Upper limb progressive resistance training and stretching exercises following surgery for early breast cancer: a randomized controlled trial
Identifieur interne : 004917 ( Main/Exploration ); précédent : 004916; suivant : 004918Upper 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 [Australie] ; Jane M. Beith [Australie] ; Leigh C. Ward [Australie] ; Mijoung Lee [Australie] ; Judy M. Simpson [Australie] ; Ross Hansen [Australie]Source :
- Breast cancer research and treatment [ 0167-6806 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
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.
Affiliations:
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Kilbreath</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe</s1><s2>Sydney, NSW 1825</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Sydney, 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><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe</s1><s2>Sydney, NSW 1825</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Sydney, NSW 1825</wicri:noRegion></affiliation></author><author><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M." last="Beith">Jane M. Beith</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Royal Prince Alfred Hospital, Sydney Cancer Centre</s1><s2>Camperdown</s2><s3>AUS</s3><sZ>3 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Camperdown</wicri:noRegion></affiliation></author><author><name sortKey="Ward, Leigh C" sort="Ward, Leigh C" uniqKey="Ward L" first="Leigh C." last="Ward">Leigh C. Ward</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe</s1><s2>Sydney, NSW 1825</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Sydney, NSW 1825</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>School of Chemistry and Molecular Biosciences, The University of Queensland</s1><s2>Brisbane</s2><s3>AUS</s3><sZ>4 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Mijoung" sort="Lee, Mijoung" uniqKey="Lee M" first="Mijoung" last="Lee">Mijoung Lee</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe</s1><s2>Sydney, NSW 1825</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Sydney, NSW 1825</wicri:noRegion></affiliation></author><author><name sortKey="Simpson, Judy M" sort="Simpson, Judy M" uniqKey="Simpson J" first="Judy M." last="Simpson">Judy M. Simpson</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>School of Public Health, University of Sydney</s1><s2>Sydney</s2><s3>AUS</s3><sZ>6 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Hansen, Ross" sort="Hansen, Ross" uniqKey="Hansen R" first="Ross" last="Hansen">Ross Hansen</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Sydney Medical School-Northern, University of Sydney</s1><s2>St Leonards</s2><s3>AUS</s3><sZ>7 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>St Leonards</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term><term>Breast cancer</term><term>Early</term><term>Lymphedema</term><term>Physical exercise</term><term>Randomized controlled trial</term><term>Shoulder</term><term>Surgery</term><term>Treatment</term><term>Upper limb</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Membre supérieur</term><term>Exercice physique</term><term>Chirurgie</term><term>Précoce</term><term>Cancer du sein</term><term>Traitement</term><term>Epaule</term><term>Bras</term><term>Lymphoedème</term><term>Essai randomisé contrôlé</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</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><region><li>Nouvelle-Galles du Sud</li></region><settlement><li>Sydney</li></settlement></list><tree><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><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><name sortKey="Ward, Leigh C" sort="Ward, Leigh C" uniqKey="Ward L" first="Leigh C." last="Ward">Leigh C. Ward</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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