia C Haddad
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Small Sample ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Shoulder Abduction ◽  
Repeated Measures Design ◽  
Axillary Web Syndrome ◽  
Shoulder Range Of Motion ◽  
And Function

Abstract Background Axillary web syndrome (AWS) can develop following breast cancer surgery and presents as a tight band of tissue in the axilla with shoulder abduction. Objective The objectives were to determine the prevalence and natural history of AWS and the association between AWS and function, range of motion, pain, lymphedema, and body mass index (BMI). Design This study was a longitudinal prospective cohort study utilizing a repeated measures design. Methods Axillary web syndrome, function, shoulder range of motion, pain, and lymphedema (using circumference, bioimpedance spectroscopy, tissue dielectric constant) were assessed in women at 2, 4, and 12 weeks and 18 months following breast cancer surgery. Prevalence of AWS and the association with the measured outcomes were analyzed. Results Thirty-six women agreed to participate in the study. The cumulative prevalence of AWS was 50% (18/36) at 18 months following breast cancer surgery. AWS was identified as a risk factor for reduced function. Women with AWS had statistically reduced range of motion, lower BMI, and higher number of lymph nodes removed compared to the non-AWS group. Forty-one percent (13/32) of women had AWS at 18 months. AWS reoccurred in 6 women following resolution, and a new case developed beyond the early postoperative period. The overall prevalence of physical impairments ranged from 66% to 97% within the first 18 months following surgery regardless of AWS. Limitations Limitations include a small sample size and potential treatment effect. Conclusion AWS occurs in approximately 50% of women following breast cancer surgery. It can persist for 18 months and potentially longer, develop beyond the early postoperative time period, and reoccur after resolution. Clinicians need to be aware of the chronicity of AWS and its association with reduced range of motion and function.

scholarly journals Electronic Moxibustion for Breast Cancer-Related Lymphedema: A Pilot Clinical Trial

2020 ◽  
Vol 19 ◽  
pp. 153473542096285
Author(s):  
Kyungsun Han ◽  
Ojin Kwon ◽  
Hyo-Ju Park ◽  
Ae-Ran Kim ◽  
Boram Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Range Of Motion ◽  
Upper Limb ◽  
Life Questionnaire ◽  
Breast Cancer Patients ◽  
Shoulder Range Of Motion ◽  
Breast Cancer Related Lymphedema ◽  
Shoulder Range

This is a preliminary study to investigate the feasibility of electronic moxibustion in breast cancer patients with upper limb lymphedema. As current treatment options for lymphedema are unsatisfactory and time consuming, there have been attempts to manage symptoms using integrative treatments. Electronic moxibustion was developed to compensate for the shortcomings of conventional moxibustion and is widely used in clinical practice. However, there have been no studies on using electronic moxibustion in breast cancer-related lymphedema. To investigate the feasibility of electronic moxibustion in treating breast cancer-related lymphedema, this study included subjects who completed primary cancer treatment at least 6 months ago and had more than 10 mm difference in arm circumference of upper limbs. All subjects were assigned to the treatment group. Subjects were treated with 16 sessions (30 minutes/session) of electronic moxibustion for 8 weeks followed by 4 weeks of follow-up. For outcome measures, upper limb circumferences, shoulder range of motion, bioimpedance analysis, and quality of life questionnaire were assessed. All 10 subjects completed the study. The effective index showed 38.21% reduction after treatment ( P = .0098) and 29.35% ( P = .0039) after 4 weeks of follow-up compared to the baseline. The reduction of lymphedema was most prominent at 10 cm above the elbow crease, where the mean reduction of circumference difference was 7.5 mm ( P = .0430) and continued to improve after treatment (mean reduction of 8.3 mm, P = .0156). There was significant improvement in shoulder range of motion only in flexion and internal rotation at week 9. There were 7 adverse events, and most were irrelevant to the treatment. Only 1 participant had a mild burn on the acupuncture point. Here, we demonstrate for the first time that electronic moxibustion treatment is a feasible treatment for breast cancer-related lymphedema. Electronic moxibustion may reduce differences in upper limb circumference and improve shoulder range of motion. A future comparative clinical trial is needed to confirm the clinical efficacy of this treatment.

