Fysioterapi etter brystkreftoperasjon

Background: Traditionally patients after breast cancer surgery have been advised by the physiotherapist to minimise active use of the involved arm to avoid development of postoperative complications. There is, however, minimal scientific documentation to confirm this. The purpose of this study wa...

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Main Authors: Kaia Beck Engebretsen, May Arna Risberg
Format: Article
Language:Danish
Published: Norwegian Physiotherapist Association 2003-05-01
Series:Fysioterapeuten
Subjects:
Online Access:https://fysioterapeuten.no/Fag-og-vitenskap/Fagartikler/Fysioterapi-etter-brystkreftoperasjon
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author Kaia Beck Engebretsen
May Arna Risberg
author_facet Kaia Beck Engebretsen
May Arna Risberg
author_sort Kaia Beck Engebretsen
collection DOAJ
description Background: Traditionally patients after breast cancer surgery have been advised by the physiotherapist to minimise active use of the involved arm to avoid development of postoperative complications. There is, however, minimal scientific documentation to confirm this. The purpose of this study was look at relationships between active use of the involved arm, level of physical activity and the development of lymphedema. Pain, arm function and quality of life were also evaluated. Methods: Ninety women from 32 to 70 years old, undergoing breast surgery with axillary node dissection were examined six -11 months postoperatively. Active use of the involved arm was recorded by a questionnaire. Lymphedema was evaluated with a volummeter and defined as a difference in arm volume between involved and uninvolved arm of more than 10 percent. Arm function was evaluated with a functional score and VAS was used for evaluating pain. Quality of life was evaluated with the EORTC QLQ-C30. Results: There was no significant correlation between active use of the involved arm and the development of lymphedema. No significant correlation was found between active use of the involved arm, arm volume differences or other demographic data. Women using the involved arm most frequently in work or leisure did not report more pain. They scored slightly better on the arm function tests and the quality of life questionnaire than those who used their arm less frequently. Conclusion: The study indicates that restrictions regarding active use of the involved arm are not necessary after breast cancer surgery.
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spelling doaj.art-d5b541bc896a4d7db418cfe1c9a7cc802022-12-22T03:03:18ZdanNorwegian Physiotherapist AssociationFysioterapeuten0016-33840807-92772003-05-017052429Fysioterapi etter brystkreftoperasjonKaia Beck Engebretsen0May Arna Risberg1Avdeling for fysikalsk medisin og rehabilitering, Ullevål UniversitetssykehusKompetansesenter for klinisk forskning Ullevål UniversitetssykehusBackground: Traditionally patients after breast cancer surgery have been advised by the physiotherapist to minimise active use of the involved arm to avoid development of postoperative complications. There is, however, minimal scientific documentation to confirm this. The purpose of this study was look at relationships between active use of the involved arm, level of physical activity and the development of lymphedema. Pain, arm function and quality of life were also evaluated. Methods: Ninety women from 32 to 70 years old, undergoing breast surgery with axillary node dissection were examined six -11 months postoperatively. Active use of the involved arm was recorded by a questionnaire. Lymphedema was evaluated with a volummeter and defined as a difference in arm volume between involved and uninvolved arm of more than 10 percent. Arm function was evaluated with a functional score and VAS was used for evaluating pain. Quality of life was evaluated with the EORTC QLQ-C30. Results: There was no significant correlation between active use of the involved arm and the development of lymphedema. No significant correlation was found between active use of the involved arm, arm volume differences or other demographic data. Women using the involved arm most frequently in work or leisure did not report more pain. They scored slightly better on the arm function tests and the quality of life questionnaire than those who used their arm less frequently. Conclusion: The study indicates that restrictions regarding active use of the involved arm are not necessary after breast cancer surgery.https://fysioterapeuten.no/Fag-og-vitenskap/Fagartikler/Fysioterapi-etter-brystkreftoperasjonbreast cancer surgerycomplicationsphysiotherapyphysical activitylymphedema
spellingShingle Kaia Beck Engebretsen
May Arna Risberg
Fysioterapi etter brystkreftoperasjon
Fysioterapeuten
breast cancer surgery
complications
physiotherapy
physical activity
lymphedema
title Fysioterapi etter brystkreftoperasjon
title_full Fysioterapi etter brystkreftoperasjon
title_fullStr Fysioterapi etter brystkreftoperasjon
title_full_unstemmed Fysioterapi etter brystkreftoperasjon
title_short Fysioterapi etter brystkreftoperasjon
title_sort fysioterapi etter brystkreftoperasjon
topic breast cancer surgery
complications
physiotherapy
physical activity
lymphedema
url https://fysioterapeuten.no/Fag-og-vitenskap/Fagartikler/Fysioterapi-etter-brystkreftoperasjon
work_keys_str_mv AT kaiabeckengebretsen fysioterapietterbrystkreftoperasjon
AT mayarnarisberg fysioterapietterbrystkreftoperasjon