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BMJ: Effects of postoperative exercise on upper limb function in breast cancer patients

 Last Update: 2021-12-03
 Source: Internet
 Author: User

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Breast cancer treatment can affect the patient’s trunk and upper limb lymphatic and musculoskeletal system.
Adverse sequelae after surgery and radiotherapy for the axilla are common.
As many as one-third of patients experience limited shoulder joint mobility, chronic pain, and lymphedema.
It affects the quality of life and recovery process of patients, especially patients who have received axillary dissection or axillary/supraclavicular radiotherapy, and their risk of shoulder joint and upper limb-related disability is increased
.

Recently, researchers investigated the impact of exercise on the quality of life and exercise capacity of people at high risk of upper limb disability after breast cancer surgery

Breast Cancer Researchers recently investigated the impact of exercise on the quality of life and exercise capacity of people at high risk of upper limb disability after breast cancer surgery

The study was carried out in 17 national health services and cancer centers in the United Kingdom.
382 breast cancer patients participated in the operation.
They had a high risk of postoperative upper limb disability and randomized to receive structured exercise (n=191) or routine care (n=191)
.

On the basis of routine care, the structured exercise group received physical therapy-led exercise plans, including stretching, strengthening, physical activity and behavior changes to achieve long-term adherence to exercise, starting 7-10 days after surgery, in the first and third months.

The average age of the participants was 58.
1 years old.
In the exercise group, 181 (95%) received at least one intervention
.

Compared with the control group, the patient's upper limb function was significantly improved after exercise (the DASH score of the exercise group was 16.

Exercise to improve the function of patients' upper limbs

Exercise to improve patient's upper limb function Exercise to improve patient's upper limb function

The study believes that it is recommended that patients after breast cancer surgery actively receive structured exercise intervention, which can effectively reduce the risk of upper limb disability

It is recommended that patients after breast cancer surgery actively receive structured exercise intervention, which can effectively reduce the risk of upper extremity disability.

Original source:

Julie Bruce et al.

Exercise versus usual care after non-reconstructive breast cancer surgery (UK PROSPER): multicentre randomised controlled trial and economic evaluation.

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