The efficacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled study
Identifieur interne : 003A63 ( Pmc/Checkpoint ); précédent : 003A62; suivant : 003A64The efficacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled study
Auteurs : Carien Hg Beurskens [Pays-Bas] ; Caro Jt Van Uden [Pays-Bas] ; Luc Ja Strobbe [Pays-Bas] ; Rob Ab Oostendorp [Pays-Bas] ; Theo Wobbes [Pays-Bas]Source :
- BMC Cancer [ 1471-2407 ] ; 2007.
Abstract
Many patients suffer from severe shoulder complaints after breast cancer surgery and axillary lymph node dissection. Physiotherapy has been clinically observed to improve treatment of these patients. However, it is not a standard treatment regime. The purpose of this study is to investigate the efficacy of physiotherapy treatment of shoulder function, pain and quality of life in patients who have undergone breast cancer surgery and axillary lymph node dissection.
Thirty patients following breast cancer surgery and axillary lymph node dissection were included in a randomised controlled study. Assessments were made at baseline and after three and six months. The treatment group received standardised physiotherapy treatment of advice and exercises for the arm and shoulder for three months; the control group received a leaflet containing advice and exercises. If necessary soft tissue massage to the surgical scar was applied. Primary outcome variables were amount of pain in the shoulder/arm recorded on the Visual Analogue Scale, and shoulder mobility (flexion, abduction) measured using a digital inclinometer under standardized conditions.
Secondary outcome measures were shoulder disabilities during daily activities, edema, grip strength of both hands and quality of life. The researcher was blinded to treatment allocation.
All thirty patients completed the trial. After three and six months the treatment group showed a significant improvement in shoulder mobility and had significantly less pain than the control group. Quality of life improved significantly, however, handgrip strength and arm volume did not alter significantly.
Physiotherapy reduces pain and improves shoulder function and quality of life following axillary dissection after breast cancer.
ISRCTN31186536
Url:
DOI: 10.1186/1471-2407-7-166
PubMed: 17760981
PubMed Central: 2031897
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Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Van Uden, Caro Jt" sort="Van Uden, Caro Jt" uniqKey="Van Uden C" first="Caro Jt" last="Van Uden">Caro Jt Van Uden</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre for Allied Health Research, Dept. of Physiotherapy, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Centre for Allied Health Research, Dept. of Physiotherapy, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Dept. of Surgery, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dept. of Surgery, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht</wicri:regionArea><wicri:noRegion>6202 AZ Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Strobbe, Luc Ja" sort="Strobbe, Luc Ja" uniqKey="Strobbe L" first="Luc Ja" last="Strobbe">Luc Ja Strobbe</name><affiliation wicri:level="1"><nlm:aff id="I3">Dept. of Surgery, Canisius Wilhelmina Hospital, P.O. Box 9015, 6500 GS Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dept. of Surgery, Canisius Wilhelmina Hospital, P.O. Box 9015, 6500 GS Nijmegen</wicri:regionArea><wicri:noRegion>6500 GS Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Oostendorp, Rob Ab" sort="Oostendorp, Rob Ab" uniqKey="Oostendorp R" first="Rob Ab" last="Oostendorp">Rob Ab Oostendorp</name><affiliation wicri:level="1"><nlm:aff id="I4">Centre for Allied Health Research, Dept. of Quality of Care, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Centre for Allied Health Research, Dept. of Quality of Care, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Dutch Institute of Allied Health Care, P.O. Box 1161, 3800 BD Amersfoort, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dutch Institute of Allied Health Care, P.O. Box 1161, 3800 BD Amersfoort</wicri:regionArea><wicri:noRegion>3800 BD Amersfoort</wicri:noRegion></affiliation></author><author><name sortKey="Wobbes, Theo" sort="Wobbes, Theo" uniqKey="Wobbes T" first="Theo" last="Wobbes">Theo Wobbes</name><affiliation wicri:level="1"><nlm:aff id="I6">Dept. of Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dept. of Surgery, Radboud University Nijmegen Medical Centre, P.O. 