scholarly journals Physiotherapy Management of Post-Operative Breast Cancer Patients: A Qualitative Study

2014 ◽  
Author(s):  
Dragana Cepmja ◽  
Katherine Maka
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Cancer Patients ◽  
Glenohumeral Joint ◽  
Breast Cancer Patients ◽  
Treatment Interventions ◽  
Joint Range Of Motion ◽  
Frequency Of Use ◽  
Joint Range ◽  
Sydney Australia

Purpose: Post-operative breast cancer patients receive physiotherapy to improve range of motion, reduce pain, and increase strength. The aim of this study was to provide qualitative information about which techniques are utilised by physiotherapists in the management of post-operative breast cancer patients in a hospital physiotherapy outpatient department setting in Western Sydney, Australia. Method: Common interventions were listed on a survey and physiotherapists were asked to select which treatment interventions they used and the frequency of use. Results: A total of 20 surveys were completed out of 25 disseminated. The most commonly used intervention was stretches with 100% of respondents using stretches frequently. This was followed by range of motion exercises with 95% using this intervention frequently. General arm care advice and postural education were frequently utilised by 80% of respondents. Conclusions: The most common physiotherapy interventions used in the management of post-operative breast cancer patients were shoulder stretches, glenohumeral joint range of motion exercises, general arm care advice, and postural education.

Radioulnar Range of Motion Normative Values for Elite Baseball Players

2013 ◽  
Vol 18 (6) ◽  
pp. 32-35
Author(s):  
Kevin Laudner ◽  
Robert Lynall ◽  
Jeffrey Williams ◽  
Regan Wong ◽  
Takashi Onuki ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Outcome Measures ◽  
Glenohumeral Joint ◽  
Normative Values ◽  
Related Factors ◽  
Baseball Players ◽  
Joint Range Of Motion ◽  
Collegiate Baseball ◽  
Baseball Pitchers ◽  
Joint Range

Context:Numerous studies have documented reduced glenohumeral joint range of motion (ROM) of the dominant extremity among baseball players, which may be caused by throwing-related factors that also affect the radioulnar joint.Objective:To measure pronation and supination ROM in competitive baseball pitchers and position players.Participants:Asymptomatic professional and collegiate baseball pitchers (N = 59) and position players (N = 43).Outcome Measures:Bilateral radioulnar pronation and supination ROM.Results:Pitchers demonstrated significantly less pronation and total ROM in the throwing arm than the nondominant arm. The position players demonstrated significantly less total ROM in the throwing arm than the nondominant arm.Conclusions:The reported normative values may provide useful standards for interpretation of radioulnar ROM measured in both asymptomatic and symptomatic baseball players.

scholarly journals A Study Protocol on the Effectiveness of Post Mastectomy Exercises in Breast Cancer Patients on Reduction of Lymphedema and Improving Range of Motion among Patients Undergone Mastectomy

2021 ◽  
pp. 71-75
Author(s):  
Amruta Kothe ◽  
Ruchira Ankar
Keyword(s):  
Breast Cancer ◽  
Range Of Motion ◽  
Cancer Patients ◽  
Demographic Variable ◽  
Sampling Technique ◽  
Limited Range ◽  
Breast Cancer Patients ◽  
Limited Range Of Motion ◽  
Rural And Urban ◽  
Women's Lives

Background:  Breast cancer is the most commonly diagnosed type of cancer in the world and it is a major stressor in women's lives. Breast cancer cases are increasing in both rural and urban settings. Mastectomy is a procedure that removes the breast to prevent cancer cells from returning. Many complications can develop after a mastectomy but lymphedema and limited range of motion are the most prevalent. The present study aimed to assess the effectiveness of post mastectomy exercises in breast cancer patients on reduction of lymphedema and improving range of motion among patients undergone mastectomy. Objectives: To assess pre interventional level of lymphedema among patients undergone mastectomy. To assess pre interventional range of motion among patients undergone mastectomy. To evaluate the effectiveness of post mastectomy exercises in reducing lymphedema among patients undergone mastectomy To evaluate the effectiveness of post mastectomy exercises in improving range of motion among patients undergone mastectomy. To associate demographic variable with post mastectomy exercises. To associate correlation of post mastectomy exercise with lymphedema and range of motion. Methodology: A pre interventional one group pretest posttest design would be adopted to assess the effectiveness of post mastectomy exercises in breast cancer patients on reduction of lymphedema and improving range of motion among patients undergone mastectomy. In this study interventional analytical study will be used. Purposive sampling technique will be used to collect the data. The study will include 30 patients undergone mastectomy will be assessed by using American lymphology lymphedema scale and Elvaru STJ (Subtalar joint) range of motion and range of motion reliability tool with the help of inch tape and goniometer and then post mastectomy exercises will be teach by researcher as intervention. Expected Results: The goal of this study is to see how effective post-mastectomy exercises are at reducing lymphedema and improving range of motion in breast cancer patients who had undergone mastectomy. Teaching post-mastectomy exercises can help the respondents reduce lymphedema and improve their range of motion.