Exercise Protocol With Limited Shoulder Range of Motion for 15 or 30 Days After Conservative Surgery for Breast Cancer With Oncoplastic Technique

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Samantha K.L.A. Rizzi ◽  
Cinira A.S. Haddad ◽  
Patrícia S. Giron ◽  
Patrícia V.G. Figueira ◽  
Amanda Estevão ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Conservative Surgery ◽  
Exercise Protocol ◽  
Shoulder Range Of Motion ◽  
Oncoplastic Technique ◽  
Shoulder Range

scholarly journals Changes in regional cerebral tissue oxygen saturation during anesthesia induction in female patients undergoing breast cancer surgery

2019 ◽  
Author(s):  
Fang Sheng ◽  
Feng Jin ◽  
Wen-fei Tan ◽  
Hong Ma
Keyword(s):  
Breast Cancer ◽  
Oxygen Saturation ◽  
Partial Pressure ◽  
Cerebral Oxygenation ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Tissue Oxygen Saturation ◽  
Anesthesia Induction ◽  
Female Patients ◽  
Arterial Blood

Abstract Background Although the monitoring of regional cerebral oxygen saturation (rScO 2 ) is widely used for cardiac and non-cardiac surgeries, conflicting reports regarding changes in rScO 2 during anesthesia induction remain. We designed this cohort clinical study to assess precise alterations in rScO 2 and the possible mechanism . Methods This cohort study was designed to examine changes in rScO 2 with anesthesia induced by a target control infusion of propofol from the beginning of anesthesia to 30 minutes after induction in patients undergoing breast cancer surgery. rScO 2 values from the right and left sides of patients’ foreheads were averaged to directly determine cerebral oxygenation from FORE-SIGHT data. Mean arterial pressure (MAP), heart rate (HR), partial pressure of oxygen in arterial blood (PaO 2 ), partial pressure of carbon dioxide in arterial blood (PaCO 2 ), hemoglobin concentration (Hb), and cardiac output (CO) were measured every minute until 30 minutes after anesthesia induction. Results A total of 30 female patients treated between January 2016 and April 2016 were included in this study. The average rScO 2 at 7 minutes was 81.7%, which was higher than the average rScO 2 at baseline (67.3%) and at 15 minutes (68.3%). Average rScO 2 correlated significantly with PaO 2 during the first 7 minutes of anesthesia induction. Conclusion During anesthesia induction, changes in rScO 2 , which increased to a peak value at 7 minutes, may be correlated with increases in PaO 2 , and the return of rScO 2 to baseline at 15 minutes may have occurred due to flow-metabolism coupling and balancing between white matter and gray matter.

scholarly journals Effect of exercise on shoulder function and morbidity following mastectomy with axillary dissection in patients with breast cancer: a prospective randomized clinical study

2018 ◽  
Vol 5 (10) ◽  
pp. 3217
Author(s):  
Sri Aurobindo Prasad Das ◽  
Sathasivam Sureshkumar ◽  
Vijayakumar C. ◽  
Vikram Kate ◽  
Srinivasan K.
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Exercise Intervention ◽  
Exercise Group ◽  
Breast Cancer Surgery ◽  
Exercise Interventions ◽  
Randomized Clinical Study ◽  
Shoulder Range Of Motion ◽  
Drain Removal ◽  
Significant Difference

Background: There are no guidelines for the exercises performed in physical rehabilitation after breast cancer surgery and, specifically, for how to minimize these postoperative complications. Hence this study was conducted to study the effect of exercise intervention on upper extremity range of motion, strength, lymphedema, pain and activities of daily living (ADL).Methods: A total of 75 patients were included in the study in accordance to inclusion criteria. They were randomized into exercise group (n=38) and no exercise group (n=37). Patients in the exercise group were given a set of 19 active or active assisted range of motion exercises and strengthening exercises with frequent follow up. The other group were did not receive any strict exercise, they were given a few free hand exercise when they had some shoulder complaints based on treating physician discretion. Apart from demographic data other parameters studied were pain, numbness, active shoulder range of motion, muscle strength, lymphedema and ADL. These were evaluated before surgery, 24 hours after drain removal and 3 weeks /6 weeks/ 3 months of post-surgery.Results: Demographic parameters were comparable between the groups. Pain score, shoulder ROM were better in the exercise group compared to no exercise group and this difference was found to be significant (p <0.001). More patients in no exercise group experienced numbness. There was no statistically significant difference in the grip strength between the two groups. The incidence of lymphedema was higher in no exercise group compared to exercise group and this was extremely significant. (p < 0.001). Patients in no exercise group had higher disability scores for ADL which was significant compared to exercise group.Conclusions: Exercise interventions resulted in significantly reduced pain, improved shoulder ROM and lowered ADL impairment. Exercise intervention significantly reduced the incidence of lymphedema, but there was no effect on strength.

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