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Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Centre for Allied Health Research, Dept. of Physiotherapy, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Van Uden, Caro Jt" sort="Van Uden, Caro Jt" uniqKey="Van Uden C" first="Caro Jt" last="Van Uden">Caro Jt Van Uden</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre for Allied Health Research, Dept. of Physiotherapy, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Centre for Allied Health Research, Dept. of Physiotherapy, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Dept. of Surgery, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dept. of Surgery, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht</wicri:regionArea><wicri:noRegion>6202 AZ Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Strobbe, Luc Ja" sort="Strobbe, Luc Ja" uniqKey="Strobbe L" first="Luc Ja" last="Strobbe">Luc Ja Strobbe</name><affiliation wicri:level="1"><nlm:aff id="I3">Dept. of Surgery, Canisius Wilhelmina Hospital, P.O. Box 9015, 6500 GS Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dept. of Surgery, Canisius Wilhelmina Hospital, P.O. Box 9015, 6500 GS Nijmegen</wicri:regionArea><wicri:noRegion>6500 GS Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Oostendorp, Rob Ab" sort="Oostendorp, Rob Ab" uniqKey="Oostendorp R" first="Rob Ab" last="Oostendorp">Rob Ab Oostendorp</name><affiliation wicri:level="1"><nlm:aff id="I4">Centre for Allied Health Research, Dept. of Quality of Care, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Centre for Allied Health Research, Dept. of Quality of Care, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Dutch Institute of Allied Health Care, P.O. Box 1161, 3800 BD Amersfoort, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dutch Institute of Allied Health Care, P.O. Box 1161, 3800 BD Amersfoort</wicri:regionArea><wicri:noRegion>3800 BD Amersfoort</wicri:noRegion></affiliation></author><author><name sortKey="Wobbes, Theo" sort="Wobbes, Theo" uniqKey="Wobbes T" first="Theo" last="Wobbes">Theo Wobbes</name><affiliation wicri:level="1"><nlm:aff id="I6">Dept. of Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dept. of Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Many patients suffer from severe shoulder complaints after breast cancer surgery and axillary lymph node dissection. Physiotherapy has been clinically observed to improve treatment of these patients. However, it is not a standard treatment regime. The purpose of this study is to investigate the efficacy of physiotherapy treatment of shoulder function, pain and quality of life in patients who have undergone breast cancer surgery and axillary lymph node dissection.</p></sec><sec sec-type="methods"><title>Methods</title><p>Thirty patients following breast cancer surgery and axillary lymph node dissection were included in a randomised controlled study. Assessments were made at baseline and after three and six months. The treatment group received standardised physiotherapy treatment of advice and exercises for the arm and shoulder for three months; the control group received a leaflet containing advice and exercises. If necessary soft tissue massage to the surgical scar was applied. Primary outcome variables were amount of pain in the shoulder/arm recorded on the Visual Analogue Scale, and shoulder mobility (flexion, abduction) measured using a digital inclinometer under standardized conditions.</p><p>Secondary outcome measures were shoulder disabilities during daily activities, edema, grip strength of both hands and quality of life. The researcher was blinded to treatment allocation.</p></sec><sec><title>Results</title><p>All thirty patients completed the trial. After three and six months the treatment group showed a significant improvement in shoulder mobility and had significantly less pain than the control group. Quality of life improved significantly, however, handgrip strength and arm volume did not alter significantly.</p></sec><sec><title>Conclusion</title><p>Physiotherapy reduces pain and improves shoulder function and quality of life following axillary dissection after breast cancer.</p></sec><sec><title>Trial registration</title><p>ISRCTN31186536</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Cancer</journal-id><journal-title>BMC Cancer</journal-title><issn pub-type="epub">1471-2407</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17760981</article-id><article-id pub-id-type="pmc">2031897</article-id><article-id pub-id-type="publisher-id">1471-2407-7-166</article-id><article-id pub-id-type="doi">10.1186/1471-2407-7-166</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>The efficacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled study</article-title></title-group><contrib-group><contrib id="A1" corresp="yes" contrib-type="author"><name><surname>Beurskens</surname><given-names>Carien HG</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>c.beurskens@fysiocss.umcn.nl</email></contrib><contrib id="A2" contrib-type="author"><name><surname>van Uden</surname><given-names>Caro JT</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>cvanuden@surgery.azm.nl</email></contrib><contrib id="A3" contrib-type="author"><name><surname>Strobbe</surname><given-names>Luc JA</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>ljastrobbe@cwz.nl</email></contrib><contrib id="A4" contrib-type="author"><name><surname>Oostendorp</surname><given-names>Rob AB</given-names></name><xref ref-type="aff" rid="I4">4</xref><xref ref-type="aff" rid="I5">5</xref><email>r.oostendorp@kwazo.umcn.nl</email></contrib><contrib