How to create a successful cancer self-management intervention: Development, evaluation, and lessons learned.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 168-168
Author(s):  
Jessica Goldberg ◽  
Jenna Hinchey ◽  
Shelli Feder ◽  
Dena Schulman-Green
Keyword(s):  
Breast Cancer ◽  
Metastatic Breast Cancer ◽  
Focus Group ◽  
Cancer Patients ◽  
Intervention Development ◽  
Metastatic Breast ◽  
Lessons Learned ◽  
Self Management ◽  
Breast Cancer Patients ◽  
Frequency Of Use

168 Background: Cancer self-management (SM) is individuals’ engagement in tasks related to the medical, physical, spiritual, and emotional management of cancer. Reports of SM interventions often focus on efficacy and do not detail processes of development and evaluation. We delineate our creation of a patient-oriented and informed cancer SM intervention, Managing Cancer Care: A Personal Guide (MCC), and share lessons learned to improve intervention efficacy and fidelity. Methods: We developed and evaluated MCC in 5 stages: needs assessment interviews (n=25); development of MCC; focus group (n=6); pilot testing with metastatic breast cancer patients (n=23); and population testing with non-metastatic breast cancer patients (n=110). We performed content analysis on qualitative data and used descriptive statistics to analyze module ratings and frequency of use in the pilot and population tests. Results: We identified cancer SM practices, preferences, facilitators, and barriers, and designed MCC based on interview data, related literature, and SM theory. The MCC prototypeconsisted of 7 magazine-style modules designed to be user-friendly, concise, and personalized. Although well-received, we made substantial changes based on focus group data, with additional revisions after the pilot test. Module ratings and frequency of use differed between pilot and population samples. Among metastatic patients, median ratings (1-10, low/high) for MCC as a whole on both content and format were 8 (range 2-10). The most popular module was Care Options, which tied with Managing Transitions as most frequently used. Among non-metastatic patients, median ratings were 8 (range 1-10) and 9 (range 2-10) on content and format, with the Managing Your Symptoms module being most popular and most frequently used. Conclusions: Data from our metastatic and non-metastatic samples suggest differing SM priorities. Lessons learned in creating patient-oriented cancer SM interventions include acknowledging that there are no “one size fits all” solutions, resisting assumptions about reception of potentially emotional content, maintaining flexibility, and negotiating the tension between research and real world settings.

Effect of Posterior Capsule Tightness and Humeral Retroversion on 5 Glenohumeral Joint Range of Motion Measurements: A Cadaveric Study

2019 ◽  
Vol 47 (6) ◽  
pp. 1434-1440 ◽  
Author(s):  
Dayana P. Rosa ◽  
Paula R. Camargo ◽  
John D. Borstad
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Glenohumeral Joint ◽  
External Rotation ◽  
Posterior Capsule ◽  
Joint Range Of Motion ◽  
Motion Measurements ◽  
Humeral Retroversion ◽  
Clinical Measurements ◽  
Joint Range

Background: Altered glenohumeral joint range of motion can be caused by increased humeral retroversion (HR) and/or posterior capsule tightness (PCT). To make informed clinical decisions, it is vital to understand how HR and PCT alterations, individually and in combination, affect joint range of motion measurements. Purpose: To evaluate the effect of experimental tissue alterations on clinical range of motion measures. Study Design: Controlled laboratory study. Methods: Five clinical measurements were quantified in 8 fresh-frozen cadavers under 4 experimentally created conditions: baseline (no alterations), HR condition (20° increase in HR by transecting the bone), PCT condition (20% decrease in length via thermal energy), and PCT + HR combined. Clinical measurements included bicipital forearm angle, low flexion, glenohumeral internal and external rotation, and horizontal adduction. All measurements were taken by the same blinded tester. Separate 1-factor repeated measures analyses of variance were used to evaluate the effect of the alterations on each clinical measurement. Results: There was a significant main effect of condition for bicipital forearm angle ( P = .02, F = 4.03), low flexion ( P = .02, F = 3.86), internal rotation ( P = .03, F = 3.65), and external rotation ( P < .001, F = 15.15) but not for horizontal adduction ( P = .29, F = 1.33). The HR condition resulted in a decreased bicipital forearm angle of 16.1° and 15.8° as compared with the PCT and PCT + HR conditions, respectively. When compared with baseline, the PCT + HR condition decreased the low flexion test by 13.5°, and the HR condition decreased internal rotation range of motion by 14.2°. All conditions increased external rotation when compared with baseline. Conclusion: Greater measurement changes were noted in both HR conditions, suggesting that bony alterations influence motion to a greater extent than posterior capsule alterations. Clinical Relevance: Clinicians should be aware that humeral retroversion will influence the measurement of posterior shoulder tightness.

