Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: pre-post intervention study.
Identifieur interne : 002317 ( PubMed/Corpus ); précédent : 002316; suivant : 002318Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: pre-post intervention study.
Auteurs : Ajay P. Gautam ; Arun G. Maiya ; Mamidipudi S. VidyasagarSource :
- Journal of rehabilitation research and development [ 1938-1352 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- etiology : Lymphedema.
- psychology : Lymphedema.
- surgery : Breast Neoplasms.
- therapy : Lymphedema.
- Aged, Anthropometry, Arm, Breathing Exercises, Exercise Therapy, Female, Humans, Middle Aged, Quality of Life, Statistics, Nonparametric, Treatment Outcome.
Abstract
Lymphedema is a debilitating complication following mastectomy, affecting the arm functions and quality of life (QOL) of breast cancer patients. Studies have shown the beneficial effects of upper-limb exercises on lymphedema in clinical settings. However, there is a dearth of evidence regarding the effect of home-based exercises on lymphedema; therefore, we examined the effect of a home-based exercise program on lymphedema and QOL in postmastectomy patients. Thirty-two female postmastectomy lymphedema patients participated in an individualized home-based exercise program for 8 weeks. Arm circumference, arm volume, and QOL (36-Item Short Form Health Survey) were measured before and after the program. Data were analyzed with the use of paired t-tests for circumferential and volumetric measures and Wilcoxon signed ranks tests for QOL. Significance level was set at p < 0.01 with Bonferroni correction (alpha/n = 0.05/5 = 0.01). Analysis showed a statistically significant improvement in the affected upper-limb circumference and volume (~122 mL reduction, p < 0.001) and in the QOL scores (p < 0.001) at the end of the home-based exercise program. The individualized home-based exercise program led to improvement in affected upper-limb volume and circumference and QOL of postmastectomy lymphedema patients.
PubMed: 22234669
Links to Exploration step
pubmed:22234669Le document en format XML
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<affiliation><nlm:affiliation>Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, Karnataka, India. ajayphysio@gmail.com</nlm:affiliation>
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<author><name sortKey="Maiya, Arun G" sort="Maiya, Arun G" uniqKey="Maiya A" first="Arun G" last="Maiya">Arun G. Maiya</name>
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<author><name sortKey="Vidyasagar, Mamidipudi S" sort="Vidyasagar, Mamidipudi S" uniqKey="Vidyasagar M" first="Mamidipudi S" last="Vidyasagar">Mamidipudi S. Vidyasagar</name>
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<term>Exercise Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (psychology)</term>
<term>Lymphedema (therapy)</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
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<front><div type="abstract" xml:lang="en">Lymphedema is a debilitating complication following mastectomy, affecting the arm functions and quality of life (QOL) of breast cancer patients. Studies have shown the beneficial effects of upper-limb exercises on lymphedema in clinical settings. However, there is a dearth of evidence regarding the effect of home-based exercises on lymphedema; therefore, we examined the effect of a home-based exercise program on lymphedema and QOL in postmastectomy patients. Thirty-two female postmastectomy lymphedema patients participated in an individualized home-based exercise program for 8 weeks. Arm circumference, arm volume, and QOL (36-Item Short Form Health Survey) were measured before and after the program. Data were analyzed with the use of paired t-tests for circumferential and volumetric measures and Wilcoxon signed ranks tests for QOL. Significance level was set at p < 0.01 with Bonferroni correction (alpha/n = 0.05/5 = 0.01). Analysis showed a statistically significant improvement in the affected upper-limb circumference and volume (~122 mL reduction, p < 0.001) and in the QOL scores (p < 0.001) at the end of the home-based exercise program. The individualized home-based exercise program led to improvement in affected upper-limb volume and circumference and QOL of postmastectomy lymphedema patients.</div>
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<Abstract><AbstractText>Lymphedema is a debilitating complication following mastectomy, affecting the arm functions and quality of life (QOL) of breast cancer patients. Studies have shown the beneficial effects of upper-limb exercises on lymphedema in clinical settings. However, there is a dearth of evidence regarding the effect of home-based exercises on lymphedema; therefore, we examined the effect of a home-based exercise program on lymphedema and QOL in postmastectomy patients. Thirty-two female postmastectomy lymphedema patients participated in an individualized home-based exercise program for 8 weeks. Arm circumference, arm volume, and QOL (36-Item Short Form Health Survey) were measured before and after the program. Data were analyzed with the use of paired t-tests for circumferential and volumetric measures and Wilcoxon signed ranks tests for QOL. Significance level was set at p < 0.01 with Bonferroni correction (alpha/n = 0.05/5 = 0.01). Analysis showed a statistically significant improvement in the affected upper-limb circumference and volume (~122 mL reduction, p < 0.001) and in the QOL scores (p < 0.001) at the end of the home-based exercise program. The individualized home-based exercise program led to improvement in affected upper-limb volume and circumference and QOL of postmastectomy lymphedema patients.</AbstractText>
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