Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: pre-post intervention study.
Identifieur interne : 002317 ( PubMed/Curation ); 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 [Inde] ; Arun G. Maiya ; Mamidipudi S. VidyasagarSource :
- Journal of rehabilitation research and development [ 1938-1352 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anthropométrie, Bras, Exercices respiratoires, Femelle, Humains, Lymphoedème (), Lymphoedème (psychologie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Qualité de vie, Résultat thérapeutique, Statistique non paramétrique, Sujet âgé, Traitement par les exercices physiques, Tumeurs du sein ().
- MESH :
- effets indésirables : Mastectomie.
- psychologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Anthropométrie, Bras, Exercices respiratoires, Femelle, Humains, Lymphoedème, Qualité de vie, Résultat thérapeutique, Statistique non paramétrique, Sujet âgé, Traitement par les exercices physiques, Tumeurs du sein.
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
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<wicri:regionArea>Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, Karnataka</wicri:regionArea>
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<term>Traitement par les exercices physiques</term>
<term>Tumeurs du sein</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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