Cancer Recovery Analysis System

2014 ◽  
Author(s):  
Priya Balasubramanian ◽  
Archana Pradeep ◽  
Deepak Dileepkumar ◽  
John P. Farris ◽  
Hugh Jack
Keyword(s):  
Breast Cancer ◽  
Lymph Nodes ◽  
Range Of Motion ◽  
Cancer Patients ◽  
Healthcare Professionals ◽  
Breast Conservation ◽  
Breast Conservation Surgery ◽  
Breast Cancer Surgery ◽  
Breast Cancer Patients ◽  
Accuracy And Repeatability

Breast cancer is one of the most common types of cancer among women with over 230,000 incidences diagnosed every year. A typical breast cancer surgery might include but is not limited to, biopsies, breast conservation surgery or mastectomies. Moreover, these surgeries usually cause soreness in the shoulder and arms which in turn affect the ability of the patient to perform simple everyday activities. Lymphedema, another serious side effect of these surgeries, when coupled with radiation therapy, can appear in breast cancer patients during months or even years after the treatment ends. Lymphedema is a condition in which high-protein fluid collects beneath the skin and causes swelling, redness and discomfort. This condition occurs in breast cancer patients when lymph nodes are damaged or removed during the procedures. Research suggests that early physiotherapy as well as exercises can reduce the risk of lymphedema. Monitoring the progress during these exercises can be a first step in diagnosing lymphedema. Along with better prognosis, the patients can observe the benefits of early diagnosis with insurance coverage, since most insurance companies do not cover treatments associated with advanced stages of lymphedema. The initial stretching workouts, done during recovery, target the range of motion of the shoulder that is affected by the surgery. This range of motion, determined by the severity of the surgery, improves over time. These exercises can then be used to drain the lymph nodes and help retain flexibility in the affected muscles. A monitoring device engineered to provide data about the extent of recovery would be a significant aide to both the patients and healthcare professionals. The intent of the paper is to introduce a distinctive device that monitors workouts and uses the data as a motivating factor for the patient as well as an early detection system for lymphedema. The device shows the effort that the patient has put for each workout into user friendly real time graphs. Patients and healthcare professionals can then use this data and graphs to identify problem areas in the recovery process. Preliminary tests of this device, which are presented in this paper, showed promising results in accuracy and repeatability as the device calculated and displayed graphs which were a quantified estimation of the range of motion and workout effort of the user.

scholarly journals Interactive role of breast cancer on dyslipidemia and hypertension metabolic risk according to treatment exposure and menopausal status

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Safaa A. Al-Zeidaneen ◽  
Mousa N. Ahmad ◽  
Ali D. Al-Ebous ◽  
Rawan MohD Al Saudi
Keyword(s):  
Breast Cancer ◽  
Blood Pressure ◽  
Postmenopausal Women ◽  
Cancer Patients ◽  
Menopausal Status ◽  
Metabolic Risk ◽  
Newly Diagnosed ◽  
Breast Cancer Patients ◽  
Treatment Interventions

Abstract Background Breast cancer (BC) is the principal cause of cancer related deaths among women worldwide. The available evidence suggests that cardio-metabolic risk factors such as dyslipidemia and hypertension may contribute differently to breast cancer severity and pathogenesis. The aim of this study is to evaluate the interactive role of BC on dyslipidemia and HTN risk according to the type of treatment exposure and menopausal status. Method Observational experimental design implemented; permit to include 134 newly-diagnosed patients who were naïve to any type of treatment interventions and 262 recently-diagnosed patients during their first three months of treatments’ exposure including chemotherapy treatments. Patients with breast cancer were evaluated for dyslipidemia and hypertension biomarkers. Results About 5.0% of breast cancer patients had dyslipidemia. The prevalence of increased triglycerides and total cholesterol were more frequent (p < 0.05) in recently-diagnosed group than in newly-diagnosed patients. While 23% of patients had overt hypertension, with higher (p < 0.05) prevalence in chemo group (28%), triglycerides was higher (p < 0.05) in postmenopausal than premenopausal BC patients (221.0 ± 5.9 vs. 195 ± 4.7 mg/dl). Similarly, the prevalence of abnormal systolic blood pressure (9% vs. 5%) and diastolic blood pressure (11% vs. 7%) was higher (p < 0.05) in postmenopausal patients. Conclusion Dyslipidemia and hypertension biomarkers were prevalent among breast cancer patients and the risk increased in postmenopausal women and after treatments’ exposure specially chemotherapy. This conclusion requires a closer attention by healthcare professionals in order to improve the outcomes after diagnosis and to enhance treatment exposure regarding postmenopausal women.

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