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Rehabilitation Practice and Science

Translated Title

復健治療運動對於乳癌術後之生活品質之探討－以上臂症狀與患側乳房症狀為例

Abstract

Background: Breast cancer is one of the most common cancers in women worldwide. Current options for breast cancer therapy include surgical excision, radiotherapy, and chemotherapy. Many studies have indicated that multifactorial exercise and complete decongestive therapy have positive effects on post-operative/post-radiotherapy lymphedema and shoulder dysfunction (i.e., range of motion). Quality of life after cancer therapy has been a great concern. Many cancer-specific evaluation tools, such as EORTC QLQ - BR23 for breast cancer, have been established in recent years to evaluate quality of life. Objectives: To confirm the effectiveness of therapeutic exercise and complete decongestive therapy on arm and breast symptoms in breast cancer patients after operation and radiotherapy. Materials and methods: We collected data on breast cancer patients after operation and radiotherapy from March 2017 to May 2019, from a medical center in Northern Taiwan. Quality of life was evaluated by EORTC QLQ - BR23 questionnaire before and after individualized therapeutic exercise and complete decongestive therapy. We focused on arm symptoms and breast symptoms in the questionnaire. Statistical analysis was performed using the paired t-test and Spearman's rank-order correlation method using SPSS 20.0 version. Result: In total, data of 291 patients were surveyed, and data of 33 patients were enrolled in statistical analysis. We found that the average score of arm pain decreased from 2.03 to 1.72; swelling score of affected the breast decreased from 1.58 to 1.27. However, skin problem score in the area of the affected breast increased from 1.64 to 1.88. Pain in the affected breast revealed moderate correlation with hypersensitivity of the affected breast before rehabilitation, and moderate correlation with other breast symptoms after rehabilitation. Conclusion: Individualized therapeutic exercise and complete decongestive therapy may improve arm pain and swelling of the affected breast after operation and radiotherapy in patients with breast cancer.

Language

Traditional Chinese

First Page

117

Last Page

124

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