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Titre : | Upper Limb Physical Function and Adverse Effects After Breast Cancer Surgery: A Prospective 2.5-Year Follow-Up Study and Preoperative Measures (2014) |
Auteurs : | Aase Sagen ; Rolf Kaaresen ; Leiv Sandvik |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/5, 2014) |
Article en page(s) : | p. 875-881 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation |
Mots-clés: | Long Term Adverse Effects ; Effets indésirables à long terme ; Breast Cancer Lymphedema ; Lymphoedème après cancer du sein ; Hand Strength ; Force de préhension manuelle ; Physical therapy modalities ; Techniques de physiothérapie |
Résumé : |
Objective To examine upper limb physical function and adverse effects after axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) in patients with breast cancer to identify impairments that can inform rehabilitation strategies. Design Prospective longitudinal cohort. Upper limb measurements were studied preoperatively and 2.5 years after breast cancer treatment. Setting Hospital setting. Participants Two groups of patients with early-stage primary breast cancer (N=391): the ALND surgery group (mean age, 55+10y) and the SLNB group (mean age, 57+10y). Interventions Not applicable. Main Outcome Measures Arm lymphedema (≥10% increased arm volume relative to control arm volume), grip strength (in kilograms), shoulder mobility, pain intensity during isometric shoulder abduction (on a 100-mm visual analog scale), and body mass index (kg/m2). Parametric/nonparametric tests were used for hypothesized changes and differences, and regression analysis was used for confounding factors. Results We observed more adverse effects in women treated with ALND than with SLNB after 2.5 years (P<.05 arm lymphedema vs grip strength reduction and shoulder abduction-provoked pain of decrease the adverse effects were similar for affected control upper limbs all outcomes except which occurred only on side.> Conclusions Adverse effects in both affected and control/unaffected upper limb were observed after 2.5-year follow-up in both ALND and SLNB groups, but a higher prevalence was observed in the ALND group. Thus, women going through ALND surgery may benefit from further postoperative physical therapy, including resistance and strength exercise, focusing on pain management. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |