Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial
Objective To investigate the effect of aqua therapy resistance exercise on arm volume, pain, and shoulder range of movements in post-mastectomy lymphedema. Methods This was a single-blind randomized controlled trial. Fifty eligible breast cancer survivors (median, 10 years after surgery) with lymphe...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2021-04-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-20127.pdf |
| _version_ | 1797706984619769856 |
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| author | Khadra Mohamed Ali Eid Rizk El Gammal Hadaya Mosaad Eladl |
| author_facet | Khadra Mohamed Ali Eid Rizk El Gammal Hadaya Mosaad Eladl |
| author_sort | Khadra Mohamed Ali |
| collection | DOAJ |
| description | Objective To investigate the effect of aqua therapy resistance exercise on arm volume, pain, and shoulder range of movements in post-mastectomy lymphedema. Methods This was a single-blind randomized controlled trial. Fifty eligible breast cancer survivors (median, 10 years after surgery) with lymphedema (median, 21% inter-limb difference) were assigned randomly to group A (n=25) or control group B (n=25). The study group underwent 60 minutes of aqua therapy exercise comprising of warm-up for 10 minutes, 40 minutes of strengthening exercises, and 10 minutes of cooling down, three times a week for 8 weeks. The control group underwent 60 minutes of land-based exercise three times a week for 8 weeks. Arm volume calculated by measuring the arm circumference, shoulder flexion, and abduction range of motion (ROM), and pain using a visual analog scale (VAS) were assessed at baseline and after 8 weeks of treatment. Results There was a statistically significant difference in limb volume, shoulder flexion and abduction ROM, and VAS scores in favor of the study group (p<0.001) after 8 weeks of intervention. The mean±standard deviation for limb volume, shoulder flexion, abduction, and pain score were 2,108.71±200.97 mL, 169.68°±4.54°, 150.44°±3.92°, and 3.16±1.1 in the study group and 2,256.41±186.94 mL, 147.36°±5.32°, 131.32°±4.38°, and 5.68±0.94 in the control group, respectively. Conclusion Adding aqua therapy resistance exercise to routine physical therapy might be more effective in decreasing the limb volume and pain intensity and improving ROM of the shoulder in postmastectomy lymphedema. |
| first_indexed | 2024-03-12T06:00:37Z |
| format | Article |
| id | doaj.art-431dcad5af524e8d97d308291d8dfd3f |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T06:00:37Z |
| publishDate | 2021-04-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-431dcad5af524e8d97d308291d8dfd3f2023-09-03T04:10:36ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532021-04-0145213114010.5535/arm.201274207Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled TrialKhadra Mohamed Ali0Eid Rizk El Gammal1Hadaya Mosaad Eladl2 Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt Department of Oncosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, EgyptObjective To investigate the effect of aqua therapy resistance exercise on arm volume, pain, and shoulder range of movements in post-mastectomy lymphedema. Methods This was a single-blind randomized controlled trial. Fifty eligible breast cancer survivors (median, 10 years after surgery) with lymphedema (median, 21% inter-limb difference) were assigned randomly to group A (n=25) or control group B (n=25). The study group underwent 60 minutes of aqua therapy exercise comprising of warm-up for 10 minutes, 40 minutes of strengthening exercises, and 10 minutes of cooling down, three times a week for 8 weeks. The control group underwent 60 minutes of land-based exercise three times a week for 8 weeks. Arm volume calculated by measuring the arm circumference, shoulder flexion, and abduction range of motion (ROM), and pain using a visual analog scale (VAS) were assessed at baseline and after 8 weeks of treatment. Results There was a statistically significant difference in limb volume, shoulder flexion and abduction ROM, and VAS scores in favor of the study group (p<0.001) after 8 weeks of intervention. The mean±standard deviation for limb volume, shoulder flexion, abduction, and pain score were 2,108.71±200.97 mL, 169.68°±4.54°, 150.44°±3.92°, and 3.16±1.1 in the study group and 2,256.41±186.94 mL, 147.36°±5.32°, 131.32°±4.38°, and 5.68±0.94 in the control group, respectively. Conclusion Adding aqua therapy resistance exercise to routine physical therapy might be more effective in decreasing the limb volume and pain intensity and improving ROM of the shoulder in postmastectomy lymphedema.http://www.e-arm.org/upload/pdf/arm-20127.pdfaqua therapyresisted exercisepostmastectomy lymphedema |
| spellingShingle | Khadra Mohamed Ali Eid Rizk El Gammal Hadaya Mosaad Eladl Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial Annals of Rehabilitation Medicine aqua therapy resisted exercise postmastectomy lymphedema |
| title | Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial |
| title_full | Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial |
| title_fullStr | Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial |
| title_full_unstemmed | Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial |
| title_short | Effect of Aqua Therapy Exercises on Postmastectomy Lymphedema: A Prospective Randomized Controlled Trial |
| title_sort | effect of aqua therapy exercises on postmastectomy lymphedema a prospective randomized controlled trial |
| topic | aqua therapy resisted exercise postmastectomy lymphedema |
| url | http://www.e-arm.org/upload/pdf/arm-20127.pdf |
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