Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial
Abstract Background Approximately 30% of post-operative breast cancer patients develop shoulder joint movement disorders affecting routine upper limb movement. This study discusses the impact of a neuromuscular joint facilitation (NJF) method on the physical function of breast cancer patients experi...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-03-01
|
| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-024-02989-1 |
| _version_ | 1827326321553833984 |
|---|---|
| author | Ming Huo Xin Zhang Jialin Fan Hao Qi Xuemei Chai Minghui Qu Yuqi Shan Hualong Xie Chao Wang |
| author_facet | Ming Huo Xin Zhang Jialin Fan Hao Qi Xuemei Chai Minghui Qu Yuqi Shan Hualong Xie Chao Wang |
| author_sort | Ming Huo |
| collection | DOAJ |
| description | Abstract Background Approximately 30% of post-operative breast cancer patients develop shoulder joint movement disorders affecting routine upper limb movement. This study discusses the impact of a neuromuscular joint facilitation (NJF) method on the physical function of breast cancer patients experiencing shoulder dysfunction during chemotherapy after radical surgery. Methods This study included 162 female patients who have unilateral breast cancer in a cancer hospital in China. They developed shoulder joint mobility disorders during chemotherapy within 1–3 months postoperatively. These patients were divided into three groups: NJF, conventional rehabilitation (conventional group), and control groups. The clinical examination included the maximum passive and active range of motion (ROM) of the shoulder (flexion, extension, abduction, adduction, and external and internal rotation). Other evaluations included a pain score using a visual analog scale (VAS), grip strength, and supraspinatus muscle thickness. All tests were evaluated pre-and post-intervention. Results The NJF group showed a significant increase in all shoulder ROM angles post-intervention. In the conventional group, all other ROM values increased significantly, except passive external rotation ROM. In the control group, all other ROM values increased significantly, except passive and active external rotation ROM. All three groups had decreased VAS scores, increased grip strength, and supraspinatus muscle thickness post-intervention during active abduction. In the control group, the supraspinatus contraction rate decreased significantly at 60° and 90° abduction post-intervention compared to that at pre-intervention. Conclusion This study revealed that NJF during chemotherapy had positive clinical intervention effects, improving shoulder joint mobility disorders, pain, grip strength, and external rotation following radical breast cancer surgery. Clinical trial registration Chinese Clinical Trial Registry; https://www.chictr.org.cn/ (ChiCTR2300073170), registered (03/07/2023). |
| first_indexed | 2024-03-07T14:42:45Z |
| format | Article |
| id | doaj.art-79caa0db407745bdb8b2f4463e2f7242 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-07T14:42:45Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-79caa0db407745bdb8b2f4463e2f72422024-03-05T20:09:02ZengBMCBMC Women's Health1472-68742024-03-012411910.1186/s12905-024-02989-1Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trialMing Huo0Xin Zhang1Jialin Fan2Hao Qi3Xuemei Chai4Minghui Qu5Yuqi Shan6Hualong Xie7Chao Wang8University of Health and Rehabilitation SciencesBeijing Chaoyang District Sanhuan Cancer HospitalBeijing Chaoyang District Sanhuan Cancer HospitalBeijing Chaoyang District Sanhuan Cancer HospitalBeijing Chaoyang District Sanhuan Cancer HospitalBeijing Chaoyang District Sanhuan Cancer HospitalBeijing Chaoyang District Sanhuan Cancer HospitalWangjing Hospital of China Academy of Chinese Medical SciencesBeijing Chaoyang District Sanhuan Cancer HospitalAbstract Background Approximately 30% of post-operative breast cancer patients develop shoulder joint movement disorders affecting routine upper limb movement. This study discusses the impact of a neuromuscular joint facilitation (NJF) method on the physical function of breast cancer patients experiencing shoulder dysfunction during chemotherapy after radical surgery. Methods This study included 162 female patients who have unilateral breast cancer in a cancer hospital in China. They developed shoulder joint mobility disorders during chemotherapy within 1–3 months postoperatively. These patients were divided into three groups: NJF, conventional rehabilitation (conventional group), and control groups. The clinical examination included the maximum passive and active range of motion (ROM) of the shoulder (flexion, extension, abduction, adduction, and external and internal rotation). Other evaluations included a pain score using a visual analog scale (VAS), grip strength, and supraspinatus muscle thickness. All tests were evaluated pre-and post-intervention. Results The NJF group showed a significant increase in all shoulder ROM angles post-intervention. In the conventional group, all other ROM values increased significantly, except passive external rotation ROM. In the control group, all other ROM values increased significantly, except passive and active external rotation ROM. All three groups had decreased VAS scores, increased grip strength, and supraspinatus muscle thickness post-intervention during active abduction. In the control group, the supraspinatus contraction rate decreased significantly at 60° and 90° abduction post-intervention compared to that at pre-intervention. Conclusion This study revealed that NJF during chemotherapy had positive clinical intervention effects, improving shoulder joint mobility disorders, pain, grip strength, and external rotation following radical breast cancer surgery. Clinical trial registration Chinese Clinical Trial Registry; https://www.chictr.org.cn/ (ChiCTR2300073170), registered (03/07/2023).https://doi.org/10.1186/s12905-024-02989-1Neuromuscular joint facilitationRadical breast cancer surgeryShoulder joint mobility disorders |
| spellingShingle | Ming Huo Xin Zhang Jialin Fan Hao Qi Xuemei Chai Minghui Qu Yuqi Shan Hualong Xie Chao Wang Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial BMC Women's Health Neuromuscular joint facilitation Radical breast cancer surgery Shoulder joint mobility disorders |
| title | Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial |
| title_full | Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial |
| title_fullStr | Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial |
| title_full_unstemmed | Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial |
| title_short | Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial |
| title_sort | short term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery a randomized controlled trial |
| topic | Neuromuscular joint facilitation Radical breast cancer surgery Shoulder joint mobility disorders |
| url | https://doi.org/10.1186/s12905-024-02989-1 |
| work_keys_str_mv | AT minghuo shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT xinzhang shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT jialinfan shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT haoqi shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT xuemeichai shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT minghuiqu shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT yuqishan shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT hualongxie shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial AT chaowang shorttermeffectsofanewresistanceexerciseapproachonphysicalfunctionduringchemotherapyafterradicalbreastcancersurgeryarandomizedcontrolledtrial |