Pectoral stretching program for women undergoing radiotherapy for breast cancer.
Identifieur interne : 007160 ( Main/Exploration ); précédent : 007159; suivant : 007161Pectoral stretching program for women undergoing radiotherapy for breast cancer.
Auteurs : T S Lee [Australie] ; S L Kilbreath ; K M Refshauge ; S C Pendlebury ; J M Beith ; M J LeeSource :
- Breast cancer research and treatment [ 0167-6806 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Amplitude articulaire, Exercices d'étirement musculaire, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Maladies musculaires (), Maladies musculaires (étiologie), Muscles pectoraux (anatomopathologie), Muscles pectoraux (physiologie), Méthode en simple aveugle, Qualité de vie, Résultat thérapeutique, Tumeurs du sein (radiothérapie), Tumeurs du sein (rééducation et réadaptation).
- MESH :
- anatomopathologie : Muscles pectoraux.
- physiologie : Muscles pectoraux.
- radiothérapie : Tumeurs du sein.
- rééducation et réadaptation : Tumeurs du sein.
- étiologie : Lymphoedème, Maladies musculaires.
- Adulte d'âge moyen, Amplitude articulaire, Exercices d'étirement musculaire, Femelle, Humains, Lymphoedème, Maladies musculaires, Méthode en simple aveugle, Qualité de vie, Résultat thérapeutique.
English descriptors
- KwdEn :
- Breast Neoplasms (radiotherapy), Breast Neoplasms (rehabilitation), Female, Humans, Lymphedema (etiology), Lymphedema (prevention & control), Middle Aged, Muscle Stretching Exercises, Muscular Diseases (etiology), Muscular Diseases (prevention & control), Pectoralis Muscles (pathology), Pectoralis Muscles (physiology), Quality of Life, Range of Motion, Articular, Single-Blind Method, Treatment Outcome.
- MESH :
- etiology : Lymphedema, Muscular Diseases.
- pathology : Pectoralis Muscles.
- physiology : Pectoralis Muscles.
- prevention & control : Lymphedema, Muscular Diseases.
- radiotherapy : Breast Neoplasms.
- rehabilitation : Breast Neoplasms.
- Female, Humans, Middle Aged, Muscle Stretching Exercises, Quality of Life, Range of Motion, Articular, Single-Blind Method, Treatment Outcome.
Abstract
Surgery and radiotherapy commonly cause adverse musculoskeletal problems, particularly loss of strength and range of motion, in the upper quadrant of breast cancer patients. Few well-designed studies have investigated whether these impairments can be prevented. Stretching is an effective technique for increasing range of motion, hence the aim of this study was to investigate whether a stretching program reduced acute musculoskeletal impairments in patients undergoing radiotherapy for breast cancer. Sixty-four women were recruited prior to commencement of radiotherapy following breast cancer surgery. Participants were randomised to either a control or stretch group. Participants in both groups were reviewed by the physical therapist on a weekly basis for approximately 6 weeks, and were given general information about skin care and lymphedema. The control group received no advice about exercise. The stretch group received instruction on low-load, prolonged pectoral stretches, which were to be performed daily and were checked at weekly visits. Shoulder range of motion, strength, arm circumference, and quality of life measurements were taken prior to, and at completion of radiotherapy, and at 7 months after radiotherapy. There was no difference in any outcome between groups. Breast symptoms increased for both groups during radiotherapy, without loss of strength or range of movement. The incidence of lymphedema during the study was low for both groups and did not differ between groups. The pectoral stretching program did not influence the outcomes measured because the symptoms reported by patients were not a consequence of contracture.
DOI: 10.1007/s10549-006-9339-0
PubMed: 17143593
Affiliations:
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Le document en format XML
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(étiologie)</term><term>Maladies musculaires ()</term><term>Maladies musculaires (étiologie)</term><term>Muscles pectoraux (anatomopathologie)</term><term>Muscles pectoraux (physiologie)</term><term>Méthode en simple aveugle</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Tumeurs du sein (radiothérapie)</term><term>Tumeurs du sein (rééducation et réadaptation)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Muscles pectoraux</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Muscular Diseases</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Pectoralis Muscles</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Muscles pectoraux</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Pectoralis Muscles</term></keywords><keywords scheme="MESH" qualifier="prevention & 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moyen</term><term>Amplitude articulaire</term><term>Exercices d'étirement musculaire</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Maladies musculaires</term><term>Méthode en simple aveugle</term><term>Qualité de vie</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Surgery and radiotherapy commonly cause adverse musculoskeletal problems, particularly loss of strength and range of motion, in the upper quadrant of breast cancer patients. Few well-designed studies have investigated whether these impairments can be prevented. Stretching is an effective technique for increasing range of motion, hence the aim of this study was to investigate whether a stretching program reduced acute musculoskeletal impairments in patients undergoing radiotherapy for breast cancer. Sixty-four women were recruited prior to commencement of radiotherapy following breast cancer surgery. Participants were randomised to either a control or stretch group. Participants in both groups were reviewed by the physical therapist on a weekly basis for approximately 6 weeks, and were given general information about skin care and lymphedema. The control group received no advice about exercise. The stretch group received instruction on low-load, prolonged pectoral stretches, which were to be performed daily and were checked at weekly visits. Shoulder range of motion, strength, arm circumference, and quality of life measurements were taken prior to, and at completion of radiotherapy, and at 7 months after radiotherapy. There was no difference in any outcome between groups. Breast symptoms increased for both groups during radiotherapy, without loss of strength or range of movement. The incidence of lymphedema during the study was low for both groups and did not differ between groups. The pectoral stretching program did not influence the outcomes measured because the symptoms reported by patients were not a consequence of contracture.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Beith, J M" sort="Beith, J M" uniqKey="Beith J" first="J M" last="Beith">J M Beith</name><name sortKey="Kilbreath, S L" sort="Kilbreath, S L" uniqKey="Kilbreath S" first="S L" last="Kilbreath">S L Kilbreath</name><name sortKey="Lee, M J" sort="Lee, M J" uniqKey="Lee M" first="M J" last="Lee">M J Lee</name><name sortKey="Pendlebury, S C" sort="Pendlebury, S C" uniqKey="Pendlebury S" first="S C" last="Pendlebury">S C Pendlebury</name><name sortKey="Refshauge, K M" sort="Refshauge, K M" uniqKey="Refshauge K" first="K M" last="Refshauge">K M Refshauge</name></noCountry><country name="Australie"><noRegion><name sortKey="Lee, T S" sort="Lee, T S" uniqKey="Lee T" first="T S" last="Lee">T S Lee</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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