The effect of kinesio taping with exercise compared with exercise alone on pain, range of motion, and disability of the shoulder in postmastectomy females: a randomized control trial (original) (raw)
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Journal of Cancer Education, 2020
Breast cancer ranks highest in incidence and mortality among females and second among both genders. Lebanon has the second highest rate of breast cancer worldwide for those 35-39 years old and the highest for those 40-49. Mastectomy often results in deceased shoulder and arm mobility and decreased quality of life. The objective of this study was to assess the effect of an educational program of therapeutic exercises on the quality of life and functional ability in women after a mastectomy. Sixty women undergoing a mastectomy were randomly assigned to either an intervention or control group. The intervention group received extensive pre-surgery education as well as training on therapeutic exercises. Follow-up phone calls to the intervention group were made to ensure that the exercises were being done. Both groups were visited at home at two and four weeks to obtain the outcome variables. The Breast Cancer Patient Version was used to assess quality of life, and the "Goniometer" was used to assess the range of motion of the affected shoulder. At two and four weeks after surgery, women in the intervention group had significant improvements in their shoulder range of motion: flexion, extension, and abduction were significantly different between the control and intervention group at p = 0.04-0.00. For quality of life, physical, psychological, psychological, social, and spiritual well-being were significantly higher for the intervention group at both two and four weeks after surgery, p < 0.001. In a middle-income country, one-to-one education provided by a nurse, which included demonstrations, back demonstrations, and weekly phone calls had a positive impact on women's shoulder range of motion and quality of life. NCT04184102
Pakistan Journal of Medical and Health Sciences
Objective: To analyse the effects of stretching the muscles of the shoulder before surgery on the functionality of the shoulder after the surgery of mastectomy Study design: An analytical cross-sectional study Place and Duration: This study was conducted at Bibi Asifa Bhutto Dental College SMBB Medical University CMC Teaching Hospital Larkana from January 2022 to June 2022. Methodology: All the patients included in the study had mastectomy. The participants were randomized to control groups and treatment groups. The participants in the treatment group were gone through static stretching with a range of motion. The control group did not undergo any stretching preoperatively and was given standard postoperative care. The Numeric Pain Rating Scale (NPRS), Groningen Activity Restriction Scale (GARS), and Universal Goniometer (UG) were used for the collection of the data on the first and third postoperative days. The data was analyzed in the IBM SPSS version 26. Results: A total of 20 pa...
Background: Modified radical mastectomy is a frequent surgery employed as a therapeutic procedure in patients with breast carcinoma with involvement of axillary lymph nodes. Many patients suffer from severe shoulder complaints after axillary lymph node dissection even with postoperative rehabilitation. Pre-operative exercise and education are recommended to reduce the incidence of breast cancer related upper limb dysfunction; it will shorten the recovery time. The objectives of the study are to determine the influence of pre-operative physiotherapy on shoulder ROM using goniometer in subjects with modified radical mastectomy and to determine the influence of pre-operative physiotherapy on functional activities using shoulder pain and disability index (SPADI) in subjects with modified radical mastectomy. Methods: 30 Subjects of adult women included in the study who met the inclusion criteria, divided into 2 groups. Experimental Group received preoperative physical therapy education and exercises 1-2 weeks before surgery and routine physical therapy protocol after surgery. Control Group received standard education brochure preoperatively and routine physical therapy post operatively. Measurements included shoulder ROM and functional evaluation using goniometer and SPADI. Measurements were taken at baseline i.e., pre operatively, post operatively at 4th day after removal of drains, and 1month after surgery. Results: All measures were significantly reduced after surgery, but most recovered after 1month of surgery and attained functional level in experimental Group. Conclusion: This study provides experimental evidence that preoperative education and exercise influence the postoperative shoulder ROM and functional activities after modified radical mastectomy.
The effect of physiotherapy in patients with modified radical mastectomy
National Journal of Physiology, Pharmacy and Pharmacology
Background: Through the years, breast cancer management evolved toward conservation surgery. It is obvious that the clinical management requires a multidisciplinary approach to restoration of activity if daily living and quality of life after modified radical mastectomy. Aims and Objectives: The objectives of the study were to measure pain after physiotherapy intervention, to measure chest expansion after physiotherapy intervention, and to measure and improve shoulder range of motion (ROM) after physiotherapy intervention. Materials and Methods: This was a cross-experimental study in which initial data were recorded from the medical records, and then, after assuming proper resting status of the patient, the patients were assessed first numeric pain rating scale (NRS) for pain, ROM of shoulder joint, and chest expansion before and after the physiotherapy treatment given till patient get discharged. Results: In the present study, a total of 7 participants were included who fulfilled inclusion criteria. All the participants underwent routine physiotherapy treatment started from the day 1 till discharged, and NRS for pain, ROM of shoulder joint, and chest expansion all parameters were statistically significant (P < 0.005). Conclusion: The present study concluded that physiotherapy is more effective in modified radical mastectomy.
