Upper limb progressive resistance training and stretching exercises following surgery for early breast cancer: a randomized controlled trial.
Identifieur interne : 003D67 ( Main/Exploration ); précédent : 003D66; suivant : 003D68Upper limb progressive resistance training and stretching exercises following surgery for early breast cancer: a randomized controlled trial.
Auteurs : Sharon L. Kilbreath [Australie] ; Kathryn M. Refshauge ; Jane M. Beith ; Leigh C. Ward ; Mijoung Lee ; Judy M. Simpson ; Ross HansenSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Amplitude articulaire, Entraînement en résistance, Femelle, Humains, Lymphoedème (rééducation et réadaptation), Membre supérieur, Résultat thérapeutique, Stade de la tumeur, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (rééducation et réadaptation).
- MESH :
- anatomopathologie : Tumeurs du sein.
- rééducation et réadaptation : Lymphoedème, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Amplitude articulaire, Entraînement en résistance, Femelle, Humains, Membre supérieur, Résultat thérapeutique, Stade de la tumeur, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- pathology : Breast Neoplasms.
- rehabilitation : Breast Neoplasms, Lymphedema.
- surgery : Breast Neoplasms.
- Adult, Female, Humans, Middle Aged, Neoplasm Staging, Range of Motion, Articular, Resistance Training, Treatment Outcome, Upper Extremity.
Abstract
The aim of this study was to determine whether an exercise program, commencing 4-6 weeks post-operatively, reduces upper limb impairments in women treated for early breast cancer. Women (n = 160) were randomized to either an 8-week exercise program (n = 81) or to a control group (n = 79) following stratification for axillary surgery. The exercise program comprised a weekly session and home program of passive stretching and progressive resistance training for shoulder muscles. The control group attended fortnightly assessments but no exercises were provided. The primary outcome was self-reported arm symptoms derived from the EORTC breast cancer-specific questionnaire (BR23), scored out of 100 with a low score indicative of fewer symptoms. The secondary outcomes included physical measures of shoulder range of motion, strength, and swelling (i.e., lymphedema). Women were assessed immediately following the intervention and at 6 months post-intervention. The change in symptoms from baseline was not significantly different between groups immediately following the intervention or at 6 m post-intervention. The between group difference immediately following the intervention was 4 (95% CI -1 to 9) and 6 months post-intervention was 4 (-2 to 10). However, the change in range of motion for flexion and abduction was significantly greater in the exercise group immediately following the intervention, as was change in shoulder abductor strength. In conclusion, a supervised exercise program provided some, albeit small, additional benefit at 6 months post-intervention to women who had been provided with written information and reminders to use their arm. Both the groups reported few impairments including swelling immediately following the intervention and 6 months post-intervention. Notably, resistance training in the post-operative period did not precipitate lymphedema.
DOI: 10.1007/s10549-012-1964-1
PubMed: 22286332
Affiliations:
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Refshauge</name></author><author><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M" last="Beith">Jane M. Beith</name></author><author><name sortKey="Ward, Leigh C" sort="Ward, Leigh C" uniqKey="Ward L" first="Leigh C" last="Ward">Leigh C. Ward</name></author><author><name sortKey="Lee, Mijoung" sort="Lee, Mijoung" uniqKey="Lee M" first="Mijoung" last="Lee">Mijoung Lee</name></author><author><name sortKey="Simpson, Judy M" sort="Simpson, Judy M" uniqKey="Simpson J" first="Judy M" last="Simpson">Judy M. 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Kilbreath</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Health Sciences, University of Sydney, Lidcombe, Sydney, NSW 1825, Australia. sharon.kilbreath@sydney.