The Effects of Prehabilitation Program on Shoulder Range of Motion, Arm Circumference, Physical Capacity and Quality of Life in Breast Cancer Undergoing Surgery
Keywords:
Prehabilitation, Surgical complications of breast cancer, Exercise in breast cancerAbstract
Background: Prehabilitation program before surgery can reduce shoulder joint stiffness, upper extremity lymphedema and increase physical capacity, quality of life in breast cancer patients Objective: To study the effect of a pre and postoperative rehabilitation program in breast cancer patients undergoing surgery. Study design: Retrospective descriptive study; there was 1 group of 50 people, observed from August 2020-March 2021, divided in to 5 periods: before surgery, after surgery, the 2nd week, the 4th week and the 3rd month by comparative assessment of shoulder range of motion, arm circumference, 6-Minute Walk Test and quality of life. Results: The angle of motion of the shoulder joint in the flexion and abduction directions at 2 weeks was significantly reduced, and there was a statistically significant increased after the surgery at 1 month and 3 months when compared to 2 weeks. Arm circumference at before and 3 months after surgery was not statistically different. Physical performance after 1 month of surgery tested with 6-Minute Walk Test was significantly increased compared to before surgery. There was a tendency to increase at 3 month follow-up period. Quality of life from the Functional Assessment of Cancer Therapy- Breast questionnaire found no statistically significant difference. Conclusion: Prehabilitation program on shoulder range of motion, arm circumference, physical capacity and quality of life in breast cancer patients are found good direction, no complications and no worsening symptoms when compare with the results of baseline.
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