Document Detail


Two exercise schemes in postoperative breast cancer: comparison of effects on shoulder movement and lymphatic disturbance.
MedLine Citation:
PMID:  16683384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS AND BACKGROUND: We attempted to determine the best method of performing the exercises in rehabilitation after breast cancer surgery and their influence on postoperative complications. Currently, there are no guidelines for these exercises. The scope of this study was to evaluate the effect of two schemes of physiotherapy exercises (directed or free) on shoulder function and lymphatic disturbance in postoperative rehabilitation. SUBJECTS: Sixty women who underwent a modified radical mastectomy or quadrantectomy with axillary dissection were randomized into two groups. METHODS: The physiotherapy technique used was kinesiotherapy. The directed group performed physiotherapy following a regimen of 19 exercises. The free group performed the exercises following the biomechanical physiological movements of the shoulder without a previously defined sequence or number of repetitions. RESULTS: The averages of the flexion, abduction and external rotational movements of the shoulder showed better recovery with statistical significance in the directed group compared to the free group. There was no significant difference between the groups in lymphatic disturbance. CONCLUSION: At the end of 42 days of follow-up, the movements of flexion, extension, abduction and external rotation of the shoulder were better rehabilitated in the directed group. The two schemes of exercises were not different with regard to lymphatic disturbance.
Authors:
Laura Ferreira de Rezende; Ricardo Laier Franco; Mariana Ferreira de Rezende; Patrícia Odila Beletti; Sirlei Siani Morais; Maria Salete Costa Gurgel
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Tumori     Volume:  92     ISSN:  0300-8916     ISO Abbreviation:  Tumori     Publication Date:    2006 Jan-Feb
Date Detail:
Created Date:  2006-05-10     Completed Date:  2006-05-23     Revised Date:  2008-12-12    
Medline Journal Info:
Nlm Unique ID:  0111356     Medline TA:  Tumori     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  55-61     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, State University of Campinas (UNICAMPS), Campinas, SP, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Axilla
Breast Neoplasms / rehabilitation*,  surgery*
Exercise*
Exercise Therapy
Female
Humans
Lymph Node Excision / adverse effects
Lymphedema / etiology,  prevention & control*
Mastectomy, Modified Radical
Mastectomy, Segmental
Middle Aged
Movement
Prospective Studies
Rotation
Shoulder / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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