Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study

被引:54
作者
Gautam, Ajay P. [1 ,2 ]
Maiya, Arun G. [1 ]
Vidyasagar, Mamidipudi S. [2 ]
机构
[1] Manipal Univ, Manipal Coll Allied Hlth Sci, Dept Physiotherapy, Manipal 576104, Karnataka, India
[2] Manipal Univ, Kasturba Med Coll, Dept Radiotherapy & Oncol, Manipal 576104, Karnataka, India
关键词
breast cancer; home-based exercise program; mastectomy; physiotherapy; postmastectomy lymphedema; progressive resistance exercise; quality of life; rehabilitation; upper-limb exercise; Wilcoxon signed rank test; BREAST-CANCER PATIENTS; RESISTANCE EXERCISE; ARM LYMPHEDEMA; SURVIVORS; WOMEN; SECONDARY; DISABILITY; MORBIDITY; EDEMA; RISK;
D O I
10.1682/JRRD.2010.05.0089
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Lymphedema is a debilitating complication following mastectomy, affecting the arm functions and quality of life (QOL) of breast cancer patients. Studies have shown the beneficial effects of upper-limb exercises on lymphedema in clinical settings. However, there is a dearth of evidence regarding the effect of home-based exercises on lymphedema; therefore, we examined the effect of a home-based exercise program on lymphedema and QOL in postmastectomy patients. Thirty-two female postmastectomy lymphedema patients participated in an individualized home-based exercise program for 8 weeks. Arm circumference, arm volume, and QOL (36-Item Short Form Health Survey) were measured before and after the program. Data were analyzed with the use of paired t-tests for circumferential and volumetric measures and Wilcoxon signed ranks tests for QOL. Significance level was set at p < 0.01 with Bonferroni correction (alpha/n = 0.05/5 = 0.01). Analysis showed a statistically significant improvement in the affected upper-limb circumference and volume (similar to 122 mL reduction, p <0.001) and in the QOL scores (p <0.001) at the end of the home-based exercise program. The individualized home-based exercise program led to improvement in affected upper-limb volume and circumference and QOL of postmastectomy lymphedema patients.
引用
收藏
页码:1261 / 1268
页数:8
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