The Effect of Arm Exercises on The Prevention of Lymphedema in Post- Mastectomy Breast Cancer Patients at Haji (original) (raw)
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2021
Breast cancer is a malignant neoplasm, an abnormal growth of breast tissue growing into the surrounding stromal tissue, grows infiltrative and destructive, and can metastasize. Every breast cancer patient experience various side effect due to various treatments. This is because the therapy that each patient gets varies and also cancer patients have different genetic backgrounds and different environments. Mastectomy in breast cancer patients can cause many patients to suffer from decreased joint mobility, lymphedema, and limitation in daily activities. These complaints can be controlled with arm exercises. Arm exercises are done to improve circulation and muscle strength and to prevent joint stiffness, preventing lymphedema from occurring. The purpose of this study was to determine the effect of arm exercises on lymphedema prevention. The research design was a quasi-experimental study with a sample size of 64 respondents. The results of the study were p value = 0.001. It is hoped that this study can be used as an education for postmastectomy patients to improve lymph flow so that lymph flow obstruction does not occur.
Journal of Pharmaceutical Research International
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...
The Effect of Rehabilitation Program on Lymphedema-related Arm Pain, and Volume after Mastectomy
Iran Journal of Nursing, 2011
Background &aim: Upper extremity Lymph edema is the most common complication after mastectomy. The aim of this study is determining the effect of home based rehabilitation program on lymph edema related arm pain and arm volume after mastectomy among breast cancer survivors. Material & Methods: In this quasi-experimental (before-after design), 16 post-mastectomy women with mild lymphedema (200 cc) referring to breast disease center affiliated with Jihad branch of Tehran University of Medical Sciences were selected by purposeful sampling. The interventions included; educational program, arm exercises, self lymph drainage (SLD) by massage and compliance with risk reduction behaviors related to lymph edema at home during an 8 weeks program. Arm volume was measured by water displacement and pain was assessed by visual analog scale (VAS) before, one and two months after intervention. Study Participants were followed by call and in person in the clinic. Data was analyzed using repeated measurement. Results: The findings showed a significant reduction in lymphedema volume (from 160 ±44 ml, to 35±23 ml) and pain (from 4.6, to .03) (p0/001). Conclusion: Home based rehabilitation program reduces the volume of edema and intensity of pain after mastectomy. Evaluation of this method in patients with more edema volumes using control groups is recommended.
Background: Breast cancer-related lymphedema (BCRL) treatment includes lengthy arm exercise sequences. Previous studies have shown that lymphatic response to exercise differed (1) when upper or lower arm muscles exercise was performed and (2) between lymphedematous and nonlymphedematous arms. Objective: To measure immediate volume change following different exercise programs-upper arm exercise, lower arm exercise, and combination of upper arm exercise followed by lower arm exercise in lymphedematous and contralateral arms in women with unilateral BCRL. Design: A randomized self-controlled, multiple intervention clinical trial. Setting: Outpatient physical therapy clinic. Subjects: Women (n=16) in the maintenance phase of BCRL treatment were randomly allocated to one of two exercise groups. Methods: One exercise session was performed during each of 3 weeks. First and second sessions included random order of upper or lower arm exercise. Upper arm exercise was followed by lower arm exercise in the third session.
Journal of the Pakistan Medical Association
Objective: The aim of this study the effect of the education given according to daily living activities (DLA) model on arm dysfunction, lymphedema and quality of life in patients undergoing breast cancer surgery. Interventions/Methods: In the design of the research, a randomized controlled experimental model with recurrent measurement was used. The data were collected from 60 patients (control group: 30, Intervention Group: 30) at a teriary hospital. In Research ,Patient Information Form, SPOFIA, KATZ-DLA indeks, arm, shoulder and hand injuries scale (DASH) and quality of life scale short form (SF-36) were used. Three interviews (1st week, 1st and 3rd month) were performed after surgery with patients. Analysis of data; independent T-Test, Chi-squared and Repeated Measures ANOVA were utilized. Results: SPOFIA, DASH and KATZ, GYA scale averages decreased by the time, SF-36 were found to increase the average score. In the intervention group, the measurements of the upper arm circumfere...
