Home Exercise Program is an effective tool in improving upper limb function and quality of life in breast cancer survivors: A retrospective observational study

Corrado, Bruno; Ciardi, Gianluca; Iammarrone, Clemente Servodio; Arpino, Grazia

doi:10.14198/jhse.2018.134.19

Cited by 9 publications

(4 citation statements)

References 42 publications

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“…The authors used the Constant-Murley score (CMS) to assess shoulder function. The results showed that the exercise program increased the range of motion of the upper limbs and improved shoulder and elbow function (26).…”

Section: Discussionmentioning

confidence: 97%

Effect of Self-care Training on Upper Limb Function and Pain After Breast Cancer Surgery

et al. 2021

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Background: Breast cancer patients who undergo mastectomy encounter numerous problems, the most annoying of which is lymphedema followed by pain and decreased function in the affected limb. Objectives: This study examined the effect of self-care training on upper limb function and pain after breast surgery. Methods: This quasi-experimental study was performed on two groups of 60 patients with breast cancer in the Oncology Ward of Zahedan University of Medical Sciences in 2021. The patients were selected based on the inclusion criteria and through convenience sampling and were then randomly divided into intervention and control groups. The patients in the intervention group attended self-care training and exercise programs implemented in five sessions in addition to the routine care. One and three months after the intervention, upper limb function and pain were measured with DASH and McGill pain questionnaires. The repeated measures analysis of variance (ANOVA) and Bonferroni test were used to compare the pre-, and post-intervention mean scores and mean differences in the two groups. Results: The mean scores of upper limb function one and three months after the training program in the intervention group were lower than the mean scores of the control group. In other words, the quality of upper limb function was not significantly different despite the changes in the first month, but upper limb function significantly improved three months after the intervention (P < 0.001 vs. P = 0.06). The mean pain scores before, one month, and three months after the intervention in the intervention group were 10.4, 35.7, and 6.26, respectively, and the corresponding values in the control group were 10.8, 41.7, and 21.1, respectively, showing significant differences between the two groups, with the intervention group having lower pain scores than the control group (P = 0.001). Conclusions: Since lymphedema and its consequences, including decreased upper limb function and pain, are very serious issues, medical staff can give priority to this training program and implement it to prevent and control these complications.

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Section: Discussionmentioning

confidence: 97%

Effect of Self-care Training on Upper Limb Function and Pain After Breast Cancer Surgery

et al. 2021

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“…Fatigue is one of the most common side effects for BCa/PCa survivors, yet we found only a moderate, non-significant (SMD = -0.61, p = 0.198) decrease in fatigue with asymmetry likely from one outlier and heterogeneity in the data. However, only three studies included in this meta-analysis reported severe fatigue at baseline [ 65 , 66 , 73 ]. The remaining studies reported only moderate or mild fatigue.…”

Section: Discussionmentioning

confidence: 99%

Home-based exercise improves quality of life in breast and prostate cancer survivors: A meta-analysis

et al. 2023

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Background Breast (BCa) and prostate (PCa) cancer are two of the most common but survivable cancers. One important component of survivorship that is impacted by treatment long term is diminished quality of life (QoL). Supervised exercise improves QoL and subsequent outcomes but is not accessible for all survivors. Additionally, many factors influence QoL including physical activity (PA), cardiorespiratory fitness (CRF), physical function, and fatigue. However, the COVID-19 pandemic has highlighted the need to increase access to exercise beyond supervised exercise facilities. Home-based exercise may provide a feasible alternative for cancer survivors especially for those living in rural communities. Objectives The primary aim is to investigate the effects of home-based exercise training (Pre-training vs. Post-training) on QoL in BCa/PCa. A secondary aim is to investigate PA, CRF, physical function, and fatigue and potential moderators (age, cancer-type, intervention duration and type). Home-based exercise trials (randomized crossover or quasi-experimental design) with adults (aged 18 years and over) breast or prostate cancer survivors (not currently undergoing chemotherapy or radiation treatment) were eligible for inclusion. Data sources Electronic databases were searched (inception-December 2022) for studies which included adult BCa or PCa survivors (not currently on chemotherapy/radiation), at least measured QoL, and undergoing unsupervised, home-based exercise training. Appraisal and synthesis methods Initially, 819 studies were identified, from which 17 studies (20 effects) involving 692 participants were extracted. Effect sizes were calculated as standardized mean differences (SMD). Data were pooled using a 3-level model with restricted maximum likelihood estimation. Pooled SMD was used to assess the magnitude of effect, where <0.2, 0.2, 0.5, and 0.8 was defined as trivial, small, moderate, and large respectively. Results Home-based exercise resulted in small improvements in QoL (SMD = 0.30, 95% CI 0.01, 0.60, p = 0.042), PA (SMD = 0.49, 95% CI 0.26, 0.75, p<0.001) and CRF (SMD = 0.45, 95% CI -0.01, 0.91, p = 0.056). Physical function (SMD = 0.00, 95% CI -0.21, 0.21, p = 1.000) and fatigue (SMD = -0.61, 95%CI -1.53, 0.32, p = 0.198) did not change. Conclusions Home-based exercise results in small improves QoL in BCa/PCa survivors, independent of cancer type, intervention duration and type, or age. Home-based exercise also improves PA and CRF enhancing survivorship. Therefore, home-based exercise is an efficacious alternative option to improve QoL for BCa and PCa survivors especially for those who live in rural communities or lack access to exercise facilities.

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“…A heterogeneous rehabilitation approach with specific rehabilitation interventions and different methodological approaches are described in numerous studies [5-10, 12, 13]. Most authors reported their positive influence on the QoL of those suffering from and being treated for breast cancer [15][16][17][18][19][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Effects of early rehabilitation treatment on the functional recovery and quality of life in patients three months after breast cancer surgery

et al. 2020

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Introduction/Objective Breast cancer surgery is associated with the risk of developing functional constraints that may negatively affect the quality of patients' lives. The objective of the study was to determine the impact of early postoperative exercises three months after surgery on functional recovery and the quality of life of patients who were operated on. Methods A group of 149 patients was tested, divided by the type of surgery into two groups. The assessment of the quality of life by the SF-36 questionnaire and functional testing were done three months after surgery; the extent of movement in the shoulder joint and of the limbs was measured as well. Results On basic measurements of the quality of life, the average results of SF-36 showed the highest values in the domain of physical functioning, while the lowest value was in the vitality and energy domain. After the realized rehabilitation activities, the results of the SF-36 questionnaire indicated the increase in all domains and components at the significance level of p = 0.001, except for the general health domain (p = 0.04). Preoperatively, a moderate negative association of mobility and the SF-36 questionnaire component with the overall health parameter was determined, whereby the lower value of the SF-36 questionnaire was followed by a larger deviation in the flexion movements and abduction of the shoulder joint. Conclusion The results of our study support the concept of early-initiated rehabilitation interventions and confirm the positive impact on the quality of life of patients operated on for breast cancer in the three-month follow-up period.

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Home Exercise Program is an effective tool in improving upper limb function and quality of life in breast cancer survivors: A retrospective observational study

Cited by 9 publications

References 42 publications

Effect of Self-care Training on Upper Limb Function and Pain After Breast Cancer Surgery

Effect of Self-care Training on Upper Limb Function and Pain After Breast Cancer Surgery

Home-based exercise improves quality of life in breast and prostate cancer survivors: A meta-analysis

Effects of early rehabilitation treatment on the functional recovery and quality of life in patients three months after breast cancer surgery

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