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Effectiveness of a self-administered, home-based exercise rehabilitation program for women following a modified radical mastectomy and axillary node dissection: a preliminary study.

Identifieur interne : 003016 ( PubMed/Checkpoint ); précédent : 003015; suivant : 003017

Effectiveness of a self-administered, home-based exercise rehabilitation program for women following a modified radical mastectomy and axillary node dissection: a preliminary study.

Auteurs : Robert D. Kilgour [Canada] ; David H. Jones ; John R. Keyserlingk

Source :

RBID : pubmed:17624606

Descripteurs français

English descriptors

Abstract

This pilot study examined the effects of a self-administered, home-based exercise (HBE) rehabilitation programme designed to help women regain shoulder mobility immediately following surgery for a modified radical mastectomy and axillary node dissection.

DOI: 10.1007/s10549-007-9649-x
PubMed: 17624606


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pubmed:17624606

Le document en format XML

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<title xml:lang="en">Effectiveness of a self-administered, home-based exercise rehabilitation program for women following a modified radical mastectomy and axillary node dissection: a preliminary study.</title>
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<name sortKey="Kilgour, Robert D" sort="Kilgour, Robert D" uniqKey="Kilgour R" first="Robert D" last="Kilgour">Robert D. Kilgour</name>
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<nlm:affiliation>Department of Exercise Science, The Richard J. Renaud Science Complex, Concordia University, Montreal, QC, Canada. kilgour@alcor.concordia.ca</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Exercise Science, The Richard J. Renaud Science Complex, Concordia University, Montreal, QC</wicri:regionArea>
<wicri:noRegion>QC</wicri:noRegion>
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<name sortKey="Jones, David H" sort="Jones, David H" uniqKey="Jones D" first="David H" last="Jones">David H. Jones</name>
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<name sortKey="Keyserlingk, John R" sort="Keyserlingk, John R" uniqKey="Keyserlingk J" first="John R" last="Keyserlingk">John R. Keyserlingk</name>
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<title xml:lang="en">Effectiveness of a self-administered, home-based exercise rehabilitation program for women following a modified radical mastectomy and axillary node dissection: a preliminary study.</title>
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<term>Axilla</term>
<term>Breast Neoplasms (rehabilitation)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Exercise Therapy (methods)</term>
<term>Female</term>
<term>Hand Strength (physiology)</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy, Modified Radical (adverse effects)</term>
<term>Middle Aged</term>
<term>Patient Compliance</term>
<term>Pilot Projects</term>
<term>Range of Motion, Articular (physiology)</term>
<term>Shoulder (physiology)</term>
<term>Video Recording</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Amplitude articulaire (physiologie)</term>
<term>Enregistrement sur magnétoscope</term>
<term>Femelle</term>
<term>Force de préhension manuelle (physiologie)</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie radicale modifiée (effets indésirables)</term>
<term>Observance thérapeutique</term>
<term>Projets pilotes</term>
<term>Traitement par les exercices physiques ()</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (rééducation et réadaptation)</term>
<term>Épaule (physiologie)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Mastectomy, Modified Radical</term>
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<term>Lymphadénectomie</term>
<term>Mastectomie radicale modifiée</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Exercise Therapy</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Amplitude articulaire</term>
<term>Force de préhension manuelle</term>
<term>Épaule</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Hand Strength</term>
<term>Range of Motion, Articular</term>
<term>Shoulder</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Patient Compliance</term>
<term>Pilot Projects</term>
<term>Video Recording</term>
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<term>Enregistrement sur magnétoscope</term>
<term>Femelle</term>
<term>Humains</term>
<term>Observance thérapeutique</term>
<term>Projets pilotes</term>
<term>Traitement par les exercices physiques</term>
<term>Tumeurs du sein</term>
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<div type="abstract" xml:lang="en">This pilot study examined the effects of a self-administered, home-based exercise (HBE) rehabilitation programme designed to help women regain shoulder mobility immediately following surgery for a modified radical mastectomy and axillary node dissection.</div>
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<ArticleTitle>Effectiveness of a self-administered, home-based exercise rehabilitation program for women following a modified radical mastectomy and axillary node dissection: a preliminary study.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This pilot study examined the effects of a self-administered, home-based exercise (HBE) rehabilitation programme designed to help women regain shoulder mobility immediately following surgery for a modified radical mastectomy and axillary node dissection.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Twenty-seven women who were scheduled for surgery were randomly assigned to either a post-surgical experimental HBE rehabilitation group (n = 16) or a usual care group (UC; n = 11). Women assigned to the HBE group followed an 11 day (days 3-14 post-surgery), home-based rehabilitation programme consisting of shoulder flexibility and stretching exercises that were described on videotape. The videotape programme was modelled after the exercises and guidelines described in a brochure produced by the Canadian Cancer Society.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">As a result of the exercise programme intervention, there was a time x group interaction indicating that the HBE group demonstrated a significantly greater increase in shoulder flexion range of motion (ROM) (p = 0.003) and abduction ROM (p = 0.036) when compared to the UC. There were no statistical differences in shoulder strength between groups over time. External rotation (p = 0.036) and grip strength (p = 0.001) significantly increased in both groups during the intervention period but there were no interaction effects. With respect to the forearm circumferences, there was a significant decrease over time (p < 0.001) but no interaction between groups.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This HBE rehabilitation programme is an effective way to improve shoulder mobility and ROM during the immediate 2-week recovery period following surgery.</AbstractText>
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