The recovery of reaching movement in breast cancer survivors: two different rehabilitative protocols in comparison

Paolucci, Teresa; Bernetti, Andrea; Bai, Arianna V.; Capobianco, Serena Vincenza; Bonifacino, Adriana; Maggi, G; Ippolitoni, Giovanni; Tinelli, Laura; Santilli, Valter; Agostini, Francesco; Paoloni, Marco; Mangone, Massimiliano

doi:10.23736/s1973-9087.20.06138-9

Cited by 28 publications

(20 citation statements)

References 36 publications

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“…The physiotherapists tailored the rehabilitation to the patients' functional problems. A previously validated rehabilitation protocol was considered [28,29].…”

Section: Rehabilitative Treatmentmentioning

confidence: 99%

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

Paolucci

Saggino

Agostini

et al. 2021

IJERPH

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Background: Breast cancer survivors report negative impacts of cancer, augmented by specific vulnerabilities to body changes, negative self-assessment, and quality-of-life concerns. The main objective of our work was to test the effect of a rehabilitation program on breast cancer patients by evaluating the change in their physical well-being during an outpatient rehabilitation setting and, subsequently, in a home rehabilitation setting, considering the individual personality profile. Methods: Patients who underwent total mastectomy with breast prostheses or tissue expanders were enrolled. Outcome assessments (Pain, Quality of Life, Personality traits for the Minnesota Multiphasic Personality Inventory-2) before treatment (T0), at the end of the rehabilitative treatment (T1 = 10 sessions 2/week, one hour/each), and after two months of follow-up (T2) were performed. Results: The data of 38 included patients were analyzed. The quadratic trend of the Visual Analogue Scale can be explained by the fact that patients have a strong reduction in the perceived pain immediately after rehabilitation in the clinic. This reduction remains constant for the home period of the rehabilitation. The personality profiles of all the participants were substantially valid. Only three patients obtained scores higher than 65 points. Conclusions: The study evidenced that in the initial phase of the rehabilitation, psychological traits such as anxiety, depression, and preoccupation could have a strong association especially with the autonomous functions and the perceived physical symptoms. However, during the therapeutic process, this association decreased and these decrements were higher when patients performed their rehabilitation at home, in a more familiar and comfortable setting.

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“…The physiotherapists tailored the rehabilitation to the patients' functional problems. A previously validated rehabilitation protocol was considered [28,29].…”

Section: Rehabilitative Treatmentmentioning

confidence: 99%

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

Paolucci

Saggino

Agostini

et al. 2021

IJERPH

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“… 3 However, the potential for complications caused by surgery for breast cancer, such as breast cancer-related lymphedema (BRCL), should not be overlooked. 4 , 5 BCRL is a chronic progressive disease characterized by an abnormal accumulation of lymphatic fluid in the upper limbs due to lymphatic system damage. 6 It not only affects the body image of breast cancer survivors (BCS) but also seriously threatens their physical and mental health and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Breast Cancer-Related Lymphedema Risk-Management Behaviors Among Chinese Breast Cancer Survivors and Relationships with Socio-Demographic and Clinical Characteristics: A Longitudinal Study

Zhang¹,

Li²,

Chen³

et al. 2022

PPA

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Purpose We sought to determine changes in breast cancer-related lymphedema (BCRL) risk-management behaviors in the six-month period after surgery among Chinese breast cancer survivors and to explore the relationship between their socio-demographic and clinical characteristics and these behaviors. Patients and Methods A longitudinal study design was adopted. Females aged ≥18 years with a first breast cancer diagnosis and who had undergone modified radical mastectomy were recruited from a cancer hospital in China. Respondents with a history of other malignant tumors, mental illness, or cognitive impairment were excluded from the study. Socio-demographic and clinical factors were assessed at baseline. BCRL risk-management behaviors were assessed with the Lymphedema Risk-Management Behavior Questionnaire (LRMBQ) and Functional Exercise Adherence Scale (FEAS) in the first, third, and sixth months after surgery. Repeated-measures analysis of variance was used to examine changes in BCRL risk-management behaviors over the three study time periods, and a generalized linear mixed model was used to determine socio-demographic and clinical factors associated with BCRL risk-management behaviors. Results A total of 166 participants completed all three assessments. The scores of the total LRMBQ and its “Skin care” and “Lifestyle” subscales did not change significantly, but those of the “Avoidance of limb compression and injury” and “Other matters requiring attention” subscales changed over the three study time periods. Additionally, scores of the total FEAS and most of its subscales changed over the three study time periods. Furthermore, BCRL risk-management behaviors were significantly related to patients’ geographic residence, education level, and tumor stage. Conclusion Some dimensions of BCRL risk-management behaviors changed over time, and several socio-demographic and clinical factors are related to BCRL risk-management behaviors. It is recommended that health care professionals consider the dynamic nature of BCRL risk-management behaviors and related factors when planning health education and promotion interventions.

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“…The prevailing approach today is preventive intervention and follow-up to identify arm morbidity and lymphedema, therefore, identifying risk factors can help caregivers identify high-risk patients for the morbidity, and to provide treatment according to the patient’s needs [ 18 ]. The comprehensive rehabilitation approach after BC treatments and surgeries, addresses various aspects of morbidity, including pain, edema, function, flowing movement and strength of the upper extremity [ 19 ], in order to return the patients to full function as they did before the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

A comprehensive approach to risk factors for upper arm morbidities following breast cancer treatment: a prospective study

et al. 2021

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Background Breast cancer surgery frequently causes deficiencies in shoulder functioning. The study pourpode is to identify risk factors for prolonged pain, reduction in function, and decrease in range of motion (ROM) in BC patients. Methods A prospective cohort study was designed in a private hospital; between October 2018 and April 2019 with a follow-up of 6 months. Patients following BC surgery, were divided by arm morbidities, and the different risk facrors were evaluated using univariate analysis and logistic regression. Results A total of 157 patients were included in the study. Risk factors for functional disabilities included; pain levels during hospitalization NPRS 1.2 (±0.8) compared to patients with no disabilities 0.5 ± 0.7 (p = .006), the size of tumors more than 1.4 ± 0.8 cm. compared with no morbidities 0.8 ± 0.9 cm. (p = .046), and breast reconstructions (p = .030). Risk factors for prolonged pain includes mastectomy (p = .006), breast reconstruction (p = .011), more than three dissected lymph nodes (p = .002), the presence of preoperative pain (p < .001), in-hospital pain (p < .001), axillary web syndrome (p < .001) and lymphedema (p < .001). Risk factors for decreased ROM were more than three dissected lymph nodes (p = .027), radiation (p = .018), and the size of dissected tissue (p = .035). Postoperative physical therapy appears to reduce the incidence of prolonged pain (p = .013) and regular physical activity may reduce long term functional disabilities (p = .021). Conclusions Upper arm morbidity following BC treatments affect up to 70% of the patients. Identifying the different risk and beneficial factors may improve awareness among physicians to refer patients to early rehabilitation programs and thus avoid chronic morbidity and improve the course of recovery. Trial registration The study was registered in Clinical trial with the ID number: NCT03389204.

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The recovery of reaching movement in breast cancer survivors: two different rehabilitative protocols in comparison

Cited by 28 publications

References 36 publications

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

Breast Cancer-Related Lymphedema Risk-Management Behaviors Among Chinese Breast Cancer Survivors and Relationships with Socio-Demographic and Clinical Characteristics: A Longitudinal Study

A comprehensive approach to risk factors for upper arm morbidities following breast cancer treatment: a prospective study

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