Three-dimensional scapular kinematics, shoulder outcome measures and quality of life following treatment for breast cancer – A case control study

Ribeiro, Ivana Leão; Camargo, Paula R.; Alburquerque‐Sendín, Francisco; Ferrari, Angélica Viana; Arrais, Cristina Lima; Salvini, Tania F.

doi:10.1016/j.msksp.2019.01.012

Cited by 28 publications

(38 citation statements)

References 48 publications

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“…Control of surgery-related and non-operative pain in patients with breast cancer is essential. In addition to pain, side-effects of surgery include depressed shoulder function and arm strength (80). Decreased arm muscle strength in breast cancer patients after chemotherapy is also measured (81).…”

Section: Discussionmentioning

confidence: 99%

Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

et al. 2020

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Background: Tai Chi Chuan(TCC), as a mind-body exercise, may have a positive impact on physical function and psychological well-being in breast cancer patients. The latest systematic review and meta-analysis of TCC for breast cancer was made 4 years ago and some new clinical trials about it were published. We remade a systematic review and meta-analysis to evaluate the effect of TCC in breast cancer patients.Methods: In this systematic review and meta-analysis, we searched MEDLINE (via PubMed), EMBASE (via embase.com), CENTRAL, CNKI, COVIP, Wanfang, Chaoxing, CiNii, J-SSTAGE, DBpia, and ThaiJO with no language restrictions from inception to December 31, 2018 (updated on February 16, 2020), for randomized clinical trials comparing TCC with non-exercised therapy in breast cancer patients. The primary outcome was quality of life in patients with breast cancer and data pooled by a randomeffects model. Subgroup analyses were conducted to estimate the effect of different durations of TCC for breast cancer patients. This study was registered in PROSPERO, number CRD 4201810326.Results: Fifteen articles involving a total of 885 breast cancer participants were included in this review. Compared with non-exercised therapy, TCC had a significant effect on quality of life in breast cancer patients (SMD = 0.37, 95% CI 0.15-0.59, p = 0.001), and subgroup analysis found that TCC showed beneficial effect in 12 weeks and 25 weeks (12 weeks: SMD = 0.40, 95% CI 0.19-0.62, p = 0.0003; 25 weeks: SMD = 0.38, 95% CI 0.15-0.62, p = 0.002). Meta-analyses of secondary outcomes showed that 3 weeks TCC increased shoulder function (SMD = 1.08, 95% CI 0.28-1.87, p = 0.008), 12 weeks TCC improved pain (SMD = 0.30, 95% CI 0.08-0.51, p = 0.007), shoulder function (SMD = 1.34, 95% CI 0.43-2.25, p = 0.004), strength of arm (SMD = 0.44, 95% CI 0.20-0.68, p = 0.0004), and anxiety (MD = −4.90, 95% CI −7.83 to −1.98, p = 0.001) in breast cancer patients compared with the control group.Conclusions: TCC appears to be effective on some physical and psychological symptoms and improves the quality of life in patients with breast cancer. Additional randomized controlled trials with a rigorous methodology and low risk of bias are needed to provide more reliable evidence.

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Section: Discussionmentioning

confidence: 99%

Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

et al. 2020

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“…10,37 Muscle strength is of importance for an adequate biomechanical functionality of the shoulder joint 38 and could be an efficient therapeutic strategy to maintain shoulder strength after surgery 39 in order to avoid altered scapular kinematics and poor upper limb function. 4,5 The low number of studies assessing the effectiveness of this type of protocol, heterogeneity of the protocols applied and lack of specificity between the type of exercise and outcome analyzed are recognized as the mains factors, which hindered the evidence synthesis.…”

Section: Discussionmentioning

confidence: 99%

“…Breast cancer surgery is associated with reduced arm range of motion, weakness of the shoulder muscles, 1,2 decreased arm function 2,3 and altered scapular kinematics during arm movements. 4,5 All these factors may limit activities of daily living, and exercise therapy could be an effective approach for preventing and restoring arm function after breast cancer surgery. 6 Protocols performed in the early and late postoperative period of breast cancer have been considered beneficial in improving shoulder 7 and arm function.…”

Section: Introductionmentioning

confidence: 99%

“…Considering that shoulder range of motion, muscle strength, scapular kinematics and upper limb function are impaired in the long term of surgery, 5 there is a lack of updated evidence regarding the effects and characteristics of early rehabilitation protocols applied following breast cancer surgery for improvement of upper limb clinical measures and patient-reported outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of early rehabilitation on range of motion, muscle strength and arm function after breast cancer surgery: a systematic review of randomized controlled trials

et al. 2019

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Objective: The objective was to evaluate the effectiveness of early rehabilitation on arm range of motion (ROM), strength and function after breast cancer surgery (BCS). Data sources: PubMed, MEDLINE, Bireme, Embase, LILACS and CINAHL databases were searched. Methods: Two independent reviewers selected randomized controlled trials evaluating women who underwent early rehabilitation to restore arm ROM, strength or function after BCS. Cochrane Collaboration recommendations and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Methodological quality was assessed by the PEDro scale. The International Classification of Functioning, Disability and Health was considered to analyze results. Effect size (ES) was calculated for clinical relevance interpretation of the outcomes of interest, and the evidence was summarized through the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Results: Up to June 2019, a total of 1658 references were identified and 15 studies were included. Twelve of them presented adequate methodological quality. A total of 1710 patients were evaluated. Few studies performed the simultaneous assessment of variables related to body structure and function and patient-reported outcomes. A moderate level of evidence was synthesized regarding the effectiveness of ROM exercises for improving arm flexion, abduction and external rotation (ES: 0.45–2.5). A low level of evidence was synthesized regarding the effectiveness of isolated strengthening exercises for patient-reported arm function. ROM exercises associated with muscle strengthening exhibited a moderate level of evidence for improving shoulder flexion (ES: 1.4–2.4). Conclusion: Both ROM and strengthening exercises associated with ROM exercises improved shoulder flexion, abduction and external rotation ROM after BCS. Shoulder abduction and external rotation showed less recovery, irrespective of the intervention applied.

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“…Dentre as morbidades mais comuns após o tratamento do câncer da mama, destaca-se o linfedema, decorrente do comprometimento da circulação sanguínea e linfática (Nascimbem-Matheus et al, 2001;Valinote et al, 2014;Vaz et al, 2015;Rezende et al, 2017). Além desta condição clínica, podem ocorrer outras alterações resultantes de mudanças físicas, restrição da amplitude de movimento da articulação do ombro e da extremidade superior, e redução da qualidade de vida (Partsch et al, 2010;Singh et al, 2016;Ribeiro et al, 2019).…”

Section: Introductionunclassified

Influência do linfedema de membro superior sobre a cintura escapular de mulheres submetidas ao tratamento do câncer de mama

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Three-dimensional scapular kinematics, shoulder outcome measures and quality of life following treatment for breast cancer – A case control study

Cited by 28 publications

References 48 publications

Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

Effectiveness of early rehabilitation on range of motion, muscle strength and arm function after breast cancer surgery: a systematic review of randomized controlled trials

Influência do linfedema de membro superior sobre a cintura escapular de mulheres submetidas ao tratamento do câncer de mama

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