id="A5" contrib-type="author"><name><surname>Wobbes</surname><given-names>Theo</given-names></name><xref ref-type="aff" rid="I6">6</xref><email>t.wobbes@chir.umcn.nl</email></contrib></contrib-group><aff id="I1"><label>1</label>Centre for Allied Health Research, Dept. of Physiotherapy, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</aff><aff id="I2"><label>2</label>Dept. of Surgery, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands</aff><aff id="I3"><label>3</label>Dept. of Surgery, Canisius Wilhelmina Hospital, P.O. Box 9015, 6500 GS Nijmegen, The Netherlands</aff><aff id="I4"><label>4</label>Centre for Allied Health Research, Dept. of Quality of Care, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</aff><aff id="I5"><label>5</label>Dutch Institute of Allied Health Care, P.O. Box 1161, 3800 BD Amersfoort, The Netherlands</aff><aff id="I6"><label>6</label>Dept. of Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands</aff><pub-date pub-type="collection"><year>2007</year></pub-date><pub-date pub-type="epub"><day>30</day><month>8</month><year>2007</year></pub-date><volume>7</volume><fpage>166</fpage><lpage>166</lpage><ext-link ext-link-type="uri" xlink:href="http://www.biomedcentral.com/1471-2407/7/166"></ext-link><history><date date-type="received"><day>12</day><month>12</month><year>2006</year></date><date date-type="accepted"><day>30</day><month>8</month><year>2007</year></date></history><permissions><copyright-statement>Copyright © 2007 Beurskens et al; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2007</copyright-year><copyright-holder>Beurskens et al; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0"></ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p><pmc-comment>
Beurskens
HG
Carien
c.beurskens@fysiocss.umcn.nl
The efficacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled study
2007 BMC Cancer 7(1): 166-. (2007) 1471-2407(2007)7:1<166> urn:ISSN:1471-2407
</license></permissions><abstract><sec><title>Background</title><p>Many patients suffer from severe shoulder complaints after breast cancer surgery and axillary lymph node dissection. Physiotherapy has been clinically observed to improve treatment of these patients. However, it is not a standard treatment regime. The purpose of this study is to investigate the efficacy of physiotherapy treatment of shoulder function, pain and quality of life in patients who have undergone breast cancer surgery and axillary lymph node dissection.</p></sec><sec sec-type="methods"><title>Methods</title><p>Thirty patients following breast cancer surgery and axillary lymph node dissection were included in a randomised controlled study. Assessments were made at baseline and after three and six months. The treatment group received standardised physiotherapy treatment of advice and exercises for the arm and shoulder for three months; the control group received a leaflet containing advice and exercises. If necessary soft tissue massage to the surgical scar was applied. Primary outcome variables were amount of pain in the shoulder/arm recorded on the Visual Analogue Scale, and shoulder mobility (flexion, abduction) measured using a digital inclinometer under standardized conditions.</p><p>Secondary outcome measures were shoulder disabilities during daily activities, edema, grip strength of both hands and quality of life. The researcher was blinded to treatment allocation.</p></sec><sec><title>Results</title><p>All thirty patients completed the trial. After three and six months the treatment group showed a significant improvement in shoulder mobility and had significantly less pain than the control group. Quality of life improved significantly, however, handgrip strength and arm volume did not alter significantly.</p></sec><sec><title>Conclusion</title><p>Physiotherapy reduces pain and improves shoulder function and quality of life following axillary dissection after breast cancer.</p></sec><sec><title>Trial registration</title><p>ISRCTN31186536</p></sec></abstract></article-meta></front></pmc><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Beurskens, Carien Hg" sort="Beurskens, Carien Hg" uniqKey="Beurskens C" first="Carien Hg" last="Beurskens">Carien Hg Beurskens</name></noRegion><name sortKey="Oostendorp, Rob Ab" sort="Oostendorp, Rob Ab" uniqKey="Oostendorp R" first="Rob Ab" last="Oostendorp">Rob Ab Oostendorp</name><name sortKey="Oostendorp, Rob Ab" sort="Oostendorp, Rob Ab" uniqKey="Oostendorp R" first="Rob Ab" last="Oostendorp">Rob Ab Oostendorp</name><name sortKey="Strobbe, Luc Ja" sort="Strobbe, Luc Ja" uniqKey="Strobbe L" first="Luc Ja" last="Strobbe">Luc Ja Strobbe</name><name sortKey="Van Uden, Caro Jt" sort="Van Uden, Caro Jt" uniqKey="Van Uden C" first="Caro Jt" last="Van Uden">Caro Jt Van Uden</name><name sortKey="Van Uden, Caro Jt" sort="Van Uden, Caro Jt" uniqKey="Van Uden C" first="Caro Jt" last="Van Uden">Caro Jt Van Uden</name><name sortKey="Wobbes, Theo" sort="Wobbes, Theo" uniqKey="Wobbes T" first="Theo" last="Wobbes">Theo Wobbes</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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