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[Efficacy of massage and mobilization of the upper limb after surgical treatment of breast cancer].

Identifieur interne : 00B721 ( Main/Exploration ); précédent : 00B720; suivant : 00B722

[Efficacy of massage and mobilization of the upper limb after surgical treatment of breast cancer].

Auteurs : B. Le Vu ; A. Dumortier ; M V Guillaume ; H. Mouriesse ; L. Barreau-Pouhaer

Source :

RBID : pubmed:9435797

Descripteurs français

English descriptors

Abstract

We have compared different modes of rehabilitation after breast cancer surgery on a population of 257 patients treated at the Institute Gustave-Roussy in 1990 and 1991. The mode of rehabilitation was randomized according to a 2 X 2 design, between physiotherapy alone, shoulder movement alone, both or neither. Treatment began the day after breast surgery and continued for 7 days. Afterwards, all patients had physiotherapy and shoulder movements until the end of hospitalisation. Treatment efficacy was evaluated at day 7 by the volume of lymph drained, and by degree of shoulder movement. The volume of lymph collected by day 7 was reduced in the physiotherapy groups, but was not modified in the groups with shoulder movement. The degree of motion was larger in the group who had had both physiotherapy and shoulder movement. The frequencies of complications at day 7 and later were similar in the four treatment groups, but locoregional pain was less frequent in the two groups with shoulder movement than in the two other groups. An early treatment including both physiotherapy and shoulder movement seems advisable.

PubMed: 9435797


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Le document en format XML

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<name sortKey="Barreau Pouhaer, L" sort="Barreau Pouhaer, L" uniqKey="Barreau Pouhaer L" first="L" last="Barreau-Pouhaer">L. Barreau-Pouhaer</name>
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<term>Aged</term>
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<term>Breast Neoplasms (rehabilitation)</term>
<term>Exercise Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Massage</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Physical Therapy Modalities</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Massage</term>
<term>Mastectomie (effets indésirables)</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Techniques de physiothérapie</term>
<term>Traitement par les exercices physiques</term>
<term>Tumeurs du sein (anatomopathologie)</term>
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<term>Breast Neoplasms</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">We have compared different modes of rehabilitation after breast cancer surgery on a population of 257 patients treated at the Institute Gustave-Roussy in 1990 and 1991. The mode of rehabilitation was randomized according to a 2 X 2 design, between physiotherapy alone, shoulder movement alone, both or neither. Treatment began the day after breast surgery and continued for 7 days. Afterwards, all patients had physiotherapy and shoulder movements until the end of hospitalisation. Treatment efficacy was evaluated at day 7 by the volume of lymph drained, and by degree of shoulder movement. The volume of lymph collected by day 7 was reduced in the physiotherapy groups, but was not modified in the groups with shoulder movement. The degree of motion was larger in the group who had had both physiotherapy and shoulder movement. The frequencies of complications at day 7 and later were similar in the four treatment groups, but locoregional pain was less frequent in the two groups with shoulder movement than in the two other groups. An early treatment including both physiotherapy and shoulder movement seems advisable.</div>
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