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Health Sciences, University of Sydney, Lidcombe, Sydney, NSW 1825</wicri:regionArea><wicri:noRegion>NSW 1825</wicri:noRegion></affiliation></author><author><name sortKey="Refshauge, Kathryn M" sort="Refshauge, Kathryn M" uniqKey="Refshauge K" first="Kathryn M" last="Refshauge">Kathryn M. Refshauge</name></author><author><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M" last="Beith">Jane M. Beith</name></author><author><name sortKey="Ward, Leigh C" sort="Ward, Leigh C" uniqKey="Ward L" first="Leigh C" last="Ward">Leigh C. Ward</name></author><author><name sortKey="Lee, Mijoung" sort="Lee, Mijoung" uniqKey="Lee M" first="Mijoung" last="Lee">Mijoung Lee</name></author><author><name sortKey="Simpson, Judy M" sort="Simpson, Judy M" uniqKey="Simpson J" first="Judy M" last="Simpson">Judy M. Simpson</name></author><author><name sortKey="Hansen, Ross" sort="Hansen, Ross" uniqKey="Hansen R" first="Ross" last="Hansen">Ross Hansen</name></author></analytic><series><title level="j">Breast cancer research and treatment</title><idno type="eISSN">1573-7217</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (rehabilitation)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymphedema (rehabilitation)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Range of Motion, Articular</term><term>Resistance Training</term><term>Treatment Outcome</term><term>Upper Extremity</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Amplitude articulaire</term><term>Entraînement en résistance</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (rééducation et réadaptation)</term><term>Membre supérieur</term><term>Résultat thérapeutique</term><term>Stade de la tumeur</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (rééducation et réadaptation)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Range of Motion, Articular</term><term>Resistance Training</term><term>Treatment Outcome</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Amplitude articulaire</term><term>Entraînement en résistance</term><term>Femelle</term><term>Humains</term><term>Membre supérieur</term><term>Résultat thérapeutique</term><term>Stade de la tumeur</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to determine whether an exercise program, commencing 4-6 weeks post-operatively, reduces upper limb impairments in women treated for early breast cancer. Women (n = 160) were randomized to either an 8-week exercise program (n = 81) or to a control group (n = 79) following stratification for axillary surgery. The exercise program comprised a weekly session and home program of passive stretching and progressive resistance training for shoulder muscles. The control group attended fortnightly assessments but no exercises were provided. The primary outcome was self-reported arm symptoms derived from the EORTC breast cancer-specific questionnaire (BR23), scored out of 100 with a low score indicative of fewer symptoms. The secondary outcomes included physical measures of shoulder range of motion, strength, and swelling (i.e., lymphedema). Women were assessed immediately following the intervention and at 6 months post-intervention. The change in symptoms from baseline was not significantly different between groups immediately following the intervention or at 6 m post-intervention. The between group difference immediately following the intervention was 4 (95% CI -1 to 9) and 6 months post-intervention was 4 (-2 to 10). However, the change in range of motion for flexion and abduction was significantly greater in the exercise group immediately following the intervention, as was change in shoulder abductor strength. In conclusion, a supervised exercise program provided some, albeit small, additional benefit at 6 months post-intervention to women who had been provided with written information and reminders to use their arm. Both the groups reported few impairments including swelling immediately following the intervention and 6 months post-intervention. Notably, resistance training in the post-operative period did not precipitate lymphedema.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M" last="Beith">Jane M. Beith</name><name sortKey="Hansen, Ross" sort="Hansen, Ross" uniqKey="Hansen R" first="Ross" last="Hansen">Ross Hansen</name><name sortKey="Lee, Mijoung" sort="Lee, Mijoung" uniqKey="Lee M" first="Mijoung" last="Lee">Mijoung Lee</name><name sortKey="Refshauge, Kathryn M" sort="Refshauge, Kathryn M" uniqKey="Refshauge K" first="Kathryn M" last="Refshauge">Kathryn M. Refshauge</name><name sortKey="Simpson, Judy M" sort="Simpson, Judy M" uniqKey="Simpson J" first="Judy M" last="Simpson">Judy M. Simpson</name><name sortKey="Ward, Leigh C" sort="Ward, Leigh C" uniqKey="Ward L" first="Leigh C" last="Ward">Leigh C. Ward</name></noCountry><country name="Australie"><noRegion><name sortKey="Kilbreath, Sharon L" sort="Kilbreath, Sharon L" uniqKey="Kilbreath S" first="Sharon L" last="Kilbreath">Sharon L. Kilbreath</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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