Revista Latino-Americana de Enfermagem, 2012
The aim of this study was to evaluate the effectiveness of an exercise program for the recuperation of the range of motion (ROM) of the shoulder. This is a quasi-experimental study developed at the Mastology Outpatient Clinic of the Federal University of São Paulo -Brazil, from August 2006 to June 2008, with 64 breast cancer patients undergoing surgery. The intervention consisted of: preoperative evaluation of the ROM, verbal and written guidance, demonstration and implementation of the exercises and revaluation at the outpatient follow-up appointments until the 105 th postoperative day (PO). From the 7 th PO a significant increase was observed in the ROM, which continued until the 105 th PO. The minimum time for recovery was 105 days for the women undergoing mastectomy, and 75 days for those undergoing quadrantectomy. There was satisfactory adherence of 78.6% of the women. The domicile program was effective for the recovery of ROM in the study population, benefiting women who can not attend a presential program. Aplicação de programa de exercícios domiciliares na reabilitação do ombro pós-cirurgia por câncer de mama O objetivo desta pesquisa foi avaliar a efetividade de um programa de exercícios para recuperação da amplitude de movimento (ADM) do ombro. Foi usado o método experimental, e o estudo foi desenvolvido no Ambulatório de Mastologia da Universidade Federal de São Paulo, Brasil, de agosto de 2006 a junho de 2008, com 64 mulheres com câncer de mama, submetidas à cirurgia. A intervenção constou de: avaliação préoperatória da ADM, orientação verbal e escrita, demonstração e execução dos exercícios e reavaliações nos retornos ambulatoriais até o 105º dia de pós-operatório (PO). Os resultados mostraram, a partir do 7ºPO, acréscimo significante e contínuo na ADM, até o 105º PO. O tempo mínimo para recuperação foi de 105 dias para as mulheres mastectomizadas, e de 75 dias para aquelas submetidas à quadrantectomia. Houve adesão satisfatória de 78,6% das mulheres. Conclui-se que o programa domiciliar se mostrou efetivo para a recuperação da ADM na população estudada, beneficiando mulheres que não poderiam frequentar um programa presencial.
Physiotherapy, 2019
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The Efficacy of Physiotherapy Recovery After a Modified Radical Mastectomy
Journal of Medical pharmaceutical and allied sciences, 2021
Breast cancer is the most common disease in females and the major cause of mortality and morbidity. In reality, 1.67 million new cases of breast cancer are diagnosed around the world, with 458,000 deaths per year. Approximately 89 percent of breast cancer survivors live for a minimum of five years after treatment, but adverse effects can last for months or years after surgery. The most common side effects of the upper limb are pain and joint dysfunction, which is described as having a prevalence range of 12 percent to 51 percent for pain and 1.5 percent to 50 percent for joint dysfunction.(1) The mainstay in primary breast cancer care is surgery.(2) To assess the impact of an early recovery program on shoulder mobility, functional ability, postoperative complications such as seroma, hematoma, and wound infection in patients who had undergone a modified radical mastectomy (MRM)and to assess the impact of variables in clinical practice (e.g., age, education, BMI, previous shoulder pro...
Impact of Scapular Mobilization and Strengthening Exercises on Shoulder Function Post Mastectomy
The Egyptian Journal of Hospital Medicine, 2022
Background: Mastectomy after breast cancer is usually accompanied by shoulder dysfunction which interferes with the daily life activities of the patients and causes physical and psychological impairments. Objectives: This study aimed to assess the impact of scapular mobilization and strengthening exercises on shoulder function post mastectomy. Patients and methods: A single blinded randomized controlled trial included forty female patients, their ages ranged from 40 to 55 years suffering from post-mastectomy shoulder dysfunction. They were allocated randomly into two equal groups: the study group (group A), managed by scapular mobilization and strengthening exercises besides their conventional physical therapy program and the control group (group B), managed by the conventional physical therapy program only. Trial was applied for (three sessions/week) and lasted for four weeks. Shoulder pain and impairment, upward rotation of the scapula and shoulder range of motion were measured pre-and post-four-weeks of intervention. Results: after 4 weeks of treatment, percentage of change in shoulder pain and disability index (SPADI), upward rotation of scapula, shoulder flexion, abduction and external rotation was 34, 103.55, 45.71, 63.19 and 31.41% respectively in the study group and14.77, 58.42, 22.25, 30.30 and 23.40% in the control group, respectively. In all measures, there was a statistically significant difference in favour of the study group (p< 0.001). Conclusion: It could be concluded that adding scapular mobilization and strengthening exercises are more effective in improving shoulder function regarding pain and ROM post-mastectomy than using the conventional physical therapy program only.
Pakistan BioMedical Journal
Breast cancer is ranked the top in types of cancer that affects internationally. It affects up to 1 in 13 women during their lifetime. Physiotherapy is one of the major sources of recovery in patients of Mastectomy in terms of pain, ranges, and function. OBJECTIVE: To compare the effects of pre-operative shoulder rehabilitation program versus post-operative mastectomy patients. METHODS: This was a randomized clinical trial. The study setting was Oncology Department, Mayo Hospital Lahore, Shokat Khanum and Gulab Devi Hospital Lahore. The study was completed in 6 months. Total 50 subjects were allocated in two groups using lottery method of randomization. Patient with age less than 40 years, diagnosed with breast cancer were included, while those with associated signs of musculoskeletal problems, autoimmune systemic disease and advanced medical problem was excluded. Group A received set of exercises comprised of range of motion exercises and lymph edema education pre and post operativ...
Journal of Orthopaedic & Sports Physical Therapy, 2008
S houlder pain is a very common musculoskeletal complaint, and individuals with shoulder pain comprise a significant percentage of patients seeking medical attention. Lifetime prevalence of shoulder pain has been reported to range from 7% to 36% of the population. 11,13 Rotator cuff pathology and subacromial impingement are among the most common diagnoses made in the shoulder region. 11,19 The vast majority of