Effects of Mastectomy on Shoulder and Spinal Kinematics During Bilateral Upper-Limb Movement

Crosbie, Jack; Kilbreath, Sharon L.; Dylke, Elizabeth; Refshauge, Kathryn M.; Nicholson, Leslie L.; Beith, Jane; Spillane, Andrew J.; White, Kathryn

doi:10.2522/ptj.20090104

Cited by 115 publications

(96 citation statements)

References 44 publications

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“…The rate of self-reported affected upper limb weakness exceeding strength measures in this cohort is in agreement with other research [37,46]. We did not assess strength of the scapular stabilizing muscles but recognize that weakness of the stabilizing muscles rather than the primary shoulder muscles may contribute to the self-reported weakness as reduced scapular muscle strength and altered scapular mechanics have been reported after breast cancer surgery [47][48][49][50]. Reduced muscular endurance rather than strength deficits may also contribute to persistent self-reported weakness [51].…”

Section: Discussionsupporting

confidence: 85%

Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery

Levy

Pfalzer

Danoff

et al. 2012

Breast Cancer Res Treat

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The objective of this study are (1) to determine if upper extremity function, as represented by shoulder ROM, self-reported symptoms and upper extremity functional limitations in activities of daily living could be predictively related to demographic and cancer characteristics post-surgery for breast cancer. And (2) to examine if variables related to early onset impairment contribute to late onset impairments in women after breast cancer surgery. Subjects were assessed preoperatively and 1, 3, 6, 9, and 12+ months post breast cancer surgery for impairments and symptoms and at 12+ months for shoulder functional limitations using a physical therapy surveillance model. Body weight, shoulder ROM, manual muscle testing, and upper limb volume were recorded. At 12+ months, the Harvard Alumni Health Study Physical Activity Questionnaire, and an Upper Limb Disability Questionnaire were administered. Symptoms and ROM impairments were compared by functional limitations. Characteristics significantly associated with early ROM impairment (but not later impairment) were axillary lymph node dissection, removal of ≥15 nodes, mastectomy surgery and stage II breast cancer. Positive nodes, older age, and BMI≥25 were significantly associated with reduced shoulder ROM at 12+ months. At 12+ months, only 10 % of the patients experienced ROM impairments while rates of self-reported symptoms in the affected upper extremity at 12+ months were as follows: pain-49%, weakness-47.1%, numbness-55.9%, feeling tired-42.5%. The majority of patients used the affected upper extremity for reaching without limitation, but ≥35% reported limitation with household chores, carrying and lifting. Difficulty carrying and lifting could be predicted by BMI≥25 and use of the dominant affected upper limb. Different factors are associated with early versus later ROM loss. Symptoms reported by breast cancer survivors are frequently associated with functional limitations in upper extremity tasks and warrant intervention. Physical therapy using a prospective surveillance model of care may reduce severity of ROM loss, symptoms and functional upper extremity limitations 1 year after breast cancer surgery.

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Section: Discussionsupporting

confidence: 85%

Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery

Levy

Pfalzer

Danoff

et al. 2012

Breast Cancer Res Treat

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“…In previous studies, 30% (Gärtner et al, 2009) and 48% (Hopwood et al, 2010) of breast cancer survivors had upper extremity pain two and five years post-surgery. DASH was mean 10-13 six to 12 months post-breast cancer surgery (Hayes, Battistutta, & Newman, 2005; n = 258, Crosbie et al, 2010; n = 53).…”

Section: Discussionmentioning

confidence: 99%

Participation in water-exercising long-term after breast cancer surgery: Experiences of significant factors for continuing exercising as a part of cancer rehabilitation

2017

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Although physical exercising has great benefits, little is known regarding factors of significance for cancer survivors to continue exercising within their rehabilitation. The objective was to describe factors experienced to be of significance for cancer survivors to continue with water-exercising long-term after breast cancer surgery. Women (n = 29) who had undergone breast cancer surgery (mastectomy 79%, axillary surgery 86%, and radiotherapy 86%) for median (md) 13 (25th-75th percentile 3-21.5) was followed up regarding their rehabilitation, arm function Disabilities of Arm Shoulder and Hand (md 14, IQR 7-32), EQ-5D score (md 0.8, IQR 0.73-1.0) and quality of life EQ health barometer (md 80,. We performed qualitative focus-group interviews regarding the women's views (n = 24). The women had participated in waterexercising 1-46 semesters, md 8 (25th-75th percentile 3-21.5) semesters. Nearly all, 97%, participated in the water-exercising group every week, and 21 (72%) had participated in the water-exercising group at least half of the time since their breast cancer surgery, without complications. The women experienced that factors of significance to continue with water-exercising were the convenience of easily modified weightless exercising in the water, social interaction, and access to a private dressing room. These factors would be important to consider to encourage continuing in exercising. K E Y W O R D Sbreast cancer, cancer rehabilitation, pain, physical activity, physical exercise, quality of life | INTRODUCTIONPhysical activity, for example water-exercising (Linduist, Enblom, Dunberger, & Bergmark, 2015), is a common and desirable part of the lifelong self-care rehabilitation of arm function limitations after breast cancer surgery (Ridner et al., 2012) but little is known regarding factors of significance for the survivors to continue exercising as a part of the cancer rehabilitation.Post-breast cancer surgery, the survivors often develop limitations in arm functioning and pain (De Groef et al., 2017;Ewertz & Jensen, 2011;Harrington et al., 2011) that decrease quality of life (Kaya, and to decrease symptoms such as pain and depression (Bränström, Petersson, Saboonchi, Wennman-Larsen, & Alexanderson, 2015).However, cancer survivors have difficulties to follow physical activity guidelines; their activity level often is way below recommended levels (Bourke et al., 2014;Bränström et al., 2015). Only a third of breast cancer survivors had a relevant level of physical activity before surgery and decreased their physical activity level even more post-surgery (Bränström et al., 2015). Thus it is important to find convenient kinds of physical activities; activities that the survivors could continue with in a long-term rehabilitation perspective (Ridner et al., 2012).One common kind of physical activity in breast cancer survivors is water exercise (Cantarero-Villanueva et al., 2012, 2013Fernández-Lao et al., 2013;Johansson, Hayes, Speck, & Schmitz, 2013;Linduist et al., 2015). In our recent study, we found that ...

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“…For absolute reliability, the SEM and the smallest real difference (SRD) were calculated. SEM is described as the square root of the within participant variance: SEM = SD √ 1-r. For inter-rater reliability, a SRD value of less than 1.96 × SEM is expected to admit the results of 95% of the ratings 17) In the intra-rater reliability and test-retest reliability, the SRD should be less than √2 × 1.96 × SEM = 2.77 × SEM for 95% of the pairs of ratings to be significant 18) . The statistics were performed using SPSS ver.…”

Section: Methodsmentioning

confidence: 99%

Reliability of the Pediatric Balance Scale in the Assessment of the Children with Cerebral Palsy

Her

Woo

2012

J Phys Ther Sci

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Effects of Mastectomy on Shoulder and Spinal Kinematics During Bilateral Upper-Limb Movement

Cited by 115 publications

References 44 publications

Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery

Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery

Participation in water-exercising long-term after breast cancer surgery: Experiences of significant factors for continuing exercising as a part of cancer rehabilitation

Reliability of the Pediatric Balance Scale in the Assessment of the Children with Cerebral Palsy

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