Physiotherapy in upper limb lymphedema after breast cancer treatment: a randomized study
Lymphology, 2014
Our aim was to compare the responses of physical treatment with or without manual lymphatic drainage (MLD) in lymphedema after breast cancer treatment in a Brazilian population. This was a controlled clinical trial with lymphedema secondary to breast cancer treatment patients that were randomized into either: Group 1 consisting of MLD, skin care, bandaging and remedial exercises; or Group 2 using skin care, bandaging and remedial exercises. Sixty-six patients were randomized and 9 were excluded during the first phase, resulting in a total of 57 patients eligible for analyzes with 28 in Group 1 and 29 in Group 2. The first phase of treatment had an average duration of 24 days (+/- 12.38) and final volume excess average (VE) between limbs was 494.51 ml, corresponding to 29.18% of the initial volume. Volume reduction was highly significant, independent of the intervention (p < 0.001), and both treatments led to an average of percentage volume excess reduction (PVER) of 15.02%. Patie...
BMC Cancer, 2014
Background: Physical therapy treatment of patients with lymphedema includes treatment based on the principles of 'Complete Decongestive Therapy' (CDT). CDT consists of the following components; skin care, manual lymphatic drainage, bandaging and exercises. The scientific evidence regarding what type of treatment is most effective is sparse. The objective of this study is to investigate whether CDT is equally effective if it includes manual lymphatic drainage or not in the treatment of arm lymphedema among patients with breast cancer. Methods/Design: A randomized, single-blind, equivalence trial. A total of 160 breast cancer patients with arm lymphedema will be recruited from 3 hospitals and randomized into one of two treatment groups A: Complete Decongestive Therapy including manual drainage or B: Complete Decongestive Therapy without manual lymphatic drainage. The intervention period will be approximately 4 weeks followed by a 6 month follow-up period (7 months from baseline). Primary outcome variable: the percentage volume reduction of lymphedema (%) from baseline to 7 months. Secondary outcome variables: Differences from baseline to week 4 and from week 4 to month 7 in circumference of the arm (cm), body weight (kg), patient sensation of heaviness (scale range: 0-10), patient sensation of tension (scale range: 0-10), and quality of life (EQ-5D-5 L-questionnaire). All measurements are standardized and will be performed before randomization, after 4 weeks and after 7 months. Discussion: This randomized controlled study seeks to provide data on an effective treatment for patients with breast cancer related arm lymphedema and which at the same time causes minimal patient inconvenience.
Physiotherapeutic Interventions for Breast Cancer Related Lymphedema in Women: A Review Study
2021
The commonest cancer found in the females is breast cancer where the treatment following the chemotherapy, surgery and radiation therapy leading to the post-surgical complication known as breast cancer related lymphedema where this complication can arise at any age post-surgical treatment. This lymphedema needs to managed and prevented as this is unable to be cured. Lymphedema measuring is essential to prevent and maintain it so it can be followed with the help of various methods either by volume difference or the circumferential difference. The role of the physiotherapy arises where there are various techniques which includes manual lymphatic drainage, compression bandaging, kinesio-taping, intermittent pneumatic compression, compression sleeves, low level laser therapy, exercises and complex decongestive therapy. In this study many articles were reviewed from various systematic reviews, metaanalysis, randomized control trials and many more. Studies were congregated from different ...
Journal of Rehabilitation Medicine, 2008
Objective: To estimate the extent to which the impairments associated with lymphoedema (volume increase, local oedema and sensory alteration) are linked to arm dysfunction and sub-optimal health-related quality of life. Patients and methods: A cross-sectional study, embedded within a pilot for an epidemiologic study, was undertaken involving women who had undergone surgery for unilateral stage I or II breast cancer. Two questionnaires (a lymphoedema screening questionnaire and the Disabilities of Arm, Shoulder and Hand questionnaire) were mailed and 72 of 204 responders reported having one or more symptoms of lymphoedema (prevalence 35%). A total of 50 women with symptoms attended for further testing. Results: Women with self-reported symptoms of lymphoedema had a significantly higher score on the Disabilities of Arm, Shoulder and Hand questionnaire (mean difference 23.4, 95% confidence interval 19.3-27.5), indicating activity limitation and participation restriction. Pain was the only impairment directly correlated with activity limitation, participation restriction and sub-optimal health-related quality of life. Conclusion: These findings have implications for treatment, and the outcome measures used for the assessment of lymphoedema. Treatments focusing on decreasing arm volume without addressing issues of pain may not result in improvements in activity, participation, or health-related quality of life.