Pilot study of effective methods for measuring and stretching for pectoral muscle tightness in breast cancer patients
Identifieur interne : 004122 ( Pmc/Curation ); précédent : 004121; suivant : 004123Pilot study of effective methods for measuring and stretching for pectoral muscle tightness in breast cancer patients
Auteurs : So Young Lee ; Mi Kyung Sim ; Junghwa Do ; Soon Young Jeong ; Jae Yong JeonSource :
- Journal of Physical Therapy Science [ 0915-5287 ] ; 2016.
Abstract
[Purpose] To evaluate differences in pectoral muscle tightness according to arm abduction angle and to determine the best arm abduction angle for stretching of pectoral muscle tightness in breast cancer patients. [Subjects and Methods] Horizontal abduction differences of shoulders were measured bilaterally by arm abduction to 45°, 90°, and 135° to determine the best arm abduction angle for measuring pectoral muscle tightness. Thirty-two patients were divided into three pectoral muscle stretching groups (A: 45°, B: 90°, and C: 135°). We measured the shoulder range of motion, scores of the Disabilities of the Arm, Shoulder, and Hand, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and the Breast Module, and pain levels (using a visual analog scale) before and after therapy. [Results] The differences in degree of horizontal abduction between shoulders were significantly larger for arm abduction to 90° and 135° than that to 45°. Groups B and C showed greater improvements in horizontal abduction limitations than group A. [Conclusion] Horizontal abduction differences between shoulders are prominent when arms are abducted to 90° and 135°. The appropriate arm abduction angle for measuring horizontal abduction and effective stretching of pectoral muscle tightness may be >90°.
Url:
DOI: 10.1589/jpts.28.3030
PubMed: 27942114
PubMed Central: 5140794
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pilot study of effective methods for measuring and stretching for pectoral
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<front><div type="abstract" xml:lang="en"><p>[Purpose] To evaluate differences in pectoral muscle tightness according to arm abduction
angle and to determine the best arm abduction angle for stretching of pectoral muscle
tightness in breast cancer patients. [Subjects and Methods] Horizontal abduction
differences of shoulders were measured bilaterally by arm abduction to 45°, 90°, and 135°
to determine the best arm abduction angle for measuring pectoral muscle tightness.
Thirty-two patients were divided into three pectoral muscle stretching groups (A: 45°, B:
90°, and C: 135°). We measured the shoulder range of motion, scores of the Disabilities of
the Arm, Shoulder, and Hand, European Organization for Research and Treatment of Cancer
Quality of Life Questionnaire and the Breast Module, and pain levels (using a visual
analog scale) before and after therapy. [Results] The differences in degree of horizontal
abduction between shoulders were significantly larger for arm abduction to 90° and 135°
than that to 45°. Groups B and C showed greater improvements in horizontal abduction
limitations than group A. [Conclusion] Horizontal abduction differences between shoulders
are prominent when arms are abducted to 90° and 135°. The appropriate arm abduction angle
for measuring horizontal abduction and effective stretching of pectoral muscle tightness
may be >90°.</p>
</div>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Phys Ther Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Phys Ther Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPTS</journal-id>
<journal-title-group><journal-title>Journal of Physical Therapy Science</journal-title>
</journal-title-group>
<issn pub-type="ppub">0915-5287</issn>
<issn pub-type="epub">2187-5626</issn>
<publisher><publisher-name>The Society of Physical Therapy Science</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27942114</article-id>
<article-id pub-id-type="pmc">5140794</article-id>
<article-id pub-id-type="publisher-id">jpts-2016-510</article-id>
<article-id pub-id-type="doi">10.1589/jpts.28.3030</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Pilot study of effective methods for measuring and stretching for pectoral
muscle tightness in breast cancer patients</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>So Young</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff1"><sup>a</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sim</surname>
<given-names>Mi Kyung</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff1"><sup>a</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Do</surname>
<given-names>Junghwa</given-names>
</name>
<degrees>PT, MSc</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jeong</surname>
<given-names>Soon Young</given-names>
</name>
<degrees>PT, PhD</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jeon</surname>
<given-names>Jae Yong</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<xref rid="cor1" ref-type="corresp"><sup>*</sup>
</xref>
</contrib>
<aff id="aff1"><label>1)</label>
Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Republic of Korea</aff>
<aff id="aff2"><label>2)</label>
Ilsan Median Rehabilitation Hospital, Republic of Korea</aff>
<aff id="aff3"><label>3)</label>
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea</aff>
</contrib-group>
<author-notes><corresp id="cor1"><label>*</label>
Corresponding author. Jae Yong Jeon, Department of Rehabilitation Medicine, Asan Medical Center,
University of Ulsan College of Medicine: 88 Olympic-ro, 43-gil, Songpa-gu, Seoul 05505,
Republic of Korea. (E-mail: <email xlink:href="jyjeon71@gmail.com">jyjeon71@gmail.com</email>
) aCo-first authors who
contributed equally to this work.</corresp>
</author-notes>
<pub-date pub-type="epub"><day>29</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><month>11</month>
<year>2016</year>
</pub-date>
<volume>28</volume>
<issue>11</issue>
<fpage>3030</fpage>
<lpage>3035</lpage>
<history><date date-type="received"><day>04</day>
<month>5</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>19</day>
<month>7</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>2016©by the Society of Physical Therapy Science. Published by IPEC
Inc.</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative
Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. </license-p>
</license>
</permissions>
<abstract><p>[Purpose] To evaluate differences in pectoral muscle tightness according to arm abduction
angle and to determine the best arm abduction angle for stretching of pectoral muscle
tightness in breast cancer patients. [Subjects and Methods] Horizontal abduction
differences of shoulders were measured bilaterally by arm abduction to 45°, 90°, and 135°
to determine the best arm abduction angle for measuring pectoral muscle tightness.
Thirty-two patients were divided into three pectoral muscle stretching groups (A: 45°, B:
90°, and C: 135°). We measured the shoulder range of motion, scores of the Disabilities of
the Arm, Shoulder, and Hand, European Organization for Research and Treatment of Cancer
Quality of Life Questionnaire and the Breast Module, and pain levels (using a visual
analog scale) before and after therapy. [Results] The differences in degree of horizontal
abduction between shoulders were significantly larger for arm abduction to 90° and 135°
than that to 45°. Groups B and C showed greater improvements in horizontal abduction
limitations than group A. [Conclusion] Horizontal abduction differences between shoulders
are prominent when arms are abducted to 90° and 135°. The appropriate arm abduction angle
for measuring horizontal abduction and effective stretching of pectoral muscle tightness
may be >90°.</p>
</abstract>
<kwd-group><title>Key words</title>
<kwd>Breast neoplasms</kwd>
<kwd>Muscle stretching exercise</kwd>
<kwd>Rehabilitation</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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