دورية أكاديمية
The recovery of reaching movement in breast cancer survivors: two different rehabilitative protocols in comparison.
| العنوان: | The recovery of reaching movement in breast cancer survivors: two different rehabilitative protocols in comparison. |
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| المؤلفون: | Paolucci T; Department of Medical, Oral and Biotechnological Sciences, G. D'Annunzio University of Chieti-Pescara, Pescara, Italy., Bernetti A; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy., Bai AV; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy., Capobianco SV; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy., Bonifacino A; Breast Diagnosis and Treatment Unit, Sant'Andrea Hospital, Rome, Italy., Maggi G; Umberto I University Hospital, Rome, Italy., Ippolitoni G; Umberto I University Hospital, Rome, Italy., Tinelli L; Umberto I University Hospital, Rome, Italy., Santilli V; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy., Agostini F; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy - francescoagostini.ff@gmail.com., Paoloni M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy., Mangone M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy. |
| المصدر: | European journal of physical and rehabilitation medicine [Eur J Phys Rehabil Med] 2021 Feb; Vol. 57 (1), pp. 137-147. Date of Electronic Publication: 2020 May 14. |
| نوع المنشور: | Comparative Study; Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Edizioni Minerva Medica Country of Publication: Italy NLM ID: 101465662 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1973-9095 (Electronic) Linking ISSN: 19739087 NLM ISO Abbreviation: Eur J Phys Rehabil Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Torino : Edizioni Minerva Medica |
| مواضيع طبية MeSH: | Breast Neoplasms/*physiopathology , Breast Neoplasms/*therapy , Exercise Therapy/*methods , Upper Extremity/*physiopathology, Adult ; Cancer Survivors ; Disability Evaluation ; Double-Blind Method ; Female ; Humans ; Mastectomy ; Middle Aged ; Pain Measurement ; Recovery of Function |
| مستخلص: | Background: Breast cancer (BC) is the most common cancer in women in the developed world. The about the sequelae of surgery, especially in case of mastectomy or modified radical mastectomy is grown. Nowadays it is important choose appropriate exercise programs to allow recovery in "quantity" but also in "quality" of the movement of the operated upper limb. Aim: The aim of this study was to verify whether specific exercises for the scapula may induce changes in fluidity of the reaching movement. Design: Randomized control-trial double-blind study. Setting: Exercise training laboratory and gait analysis laboratory. Population: Sixty-three breast cancer survivors were enrolled. Methods: Participants randomized to single rehabilitative treatment (ST), or to group rehabilitative treatment (GT). VAS, DASH and a biomechanical evaluation of upper limb were performed for each group before treatment (T0=baseline), at the end rehabilitative treatment (T1) and after three months of follow-up (T2). Results: Respect within group analysis, in the ST and in the GT, for VAS an improvement along evaluation times were observed, respectively at T0 to T1 and at T0 to T2 (P<0.001) without a statistically significant difference between groups. At the same, for the DASH, the results showed the same trend without a statistically significant difference between groups. For biomechanical parameters, at T2 velocity was statistically significantly greater in the ST than in the GT (P=0.029) in contrast with the duration, that was statistically significantly greater in the GT than in the ST (P=0.010). Conclusions: Both protocols are effective in reducing pain and for functional recovery of the upper limb. The adoption of a non-intensive rehabilitation program should be implemented at least in the first year after the operation, with the adoption of specific myofascial exercises on the scapulo-thoracic joint with better results in the "qualitative" recovery of the achievement. Clinical Rehabilitation Impact: Our study emphasizes the importance of rehabilitation in BC survivors after mastectomy, even during the course of radiotherapy and chemotherapy and the adoption of specific myofascial exercises on the scapulo-thoracic joint and specific exercises of muscular stretching on the pectoral muscle. Therefore, the proposed rehabilitation protocol must be "clipped" and "integrated" according to the specific objectives for each individual patient. |
| تواريخ الأحداث: | Date Created: 20200515 Date Completed: 20210504 Latest Revision: 20210504 |
| رمز التحديث: | 20221213 |
| DOI: | 10.23736/S1973-9087.20.06138-9 |
| PMID: | 32406224 |
| قاعدة البيانات: | MEDLINE |
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