Prospective surveillance and targeted physiotherapy for arm morbidity after breast cancer surgery: a pilot randomized controlled trial

Clinical Rehabilitation
Bolette S RafnKristin L Campbell

Abstract

To evaluate prospective surveillance and targeted physiotherapy (PSTP) compared to education (EDU) on the prevalence of arm morbidity and describe the associated program cost. Pilot randomized single-blinded controlled trial. Urban with assessments and treatment delivered in hospitals. Women scheduled for breast cancer surgery. Participants were randomly assigned (1:1) to PSTP ( n = 21) or EDU ( n = 20) and assessed presurgery and 12 months postsurgery. All participants received usual care, namely, preoperative education and provision of an education booklet with postsurgical exercises. The PSTP group was monitored for arm morbidity every three months and referred for physiotherapy if arm morbidity was identified. The EDU group received three education sessions on nutrition, stress and fatigue management. Arm morbidity was based on changes in the surgical arm(s) from presurgery in four domains: (1) shoulder range of motion, (2) strength, (3) volume, and (4) upper body function. Complex arm morbidity indicated ≥2 domains impaired. Second, the cost of the PSTP program was described. At 12 months, 18 (49%) participants (10 PSTP and 8 EDU) had arm morbidity, with EDU participants presenting more complex arm morbidity compared to PS...Continue Reading

References

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Aug 27, 2015·Journal of Personalized Medicine·Janet Chance-HetzlerBob Stewart
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Jun 2, 2016·American Society of Clinical Oncology Educational Book·Catherine M AlfanoKaren Mustian

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Citations

Oct 6, 2018·Physical Therapy·Bolette S RafnKristin L Campbell
Jan 8, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Özlem FeyzioğluZeliha Candan Algun
Apr 22, 2020·American Society of Clinical Oncology Educational Book·Sarah A McLaughlinMark V Schaverien
Sep 6, 2019·Lymphatic Research and Biology·Megan L SteeleSandra C Hayes
Aug 28, 2021·International Journal of Environmental Research and Public Health·Ewa ZasadzkaKatarzyna Hojan

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